Ardalan Alen Nourian, MD

Primary specialty

Orthopaedic Surgery of the Spine PhysicianTaxonomy code 207XS0117X

License

A128908 Issued in CA

Practice address

301 Science Dr Ste 190
Moorpark, CA 93021-0800

Phone

(310) 702-1872

Fax

(310) 606-2039

NPI assigned

Nov 3, 2009

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Dr. Alen Nourian Professional name

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

Specialty

Orthopedic Surgery

Education

University of Southern California Keck School of Medicine, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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.

• Ardalan Alen Nourian, MD, Apc

  • Orthopaedic Surgery of the Spine Physician
  • Moorpark, CA
  • NPI 1477147965
  Medicare reassignment NPD Authorized official
• Jonathan Oheb MD Inc

  • Orthopaedic Surgery Physician
  • Encino, CA
  • NPI 1528546108
  NPD (past)

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

{
    "created_epoch": "1257206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1811224405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 15426",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902091426",
            "telephone_number": "310-702-1872",
            "fax_number": "310-606-2039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 SCIENCE DR STE 190",
            "city": "MOORPARK",
            "state": "CA",
            "postal_code": "930210800",
            "telephone_number": "310-702-1872",
            "fax_number": "310-606-2039"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10866 Riverside Dr",
            "address_purpose": "LOCATION",
            "city": "North Hollywood",
            "state": "CA",
            "postal_code": "916022236",
            "country_code": "US",
            "telephone_number": "805-416-1777",
            "fax_number": "310-606-2039",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "550 Saint Charles Dr Ste 204",
            "address_purpose": "LOCATION",
            "city": "Thousand Oaks",
            "state": "CA",
            "postal_code": "913603951",
            "country_code": "US",
            "telephone_number": "805-416-1777",
            "fax_number": "310-606-2039",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NOURIAN",
        "first_name": "ARDALAN",
        "middle_name": "ALEN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-11-03",
        "last_updated": "2023-03-07",
        "certification_date": "2021-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XS0117X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "CA",
            "license": "A128908",
            "primary": true
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "CA",
            "license": "A128908",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "A128908",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALEN",
            "last_name": "NOURIAN",
            "prefix": "DR.",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Shauna Neally-Sportato, LVN
• Kathleen M. Nelson, PA-C
• Sendy Nguyen, PA-C
• Tina Thuy Tran Nguyen, D.D.S
• Jessica Sahar Nouhavandi, PHARMD
• Ali A Novin-Baheran, RPH
• Maria Virginia Nunez Ibarra, RD
• Jeffrey Oakes, NCC, LSC, THM, MS,
• Daniel Oksun-Okah
• Alexandra Nur Ozder

• Orthopaedic Surgery of the Spine Physician in Moorpark, CA
• Providers in Moorpark, CA by specialty
• Orthopaedic Surgery of the Spine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.