Gillian Goldberg Bassirpour, MD

Primary specialty

Allergy PhysicianTaxonomy code 207KA0200X

License

C174521 Issued in CA

Practice address

2 Journey Ste 201
Aliso Viejo, CA 92656-3373

Phone

(949) 287-4900

NPI assigned

May 18, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Gillian Michele Goldberg Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Opted out of Medicare

Previously, effective Aug 30, 2022 through Aug 30, 2026

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: gbassirpour197440@direct.hfhs.org
• Direct secure messaging: gillian.bassirpour.1@29763.direct.athenahealth.com

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.

• Ryanrae Skin

  • Allergy Physician
  • Aliso Viejo, CA
  • NPI 1578340907
  NPD Authorized official
• Henry Ford Health System

  • General Acute Care Hospital
  • West Bloomfield, MI
  • NPI 1407867559
  NPD (past)
• Henry Ford Macomb Hospital Corporation

  • General Acute Care Hospital
  • Warren, MI
  • NPI 1902842735
  NPD (past)

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

{
    "created_epoch": "1274140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694476800000",
    "number": "1811216765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 JOURNEY STE 201",
            "city": "ALISO VIEJO",
            "state": "CA",
            "postal_code": "926563373",
            "telephone_number": "949-287-4900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 JOURNEY STE 201",
            "city": "ALISO VIEJO",
            "state": "CA",
            "postal_code": "926563373",
            "telephone_number": "949-287-4900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2549 Eastbluff Dr Unit 456",
            "address_purpose": "LOCATION",
            "city": "Newport Beach",
            "state": "CA",
            "postal_code": "926603500",
            "country_code": "US",
            "telephone_number": "949-385-6800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BASSIRPOUR",
        "first_name": "GILLIAN",
        "middle_name": "GOLDBERG",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-05-18",
        "last_updated": "2023-09-12",
        "certification_date": "2023-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207KA0200X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology, Allergy",
            "state": "CA",
            "license": "C174521",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GILLIAN",
            "last_name": "GOLDBERG",
            "middle_name": "MICHELE",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Ann Erika Banaban, RN
• Melissa Yarely Barboza
• Sierra Brittany Barner
• Brian Barragan, PA-C
• Sydney Barrios
• James Craig Battles, M.S., M.A., LMFT
• Be Well Collaborative Care Center
• Bearshorns LLC
• Behavior Metabolic Sciences, LLC
• Badri Beheshti

• Allergy Physician in Aliso Viejo, CA
• Providers in Aliso Viejo, CA by specialty
• Allergy Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2023; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.