Amir Abolhoda, MD

Individual provider Active NPI Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician · Orange, CA

NPI 1891875951 · NPPES record last updated Apr 12, 2008

Key facts

NPI
1891875951
Entity type
Individual (NPI type 1)
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X
License
000000G85458 (CA)
Practice address
Uci Medical Center
101 The City Drive South
Orange, CA 92868
Phone
(714) 456-8978
NPI assigned
Oct 16, 2006
Sex
Male
Sole proprietor
No

Organizations & group practices 11

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 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Medicare Care Compare profile

Specialty
Thoracic Surgery
Also: Cardiovascular Disease (Cardiology)
Education
University of California, Irvine, California College of Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Memorialcare Medical Foundation (555 clinicians)

Practice addresses (Care Compare)

3828 Schaufele Ave
Suite 340
Long Beach, CA 90808-1793
Phone (562) 988-9333

Hospital & facility affiliations

  • Memorialcare Long Beach Medical Center Hospital · Long Beach, CA · CCN 050485
  • Uci Health-Orange Hospital · Orange, CA · CCN 050348

Merit-based Incentive Payment System (MIPS)

Final score
87.17 of 100 (group)
Quality
81.15
Promoting interoperability
100
Improvement activities
40
Cost
71.64

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary artery bypass graft (CABG)19
Upper gastrointestinal (GI) endoscopy for acid reflux1-10

Medicare participation

Medicare fee-for-service enrollment
Enrolled (2 enrollments) in CA, SD
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20040213000424 CA Practitioner - Thoracic Surgery
Practitioner - Cardiovascular Disease (Cardiology)
5597659037 Reassigns benefits to 1 organization
I20161130001895 SD Practitioner - Thoracic Surgery 5597659037 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
85458CAMDPharmacist
000000G85458CAMDThoracic Surgery (Cardiothoracic Vascular Surgery) Physician

Practice roles (11 of 12)

OrganizationSpecialtyStatusNew patients
Sanford Clinic Current
since Oct 26, 2016
Accepting new patients
Sanford Clinic Current
since Oct 26, 2016
Accepting new patients
Sanford Clinic Current Accepting new patients
Memorialcare Medical Foundation Current
since Jan 1, 2018
Accepting new patients
Physicians' Hospital of Murrieta, LLC Past Accepting new patients
Bristol Park Medical Group, Inc Past Accepting new patients
Los Alamitos Medical Center, Inc. Past Accepting new patients
Long Beach Memorial Medical Past Accepting new patients
Saddleback Memorial Medical Center Past Accepting new patients
Orange Coast Memorial Medical Center Past Accepting new patients
University of California Irvine Past Accepting new patients

Locations

722 Baker St
Costa Mesa, CA 92626
Phone (714) 557-6300

2801 Atlantic Ave
Long Beach, CA 90806
Phone (310) 933-2000

3828 Schaufele Ave
Ste 340
Long Beach, CA 90808
Phone (562) 427-5388

2888 Long Beach Blvd
Ste 165
Long Beach, CA 90806
Phone (562) 595-5380

1301 W 18th St
Sioux Falls, SD 57105
Phone (605) 312-2100

1500 W 22nd St
Ste 105
Sioux Falls, SD 57105
Phone (605) 328-3800

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: aabolhoda182499@direct.memorialcare.org

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X 000000G85458 CA Yes

Addresses

Primary practice location

Uci Medical Center
101 The City Drive South
Orange, CA 92868

Mailing address

University Surgeons of Orange
PO Box 512347
Los Angeles, CA 90051-0347
Phone (714) 456-6369

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Apr 12, 2008.

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207958400000",
    "number": "1891875951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "UNIVERSITY SURGEONS OF ORANGE",
            "address_2": "PO BOX 512347",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900510347",
            "telephone_number": "714-456-6369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "UCI MEDICAL CENTER",
            "address_2": "101 THE CITY DRIVE SOUTH",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "92868",
            "telephone_number": "714-456-8978"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABOLHODA",
        "first_name": "AMIR",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-16",
        "last_updated": "2008-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "CA",
            "license": "000000G85458",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange, CA

All providers in Orange, CA · Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in California

Sources for this page

Verify at the official NPI Registry.