Individual provider Active NPI

Ali Fouladi, M.D.

  • Surgery Physician
  • Los Alamitos, CA
National Provider Identifier
1679779797
Registry record updated Dec 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
A120991 Issued in CA
Practice address
3801 Katella Ave Ste 402
Los Alamitos, CA 90720-3395
Phone
(562) 598-6700
Fax
(562) 598-6702
NPI assigned
Jun 25, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 23, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X A120991 CA Primary

Addresses

Primary practice location

3801 Katella Ave Ste 402
Los Alamitos, CA 90720-3395

Mailing address

3801 Katella Ave Ste 402
Los Alamitos, CA 90720-3395
Phone (562) 598-6700

Other names 1

  • Alex Fouladi Other name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130104000086 CA Practitioner - General Surgery 9133372980 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
R Franklin University of Med & Sci/Chicago Medical School, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3801 Katella Ave
Suite 402
Los Alamitos, CA 90720-3395
Phone (562) 598-6700

Hospital & facility affiliations

  • Uci Health-Orange Hospital, Orange, CA, CCN 050348

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair - groin (open)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A120991CAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ali Alex Fouladi MD Inc Surgery CurrentSince Dec 16, 2014 Accepting new patients
University of California Irvine Past Accepting new patients

Locations

3801 Katella Ave
Ste 402
Los Alamitos, CA 90720
Phone (562) 431-2946

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 2

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 2

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": "1182729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1419292800000",
    "number": "1679779797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3801 KATELLA AVE STE 402",
            "city": "LOS ALAMITOS",
            "state": "CA",
            "postal_code": "907203395",
            "telephone_number": "562-598-6700",
            "fax_number": "562-598-6702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3801 KATELLA AVE STE 402",
            "city": "LOS ALAMITOS",
            "state": "CA",
            "postal_code": "907203395",
            "telephone_number": "562-598-6700",
            "fax_number": "562-598-6702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOULADI",
        "first_name": "ALI",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-25",
        "last_updated": "2014-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "A120991",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALEX",
            "last_name": "FOULADI",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Los Alamitos, CA

Sources for this page

Verify at the official NPI Registry.