NPIMap

Individual provider Active NPI

Atif Iqbal, MD

  • Surgery Physician
  • Fountain Valley, CA
National Provider Identifier
1669592473
Registry record updated May 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
A 101690 Issued in CA
Practice address
18225 Brookhurst St Ste 5
Fountain Valley, CA 92708-6719
Phone
(714) 599-8222
Fax
(714) 599-8223
NPI assigned
Mar 29, 2007
Last updated
May 31, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 31, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 98356 FL
Surgery Physician 208600000X 5358 NE
Surgery Physician 208600000X 251627 NY
Surgery Physician 208600000X A 101690 CA Primary

Addresses

Primary practice location

18225 Brookhurst St Ste 5
Fountain Valley, CA 92708-6719

Mailing address

18225 Brookhurst St Ste 5
Fountain Valley, CA 92708-6719
Phone (714) 599-8222

Other identifiers 1

IdentifierTypeStateIssuer
104130MedicaidCA

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
I20110524000818 CA Practitioner - General Surgery 9638262421 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Iqbal Surgical Associates IncGroup PAC ID 5799005757, 4 clinicians

Practice addresses (Care Compare)

18225 Brookhurst St
Fountain Valley, CA 92708-6719
Phone (949) 701-6606

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hernia repair (minimally invasive)1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A 101690CAMDSurgery Physician
98356FLMDSurgery Physician
5358NEMDSurgery Physician
251627NYMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Port Charlotte Hma Physician Management LLC Surgery PastSince Aug 1, 2007 Accepting new patients
Alta Newport Hospital, LLC Past Accepting new patients
Chapman Medical Center Inc Past Accepting new patients
Orange Coast Memorial Medical Center Past Accepting new patients
South Coast Global Medical Center, Inc Past Accepting new patients
Port Charlotte Hma Physician Management LLC Past Accepting new patients

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1175126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685491200000",
    "number": "1669592473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18225 BROOKHURST ST STE 5",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927086719",
            "telephone_number": "714-599-8222",
            "fax_number": "714-599-8223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18225 BROOKHURST ST STE 5",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927086719",
            "telephone_number": "714-599-8222",
            "fax_number": "714-599-8223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IQBAL",
        "first_name": "ATIF",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-29",
        "last_updated": "2023-05-31",
        "certification_date": "2023-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "FL",
            "license": "98356",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NE",
            "license": "5358",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NY",
            "license": "251627",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "A 101690",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "104130",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fountain Valley, CA

Sources for this page

Verify at the official NPI Registry.