Individual provider Active NPI

Ali Hamadani, D.O.

  • Anesthesiology Physician
  • Los Angeles, CA
National Provider Identifier
1720347826
Registry record updated Jun 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
20A14617 Issued in CA
Practice address
1225 Wilshire Blvd
Los Angeles, CA 90017-1901
Phone
(213) 977-2121
NPI assigned
May 9, 2012
Last updated
Jun 23, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 20A14617 CA Primary

Addresses

Primary practice location

1225 Wilshire Blvd
Los Angeles, CA 90017-1901

Mailing address

210 N Tustin Ave
Santa Ana, CA 92705-3807
Phone (714) 347-1010

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
I20160607001660 CA Practitioner - Anesthesiology 0941590731 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Arizona College of Osteopathic Medicine Mid Western University, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Descanso Anesthesia GroupGroup PAC ID 5890193908, 15 clinicians

Practice addresses (Care Compare)

1812 Verdugo Blvd
Glendale, CA 91208-1407
Phone (818) 790-7100

3617 Avalon Blvd
Suite 100
Los Angeles, CA 90011-5601
Phone (213) 935-8566

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
14617CAMDAcupuncturist
20A14617CAMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Select Surgical, LLC CurrentSince Oct 10, 2025 Accepting new patients
Pacific Valley Medical Group Anesthesiology CurrentSince Mar 23, 2024 Accepting new patients
Select Surgical, a Medical Corporation Anesthesiology CurrentSince Oct 10, 2025 Accepting new patients
Descanso Anesthesia Group Anesthesiology CurrentSince Jul 1, 2021 Accepting new patients
Samaritan Anesthesiology Medical Group Anesthesiology CurrentSince Jul 23, 2016 Accepting new patients

Locations

15503 Ventura Blvd
Ste 200
Encino, CA 91436
Phone (818) 788-7288

1812 Verdugo Blvd
Glendale, CA 91208
Phone (818) 246-8000

1225 Wilshire Blvd
Los Angeles, CA 90017
Phone (213) 482-2741

3617 Avalon Blvd
Ste 100
Los Angeles, CA 90011
Phone (213) 550-1201

333 S Arroyo Pkwy
Fl 3
Pasadena, CA 91105
Phone (626) 440-9161

39 Congress St
Ste 310
Pasadena, CA 91105
Phone (526) 795-0282

797 S Fair Oaks Ave
Pasadena, CA 91105
Phone (626) 535-2434

Dept LA 24632
Pasadena, CA 91185

210 N Tustin Ave
Santa Ana, CA 92705
Phone (714) 347-1000

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/17323/brand/1/csg/1/fhir/r4

Organizations & group practices 5

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": "1336521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624406400000",
    "number": "1720347826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 N TUSTIN AVE",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927053807",
            "telephone_number": "714-347-1010",
            "fax_number": "714-647-1245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1225 WILSHIRE BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900171901",
            "telephone_number": "213-977-2121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMADANI",
        "first_name": "ALI",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-05-09",
        "last_updated": "2021-06-23",
        "certification_date": "2021-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "20A14617",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.