Individual provider Active NPI

David Gerard Aliabadi, M.D.

  • Interventional Cardiology Physician
  • Thousand Oaks, CA
National Provider Identifier
1962404723
Registry record updated Apr 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
G69896 Issued in CA
Practice address
2220 Lynn Rd
Suite 208
Thousand Oaks, CA 91360-1904
Phone
(805) 494-9494
Fax
(805) 496-5631
NPI assigned
Aug 11, 2005
Last updated
Apr 18, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 18, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Cardiology Physician 207RI0011X G69896 CA Primary

Addresses

Primary practice location

2220 Lynn Rd
Suite 208
Thousand Oaks, CA 91360-1904

Mailing address

2220 Lynn Rd
Suite 208
Thousand Oaks, CA 91360-1904
Phone (805) 494-9494

Other identifiers 3

IdentifierTypeStateIssuer
ZZZ94648ZOtherCABLUE SHIELD
00G698960MedicaidCA
95354702891403B002OtherCATRICARE WEST REGION

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20061129000506 CA Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 2860490828 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
University of California, Geffen School of Medicine, 1989
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2220 Lynn Rd
Suite 203
Thousand Oaks, CA 91360-8009
Phone (805) 480-2600

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
79.91 of 100Reported as individual
Quality
79.61
Improvement activities
40
Cost
60.22

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G69896CAMDInterventional Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
David Aliabadi MD Inc. CurrentSince Apr 17, 2006 Accepting new patients

Locations

2220 Lynn Rd
Ste 203
Thousand Oaks, CA 91360
Phone (805) 494-9494

2220 Lynn Rd
Ste 201
Thousand Oaks, CA 91360
Phone (805) 379-9825

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GCGJCD/Endpoint/GCGJCD

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1123718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208476800000",
    "number": "1962404723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2220 LYNN RD",
            "address_2": "SUITE 208",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913601904",
            "telephone_number": "805-494-9494",
            "fax_number": "805-496-5631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2220 LYNN RD",
            "address_2": "SUITE 208",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913601904",
            "telephone_number": "805-494-9494",
            "fax_number": "805-496-5631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALIABADI",
        "first_name": "DAVID",
        "middle_name": "GERARD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-11",
        "last_updated": "2008-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "CA",
            "license": "G69896",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "ZZZ94648Z",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G698960",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE WEST REGION",
            "identifier": "95354702891403B002",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Thousand Oaks, CA

Sources for this page

Verify at the official NPI Registry.