Individual provider Active NPI

Afzaal Iqbal

  • Pain Medicine (Anesthesiology) Physician
  • Fountain Valley, CA
National Provider Identifier
1861782674
Registry record updated Nov 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
A143130 Issued in CA
Practice address
18111 Brookhurst St
Ste 3100
Fountain Valley, CA 92708-6728
Phone
(714) 963-7240
Fax
(714) 963-7224
NPI assigned
Apr 13, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) Physician 207LP2900X A143130 CA Primary

Addresses

Primary practice location

18111 Brookhurst St
Ste 3100
Fountain Valley, CA 92708-6728

Mailing address

16787 Beach Blvd
Box 276
Huntington Beach, CA 92647-4848
Phone (714) 963-7240

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
I20161010000488 CA Practitioner - Pain ManagementPractitioner - Anesthesiology 6709176548 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pain ManagementAlso: Anesthesiology
Education
State University of New York at Stony Brook, School of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Orange County Digestive Anesthesia, Inc.Group PAC ID 9830582675, 3 clinicians

Practice addresses (Care Compare)

1400 Reynolds Ave
Suite 100
Irvine, CA 92614-5562
Phone (949) 209-8415

2621 S Bristol St
Suite 202
Santa Ana, CA 92704-5718
Phone (657) 900-4536

Hospital & facility affiliations

  • Hoag Memorial Hospital Presbyterian Hospital, Newport Beach, CA, CCN 050224
  • Memorialcare Orange Coast Medical Center Hospital, Fountain Valley, CA, CCN 050678

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion1-10
Laminectomy or laminotomy (partial removal of spine bones)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A143130CAMDPain Medicine (Anesthesiology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Orange County Digestive Anesthesia, Inc. CurrentSince Sep 1, 2022 Accepting new patients
Afzaal Iqbal MD Inc Pain Medicine CurrentSince Feb 10, 2021 Accepting new patients
Trojan Medical Center Past Accepting new patients

Locations

18111 Brookhurst St
Ste 6700
Fountain Vly, CA 92708
Phone (949) 229-2003

1400 Reynolds Ave
Ste 125
Irvine, CA 92614
Phone (657) 900-4536

1400 Reynolds Ave
Ste 100
Irvine, CA 92614
Phone (657) 900-4536

2621 S Bristol St
Ste 202
Santa Ana, CA 92704
Phone (657) 900-4536

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: aiqbal407500@direct.memorialcare.org
  • FHIR API: https://api.platform.athenahealth.com/25974/brand/1/csg/1/fhir/r4

Organizations & group practices 3

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 2

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": "1302652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479168000000",
    "number": "1861782674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16787 BEACH BLVD",
            "address_2": "BOX 276",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926474848",
            "telephone_number": "714-963-7240",
            "fax_number": "714-963-7224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18111 BROOKHURST ST",
            "address_2": "STE 3100",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927086728",
            "telephone_number": "714-963-7240",
            "fax_number": "714-963-7224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IQBAL",
        "first_name": "AFZAAL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-04-13",
        "last_updated": "2016-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "CA",
            "license": "A143130",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fountain Valley, CA

Sources for this page

Verify at the official NPI Registry.