Active NPI
Alireza Pourjavid
- Audiologist
- Tucson, AZ
National Provider Identifier
1649977737
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- DA14320
- Practice address
- 3443 N Campbell Ave Ste 135
Tucson, AZ 85719-2379 - Phone
- (520) 547-2062
- NPI assigned
- Feb 9, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | DA14320 | AZ | Primary |
Addresses
Primary practice location
3443 N Campbell Ave Ste 135
Tucson, AZ 85719-2379
Mailing address
951 W Orange Grove Rd Apt 83103
Tucson, AZ 85704-4087
Phone (408) 834-6286
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Audiologist
- Education
- Other, 2022
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1625 N Campbell Ave
Tucson, AZ 85719-4330
525 W Brown Rd
Mesa, AZ 85201-3202
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DA14320 | AZ | MD | Audiologist |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Multi-Specialty Clinic/Center
- Phoenix, AZ
- NPI 1508809427
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1675900800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1675900800000",
"number": "1649977737",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "951 W ORANGE GROVE RD APT 83103",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857044087",
"telephone_number": "408-834-6286"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3443 N CAMPBELL AVE STE 135",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857192379",
"telephone_number": "520-547-2062"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POURJAVID",
"first_name": "ALIREZA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-02-09",
"last_updated": "2023-02-09",
"certification_date": "2023-02-09",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "AZ",
"license": "DA14320",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tucson, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.