NPIMap

Individual provider Active NPI

Faramarz Alizadeh-Shabdiz, M.D

  • Otolaryngology Physician
  • Orange, CA
National Provider Identifier
1790955052
Registry record updated Sep 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
A101653 Issued in CA
Practice address
1140 W la Veta Ave
Suite 520
Orange, CA 92868-4225
Phone
(714) 543-2000
NPI assigned
Mar 3, 2008
Sex
Male
Sole proprietor
No

Organizations & group practices 9

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 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Entrust Medical Corporation 6 clinicians

Practice addresses (Care Compare)

1140 W la Veta Ave
Suite 520
Orange, CA 92868-4227
Phone (714) 543-2000

1310 W Stewart Dr
Suite 502
Orange, CA 92868-3856
Phone (714) 450-1047

Hospital & facility affiliations

  • Providence St. Joseph Hospital Hospital, Orange, CA, CCN 050069
  • Uci Health-Orange Hospital, Orange, CA, CCN 050348

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

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.

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
I20110929000542 CA Practitioner - Otolaryngology 3577734250 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A101653CAMDOtolaryngology Physician

Practice roles (9 of 10)

OrganizationSpecialtyStatusNew patients
Entrust Medical Corporation Otolaryngology CurrentSince Oct 1, 2011 Accepting new patients
Orange County Global Medical Center, Inc Past Accepting new patients
Children'S Hospital of Orange County Past Accepting new patients
Providence Health System - Southern California Past Accepting new patients
St Joseph Hospital of Orange Past Accepting new patients
Anaheim Global Medical Center, Inc Past Accepting new patients
Anaheim Memorial Medical Center Past Accepting new patients
University of California Irvine Past Accepting new patients
St. Joseph Health Northern California, LLC Past Accepting new patients

Locations

800 S Main St
Corona, CA 92882
Phone (909) 625-5411

1140 W La Veta Ave
Ste 520
Orange, CA 92868
Phone (714) 543-2000

585 N Mountain Ave
Ste A
Upland, CA 91786
Phone (909) 608-7546

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IHJFCD

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X A101653 CA Primary

Addresses

NPPES NPI Registry

Primary practice location

1140 W la Veta Ave
Suite 520
Orange, CA 92868-4225

Mailing address

PO Box 5971
Orange, CA 92863-5971
Phone (714) 571-5000

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 13, 2011.

{
    "created_epoch": "1204502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1315872000000",
    "number": "1790955052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5971",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928635971",
            "telephone_number": "714-571-5000",
            "fax_number": "714-571-5055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1140 W LA VETA AVE",
            "address_2": "SUITE 520",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928684225",
            "telephone_number": "714-543-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALIZADEH-SHABDIZ",
        "first_name": "FARAMARZ",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-03-03",
        "last_updated": "2011-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "CA",
            "license": "A101653",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange, CA

Sources for this page

Verify at the official NPI Registry.