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REZA ALIZADEH M.D. NPI 1205360484


NPI Information

NPI: 1205360484
Provider Name: REZA ALIZADEH, M.D.
Classification: Ophthalmology - 207WX0009X
Entity Type: Individual

Specialization: Glaucoma Specialist

PECOS Registration: Yes

Address:
1807 WILSHIRE BLVD STE 203
SANTA MONICA, CA
ZIP 90403
Phone: (310) 829-0160
Get Directions

Reza Alizadeh, M.D. is a glaucoma specialist ophthalmology in Santa Monica, CA with 17 years of experience. The provider is an ophthalmologist who specializes in the treatment of glaucoma and other disorders related to increased intraocular pressure and optic nerve damage. This specialty involves the medical and surgical treatment of these conditions. Reza Alizadeh, M.D. NPI is 1205360484. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1807 WILSHIRE BLVD STE 203
SANTA MONICA, CA
ZIP 90403-790
Phone: (310) 829-0160

The NPI 1205360484 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 4/14/2017 and was last updated on 4/1/2024.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207WX0009XOphthalmologyGlaucoma SpecialistA178828CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10441846MEDICAIDOHIO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.