NPIMap

Individual provider Active NPI

Ahmad K Nooristani, M.D.

  • Internal Medicine Physician
  • Santa Maria, CA
National Provider Identifier
1659537306
Registry record updated Jan 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A104544 Issued in CA
Practice address
830 E Chapel St
Santa Maria, CA 93454-4699
Phone
(805) 922-6657
Fax
(805) 439-2364
NPI assigned
Aug 1, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A104544 CA Primary

Addresses

Primary practice location

830 E Chapel St
Santa Maria, CA 93454-4699

Mailing address

525 Bluerock Dr
San Luis Obispo, CA 93401-5678
Phone (805) 821-1176

Other practice location 1

1242 Monterey St Ste 120
San Luis Obispo, CA 93401-0808
Phone (805) 406-6363

Other practice location 2

525 Bluerock Dr
San Luis Obispo, CA 93401-5678
Phone (805) 821-1176

Other identifiers 1

IdentifierTypeStateIssuer
A104544OtherCACA MEDICAL LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081204000093 CA Practitioner - Internal MedicinePractitioner - Hospitalist 1052472479 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Hospitalist
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lompoc Hospitalist Group PCGroup PAC ID 8426470832, 9 clinicians

Practice addresses (Care Compare)

1515 E Ocean Ave
Lompoc, CA 93436-7092
Phone (805) 737-3300

1516 W Branch St
Arroyo Grande, CA 93420-1817
Phone (805) 303-3646

830 E Chapel St
Santa Maria, CA 93454-4610
Phone (805) 922-6657

Hospital & facility affiliations

  • Lompoc Valley Medical Center Hospital, Lompoc, CA, CCN 050110
  • Marian Regional Medical Center Hospital, Santa Maria, CA, CCN 050107
  • Santa Barbara Cottage Hospital Hospital, Santa Barbara, CA, CCN 050396
  • Goleta Valley Cottage Hospital Hospital, Santa Barbara, CA, CCN 050357
  • Valley Oaks Post Acute Nursing home, Santa Maria, CA, CCN 055826
  • Lompoc Skilled Nursing & Rehabilitation Center Nursing home, Lompoc, CA, CCN 555830
  • Channel Islands Post Acute Nursing home, Santa Barbara, CA, CCN 555875
  • Buena Vista Care Center Nursing home, Santa Barbara, CA, CCN 555394
  • Lompoc Valley Medical Center Comprehensive Care Ce Nursing home, Lompoc, CA, CCN 055256

Merit-based Incentive Payment System (MIPS)

Final score
19.42 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
64.74

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A104544CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
New Vision Telemedicine and Medical Consultant, Inc. Internal Medicine CurrentSince Dec 31, 2019 Accepting new patients
Phai, Inc. CurrentSince Oct 6, 2025 Accepting new patients
Central Coast Nursing Home Physicians, Inc. Internal Medicine Current Accepting new patients
Phai, Inc. CurrentSince Oct 6, 2025 Accepting new patients
Central Coast Nursing Home Physicians, Inc. Internal Medicine Current Accepting new patients
Asa Detox Center Past Accepting new patients
Central Coast Chest Consultants a Medical Corporation Internal Medicine PastSince Jul 10, 2022 Accepting new patients

Locations

1516 W Branch St
Arroyo Grande, CA 93420
Phone (805) 303-3646

1428 W North Ave
Lompoc, CA 93436
Phone (805) 735-4010

216 N 3rd St
Lompoc, CA 93436
Phone (805) 736-3466

3118 Main St
Ste B
Morro Bay, CA 93442
Phone (805) 242-7978

3880 Via Lucero
Santa Barbara, CA 93110
Phone (805) 682-5208

830 E Chapel St
Santa Maria, CA 93454
Phone (805) 544-5100

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Valley Oaks Post AcuteSanta Maria, CA, CCN 055826 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Aug 16, 2021
Aug 16, 2021

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 8

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.

Hospital & facility affiliations 9

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1217548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769644800000",
    "number": "1659537306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 BLUEROCK DR",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934015678",
            "telephone_number": "805-821-1176",
            "fax_number": "805-439-2364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "830 E CHAPEL ST",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934544699",
            "telephone_number": "805-922-6657",
            "fax_number": "805-439-2364"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1242 Monterey St Ste 120",
            "address_purpose": "LOCATION",
            "city": "San Luis Obispo",
            "state": "CA",
            "postal_code": "934010808",
            "country_code": "US",
            "telephone_number": "805-406-6363",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "525 Bluerock Dr",
            "address_purpose": "LOCATION",
            "city": "San Luis Obispo",
            "state": "CA",
            "postal_code": "934015678",
            "country_code": "US",
            "telephone_number": "805-821-1176",
            "fax_number": "805-439-2364",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NOORISTANI",
        "first_name": "AHMAD",
        "middle_name": "K",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-08-01",
        "last_updated": "2026-01-29",
        "certification_date": "2026-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A104544",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CA MEDICAL LICENSE",
            "identifier": "A104544",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Maria, CA

Sources for this page

Verify at the official NPI Registry.