Active NPI
Alexander Hoghooghi, D.D.S., M.D.
- Oral and Maxillofacial Surgery (Dentist)
- Palo Alto, CA
National Provider Identifier
1891841243
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)
- License
- OMS64
- Practice address
- 853 Middlefield Rd Ste 4
Palo Alto, CA 94301-2919 - Phone
- (650) 617-1900
- Fax
- (650) 617-1907
- NPI assigned
- Jan 26, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | OMS64 | CA | Primary |
Addresses
Primary practice location
853 Middlefield Rd Ste 4
Palo Alto, CA 94301-2919
Mailing address
900 Welch Rd
Suite 100
Palo Alto, CA 94304-1805
Phone (650) 617-1900
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Dec 26, 2016 through Dec 26, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OMS64 | CA | MD | Oral and Maxillofacial Surgery (Dentist) |
| 64 | CA | MD | Dental Hygienist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Palo Alto Oral & Maxillofacial Surgery | Current | Accepting new patients |
Locations
853 Middlefield Rd
Ste 4
Palo Alto, CA 94301
Phone (650) 617-1900
Organizations & group practices 1
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.
-
- Oral and Maxillofacial Surgery Clinic/Center
- Palo Alto, CA
- NPI 1992375026
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169769600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1625011200000",
"number": "1891841243",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "900 WELCH RD",
"address_2": "SUITE 100",
"city": "PALO ALTO",
"state": "CA",
"postal_code": "943041805",
"telephone_number": "650-617-1900",
"fax_number": "650-617-1907"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "853 MIDDLEFIELD RD STE 4",
"city": "PALO ALTO",
"state": "CA",
"postal_code": "943012919",
"telephone_number": "650-617-1900",
"fax_number": "650-617-1907"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOGHOOGHI",
"first_name": "ALEXANDER",
"name_prefix": "Dr.",
"credential": "D.D.S., M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-26",
"last_updated": "2021-06-30",
"certification_date": "2021-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "1223S0112X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "CA",
"license": "OMS64",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Palo Alto, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.