Active NPI
Alireza Emdadi, M.D.
- Anesthesiology Physician
- Newport Beach, CA
National Provider Identifier
1699784645
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- A63143
- Practice address
- 17 Coastal Oak
Newport Beach, CA 92657-1655 - Phone
- (310) 497-5956
- NPI assigned
- Aug 7, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | A63143 | CA | Primary |
Addresses
Primary practice location
17 Coastal Oak
Newport Beach, CA 92657-1655
Mailing address
PO Box 17793
Irvine, CA 92623
Phone (562) 427-5363
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A63143 | CA | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alireza Emdadi, MD., Inc | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Pain Medicine (Anesthesiology) Physician
- Newport Coast, CA
- NPI 1922502798
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154908800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1699784645",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 17793",
"city": "IRVINE",
"state": "CA",
"postal_code": "92623",
"telephone_number": "562-427-5363",
"fax_number": "562-427-8802"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17 COASTAL OAK",
"city": "NEWPORT BEACH",
"state": "CA",
"postal_code": "926571655",
"telephone_number": "310-497-5956"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EMDADI",
"first_name": "ALIREZA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-07",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "CA",
"license": "A63143",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Newport Beach, CA
- Zackry Calvin Ellis, PA-C
- Christopher Lee Ellstrom, MD
- Mitra H Elmi
- Roak Gordon Ely II
- Em Beaute
- Emere Medical Professional Corporation (Emere-Newport Beach)
- Emergency Physicians of Orange County
- Emergency Surgical Associates, Apc
- Emily R. Gombos, M.a., LMFT, a Professional Corporation
- Emmanuel Justice Addo MD Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.