Individual provider Active NPI

Ali Assghar Goodarzi, M.D.

  • Diagnostic Radiology Physician
  • Downey, CA
National Provider Identifier
1881737021
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
C50962 Issued in CA
Practice address
11411 Brookshire Ave
Suite # 101
Downey, CA 90241-5003
Phone
(562) 923-5521
NPI assigned
Feb 15, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X C50962 CA Primary

Addresses

Primary practice location

11411 Brookshire Ave
Suite # 101
Downey, CA 90241-5003

Mailing address

30286 La Vue
Laguna Niguel, CA 92677-5531
Phone (949) 388-4088

Other identifiers 1

IdentifierTypeStateIssuer
C50962OtherCAMEDICAL LICENSE

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

State licenses

LicenseStateTypeSpecialty
50962CAMDMarriage & Family Therapist
C50962CAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
United Medical Imaging Healthcare, Inc. Past Accepting new patients
Lynwood Medical Imaging LLC Diagnostic Radiology Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1171497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1881737021",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30286 LA VUE",
            "city": "LAGUNA NIGUEL",
            "state": "CA",
            "postal_code": "926775531",
            "telephone_number": "949-388-4088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11411 BROOKSHIRE AVE",
            "address_2": "SUITE # 101",
            "city": "DOWNEY",
            "state": "CA",
            "postal_code": "902415003",
            "telephone_number": "562-923-5521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODARZI",
        "first_name": "ALI",
        "middle_name": "ASSGHAR",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "C50962",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "C50962",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Downey, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.