Individual provider Active NPI

Alireza Jamali, MD

  • Orthopaedic Surgery Physician
  • Palmdale, CA
National Provider Identifier
1841267994
Registry record updated Jul 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
0101028662 Issued in VA
Practice address
1120 W Avenue M4
Palmdale, CA 93551-1432
Phone
(661) 480-2377
Fax
(661) 480-2378
NPI assigned
Mar 7, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 0101028662 VA Primary

Addresses

Primary practice location

1120 W Avenue M4
Palmdale, CA 93551-1432

Mailing address

1120 W Avenue M4
Palmdale, CA 93551-1432
Phone (661) 480-2377

Other practice location 1

5510 Owensmouth Ave Apt 224
Woodland Hills, CA 91367-7014
Phone (757) 406-6666

Other identifiers 1

IdentifierTypeStateIssuer
006483348MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1141689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688947200000",
    "number": "1841267994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1120 W AVENUE M4",
            "city": "PALMDALE",
            "state": "CA",
            "postal_code": "935511432",
            "telephone_number": "661-480-2377",
            "fax_number": "661-480-2378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 W AVENUE M4",
            "city": "PALMDALE",
            "state": "CA",
            "postal_code": "935511432",
            "telephone_number": "661-480-2377",
            "fax_number": "661-480-2378"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5510 Owensmouth Ave Apt 224",
            "address_purpose": "LOCATION",
            "city": "Woodland Hills",
            "state": "CA",
            "postal_code": "913677014",
            "country_code": "US",
            "telephone_number": "757-406-6666",
            "fax_number": "661-480-2378",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JAMALI",
        "first_name": "ALIREZA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-07",
        "last_updated": "2023-07-10",
        "certification_date": "2023-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "VA",
            "license": "0101028662",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "006483348",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Palmdale, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.