Active NPI
Alireza Tafazzoli, M.D.
- Anatomic Pathology & Clinical Pathology Physician
- Mission Viejo, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- A77595
- Practice address
- 27700 Medical Center Rd
Mission Viejo, CA 92691-6426 - Phone
- (949) 364-1400
- NPI assigned
- Aug 20, 2006
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cytopathology Physician | 207ZC0500X | A77595 | CA | |
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | A77595 | CA | Primary |
| Clinical Pathology/Laboratory Medicine Physician | 207ZP0105X | A77595 | CA |
Addresses
Primary practice location
27700 Medical Center Rd
Mission Viejo, CA 92691-6426
Mailing address
27700 Medical Center Rd
Mission Viejo, CA 92691-6426
Phone (949) 364-1400
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A775950 | Medicaid | CA | |
| 00A775950F39 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Pathology
- Education
- University of California, San Diego School of Medicine, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1 Hoag Dr
Newport Beach, CA 92663-4162
Phone (949) 891-1297
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 74.5 of 100
- Quality
- 70
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A77595 | CA | MD | Clinical Pathology/Laboratory Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hoag Memorial Hospital Presbyterian | Current | Accepting new patients | |
| Newport Harbor Pathology Medical Group Inc | Current | Accepting new patients | |
| Saddleback Medical Group Inc | Current | Accepting new patients | |
| Newport Harbor Pathology Medical Group Inc | Anatomic Pathology & Clinical Pathology | Current | Accepting new patients |
Locations
15375 Barranca Pkwy
Ste F101
Irvine, CA 92618
Phone (949) 264-8904
31872 Coast Hwy
Laguna Beach, CA 92651
Phone (949) 499-1311
24221 Calle de la Louisa
Ste 200
Laguna Hills, CA 92653
Phone (949) 465-8155
24221 Calle de la Louisa
Ste 400
Laguna Hills, CA 92653
Phone (949) 465-8155
23961 Calle de la Magdalena
Ste 500
Laguna Hills, CA 92653
Phone (760) 637-2500
27700 Medical Center Rd
Mission Viejo, CA 92691
Phone (949) 364-7744
1 Hoag Dr
Newport Beach, CA 92663
Phone (877) 742-4624
Interoperability endpoints
- alireza.tafazzoli.p15@direct.monarchhealthcare.nextgenshare.com
Organizations & group practices 4
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.
-
- Anatomic Pathology & Clinical Pathology Physician
- Newport Beach, CA
- NPI 1790711927
-
- Gastroenterology Physician
- Laguna Hills, CA
- NPI 1386605822
-
- General Acute Care Hospital
- Newport Beach, CA
- NPI 1518951300
-
- Clinical Medical Laboratory
- Orange, CA
- NPI 1619423282
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Providence Mission Hospital
- General Acute Care Hospital
- Mission Viejo, CA
- NPI 1912108002
-
dba Mission Hospital
- General Acute Care Hospital
- Mission Viejo, CA
- NPI 1992752315
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156032000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1238457600000",
"number": "1659486660",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "27700 MEDICAL CENTER RD",
"city": "MISSION VIEJO",
"state": "CA",
"postal_code": "926916426",
"telephone_number": "949-364-1400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "27700 MEDICAL CENTER RD",
"city": "MISSION VIEJO",
"state": "CA",
"postal_code": "926916426",
"telephone_number": "949-364-1400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAFAZZOLI",
"first_name": "ALIREZA",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-20",
"last_updated": "2009-03-31",
"status": "A"
},
"taxonomies": [
{
"code": "207ZC0500X",
"taxonomy_group": "",
"desc": "Pathology, Cytopathology",
"state": "CA",
"license": "A77595",
"primary": false
},
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "CA",
"license": "A77595",
"primary": true
},
{
"code": "207ZP0105X",
"taxonomy_group": "",
"desc": "Pathology, Clinical Pathology/Laboratory Medicine",
"state": "CA",
"license": "A77595",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A775950",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A775950F39",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Mission Viejo, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.