Individual provider Active NPI

Ivan Oreb Aispuro, MD

  • Emergency Medicine Physician
  • Los Angeles, CA
National Provider Identifier
1962022707
Registry record updated Sep 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
A186570 Issued in CA
Practice address
1200 N State Street
GNH 1011
Los Angeles, CA 90032
Phone
(323) 409-7053
NPI assigned
Apr 22, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X A186570 CA Primary
Emergency Medicine Physician 207P00000X 75738 AZ

Addresses

Primary practice location

1200 N State Street
GNH 1011
Los Angeles, CA 90032

Mailing address

1200 N State Street
GNH 1011
Los Angeles, CA 90032
Phone (323) 409-7053

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, AZ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20240817000597 CA Practitioner - Emergency Medicine 8325447006 Reassigns benefits to 1 organization
I20250708003017 AZ Practitioner - Emergency Medicine 8325447006 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
University of Arizona College of Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Emergency Physicians Southwest PCGroup PAC ID 2264538529, 96 clinicians

Practice addresses (Care Compare)

1800 E Florence Blvd
Casa Grande, AZ 85122-5303
Phone (520) 381-6300

Hospital & facility affiliations

  • Banner Payson Medical Center Hospital, Payson, AZ, CCN 031318
  • Banner Casa Grande Medical Center Hospital, Casa Grande, AZ, CCN 030016
  • St. Mary'S Hospital Hospital, Tucson, AZ, CCN 030010
  • Palomar Health Downtown Campus Hospital, Escondido, CA, CCN 050115

Merit-based Incentive Payment System (MIPS)

Final score
95.47 of 100Reported as group
Quality
85.24
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A186570CAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Palomar Emergency Physicians, Inc Emergency Medicine CurrentSince Jul 15, 2024 Accepting new patients
Emergency Physicians Southwest, PC Emergency Medicine CurrentSince Aug 1, 2025 Accepting new patients

Locations

1800 E Florence Blvd
Casa Grande, AZ 85122
Phone (520) 381-6285

6644 E Baywood Ave
Mesa, AZ 85206
Phone (480) 321-2000

807 S Ponderosa St
Payson, AZ 85541
Phone (520) 474-3222

15615 Pomerado Rd
Poway, CA 92064
Phone (858) 613-4000

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 4

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": "1587513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758153600000",
    "number": "1962022707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 N STATE STREET",
            "address_2": "GNH 1011",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90032",
            "telephone_number": "323-409-7053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 N STATE STREET",
            "address_2": "GNH 1011",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90032",
            "telephone_number": "323-409-7053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AISPURO",
        "first_name": "IVAN",
        "middle_name": "OREB",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-04-22",
        "last_updated": "2025-09-18",
        "certification_date": "2025-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "A186570",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "AZ",
            "license": "75738",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.