Ali Pourdjabbar, MD

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

A134134 Issued in CA

Practice address

9434 Medical Center Drive
UC San Diego Division of Cardiovascular Medicinec
La Jolla, CA 92037

Phone

(858) 657-5378

NPI assigned

Jul 1, 2015

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1435708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1435708800000",
    "number": "1861875429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3535 LEBON DR APT 2301",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921224595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9434 MEDICAL CENTER DRIVE",
            "address_2": "UC SAN DIEGO DIVISION OF CARDIOVASCULAR MEDICINEC",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "92037",
            "telephone_number": "858-657-5378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POURDJABBAR",
        "first_name": "ALI",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-07-01",
        "last_updated": "2015-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "A134134",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gregory R Polston, MD
• Allyson Ponsford, OTR/L
• Jessica Poon
• Alex Jonathan Portillo
• Laura Portner, PHD
• John Robert Power, MD
• Sujata Prabhu, M.D.
• Practical Recovery Psychology Group, Inc.
• Practical Recovery, Inc
• George J. Pratt, PH.D.

• Cardiovascular Disease Physician in La Jolla, CA
• Providers in La Jolla, CA by specialty
• Cardiovascular Disease Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2015; 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.