Organization Active NPI

Hormuz Irani, MD Inc

  • Surgery Physician
  • Bakersfield, CA
National Provider Identifier
1962459677
Registry record updated Mar 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
A41148 Issued in CA
Legal business name
HORMUZ IRANI, MD INC
Practice address
5959 Truxtun Ave
100
Bakersfield, CA 93309-0435
Phone
(661) 638-0601
Fax
(661) 638-0605
NPI assigned
May 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2013

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

Authorized official

Name
Dr. Hormuz Irani, M.D.NPI 1194708099
Title
Owner
Phone
(661) 638-0601

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X A41148 CA Primary

Addresses

Primary practice location

5959 Truxtun Ave
100
Bakersfield, CA 93309-0435

Mailing address

5959 Truxtun Ave
Suite 100
Bakersfield, CA 93309-0435
Phone (661) 638-0601

Other identifiers 1

IdentifierTypeStateIssuer
GR0091930MedicaidCA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040528001102 CA Part B Supplier - Clinic/Group Practice 8224019773 Receives reassigned benefits from 1 practitioner
Practice locations: Bakersfield, CA

National Provider Directory

National Provider Directory

Locations

8311 Brimhall Rd
Ste 1901
Bakersfield, CA 93312
Phone (661) 599-7897

5959 Truxtun Ave
Ste 100
Bakersfield, CA 93309
Phone (661) 638-0601

Networks

  • BSC 65 PLUS INDIVIDUAL MAPDPlans: Blue Shield 65 Plus (HMO) (H0504-015-000, H0504); Blue Shield 65 Plus (HMO) (H0504-039-000, H0504); Blue Shield 65 Plus Plan 2 (HMO) (H0504-021-000, H0504); Blue Shield Inspire (HMO) (H0504-041-000, H0504); Blue Shield 65 Plus (HMO) (H0504-038-000, H0504); Blue Shield Inspire (HMO) (H0504-047-000, H0504); Blue Shield 65 Plus (HMO) (H0504-026-000, H0504); Blue Shield Advantage (HMO) (H0504-050-000, H0504); Blue Shield AdvantageOptimum Plan (HMO) (H5928-004-000, H5928); Blue Shield Inspire (HMO) (H0504-043-000, H0504)…

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1148774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363132800000",
    "number": "1962459677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5959 TRUXTUN AVE",
            "address_2": "SUITE 100",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933090435",
            "telephone_number": "661-638-0601",
            "fax_number": "661-638-0605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5959 TRUXTUN AVE",
            "address_2": "100",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933090435",
            "telephone_number": "661-638-0601",
            "fax_number": "661-638-0605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HORMUZ IRANI, MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-28",
        "last_updated": "2013-03-13",
        "status": "A",
        "authorized_official_last_name": "IRANI",
        "authorized_official_first_name": "HORMUZ",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "661-638-0601",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "CA",
            "license": "A41148",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0091930",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bakersfield, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.