Individual provider Active NPI

Ali Dabestani, M.D.

  • Cardiovascular Disease Physician
  • Laguna Hills, CA
National Provider Identifier
1831213701
Registry record updated Feb 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
A34447 Issued in CA
Practice address
25401 Cabot Rd
107
Laguna Hills, CA 92653-5524
Phone
(949) 770-4858
Fax
(949) 770-7989
NPI assigned
Mar 18, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 20, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X A34447 CA Primary

Addresses

Primary practice location

25401 Cabot Rd
107
Laguna Hills, CA 92653-5524

Mailing address

23022 Bouquet Cyn
Mission Viejo, CA 92692-1673
Phone (949) 916-8420

Other identifiers 1

IdentifierTypeStateIssuer
00A344471MedicaidCA

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
I20090702000629 CA Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 8628129624 Reassigns benefits to 3 organizations
Practice locations: Laguna Hills, CA

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 1974
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sun City Cardiology Medical Center IncGroup PAC ID 9133025836, 3 clinicians

Practice addresses (Care Compare)

27830 Bradley Rd
Sun City, CA 92586-2201
Phone (951) 672-3888

28078 Baxter Rd
Suite 428
Murrieta, CA 92563-1404
Phone (951) 246-8881

Hospital & facility affiliations

  • Providence Mission Hospital Hospital, Mission Viejo, CA, CCN 050567
  • Memorialcare Saddleback Medical Center Hospital, Laguna Hills, CA, CCN 050603

Merit-based Incentive Payment System (MIPS)

Final score
96.97 of 100Reported as group
Quality
83.14
Improvement activities
40
Cost
79.05

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A34447CAMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Newport Diagnostic Radiology, Inc CurrentSince Jun 10, 2017 Accepting new patients
Sun City Cardiology Medical Center, Inc. Cardiovascular Disease CurrentSince Jul 1, 2018 Accepting new patients
Pacific Private Practice Network Inc CurrentSince Aug 1, 2017 Accepting new patients
MD Solutions Medical Corp Past Accepting new patients

Locations

25401 Cabot Rd
Ste 107
Laguna Hills, CA 92653
Phone (949) 273-8085

24953 Paseo de Valencia
Ste 30A
Laguna Hills, CA 92653
Phone (949) 683-7818

1605 Avocado Ave
Newport Beach, CA 92660
Phone (949) 760-3025

30230 Rancho Viejo Rd
Ste 110
San Juan Capo, CA 92675
Phone (949) 441-5681

27830 Bradley Rd
Sun City, CA 92586
Phone (951) 672-3888

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 4

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 3

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": "1174176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1329696000000",
    "number": "1831213701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23022 BOUQUET CYN",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926921673",
            "telephone_number": "949-916-8420",
            "fax_number": "949-770-7989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25401 CABOT RD",
            "address_2": "107",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926535524",
            "telephone_number": "949-770-4858",
            "fax_number": "949-770-7989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DABESTANI",
        "first_name": "ALI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-18",
        "last_updated": "2012-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "A34447",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A344471",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Laguna Hills, CA

Sources for this page

Verify at the official NPI Registry.