Dr Ali Mohebbi OD Inc

Primary specialty

OptometristTaxonomy code 152W00000X

License

11257T Issued in CA

Legal business name

DR ALI MOHEBBI OD INC

Practice address

3333 Bristol St
Costa Mesa, CA 92626-1873

Phone

(714) 557-7800

Fax

(714) 557-8006

NPI assigned

Oct 28, 2010

Last updated

Nov 15, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Ali A Mohebbi, OD

Title

President/Owner

Phone

(714) 557-7800

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1288224000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289779200000",
    "number": "1679873251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3326",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926901326",
            "telephone_number": "714-557-7800",
            "fax_number": "714-557-8006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3333 BRISTOL ST",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926261873",
            "telephone_number": "714-557-7800",
            "fax_number": "714-557-8006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR ALI MOHEBBI OD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-28",
        "last_updated": "2010-11-15",
        "status": "A",
        "authorized_official_last_name": "MOHEBBI",
        "authorized_official_first_name": "ALI",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "714-557-7800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "11257T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SD0112570",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Optometrist in Costa Mesa, CA
• Providers in Costa Mesa, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.