Mir B Ali (NPI# 1184689663, PAC ID# 4486718376) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL SURGERY.
| Nation Provider ID (NPI) | 1184689663 |
| PAC ID by PECOS | 4486718376 |
| Professional Enrollment ID | I20120418000489 |
| Full Name | Mir B Ali |
| Organization Legal Name | LEPORT SURGICAL MEDICAL CORPORATION |
| Address |
18111 Brookhurst St Suite 5600 Fountain Valley CA 92708-6728 |
| Phone Number | 7148614666 |
| Gender | M |
| Medical School | HAHNEMANN UNIVERSITY COLLEGE OF MEDICINE |
| Graduation Year | 1990 |
| Primary Specialty | GENERAL SURGERY |
| Group Practice PAC ID | 8123012515 |
| Number of Group Practice Members | 8 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050678 | ORANGE COAST MEMORIAL MEDICAL CENTER |
| 050570 | FOUNTAIN VALLEY REGIONAL HOSPITAL & MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 18111 Brookhurst St, Suite 5600, Fountain Valley, CA 92708-6728 | 7148614666 | LEPORT SURGICAL MEDICAL CORPORATION |
| Organization Legal Name | LEPORT SURGICAL MEDICAL CORPORATION |
| Physicians | 8 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ashley Jp Salazar | Physician Assistant | Leport Surgical Medical Corporation | 18111 Brookhurst St, Suite 5600, Fountain Valley, CA 92708-6728 |
| Richard T Hoang | Physician Assistant | Leport Surgical Medical Corporation | 18111 Brookhurst St, Suite 5600, Fountain Valley, CA 92708-6728 |
| Katherine Maryam Haghighi | Registered Dietitian Or Nutrition Professional | Leport Surgical Medical Corporation | 18111 Brookhurst St, Suite 5600, Fountain Valley, CA 92708-6728 |
| Farisha M Patel | Physician Assistant | Leport Surgical Medical Corporation | 18111 Brookhurst St, Suite 5600, Fountain Valley, CA 92708-6728 |
| Michael D Cordia | Physician Assistant | Leport Surgical Medical Corporation | 18111 Brookhurst St, Suite 5600, Fountain Valley, CA 92708-6728 |
| Michael A Russo | General Surgery | Leport Surgical Medical Corporation | 18111 Brookhurst St, Suite 5600, Fountain Valley, CA 92708-6728 |
| Peter C Leport | General Surgery | Leport Surgical Medical Corporation | 18111 Brookhurst St, Suite 5600, Fountain Valley, CA 92708-6728 |
| Street Address |
18111 BROOKHURST ST SUITE 5600 |
| City | FOUNTAIN VALLEY |
| State | CA |
| Zip | 92708-6728 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ashley Jp Salazar | Physician Assistant | Leport Surgical Medical Corporation | 18111 Brookhurst St, Suite 5600, Fountain Valley, CA 92708-6728 |
| Jennifer L Wong | Cardiovascular Disease (cardiology) | California Heart Associates | 18111 Brookhurst St, Suite 5100, Fountain Valley, CA 92708-6728 |
| Yoorim E Choi | Chiropractic | 18111 Brookhurst St, Suite 6300, Fountain Valley, CA 92708-6728 | |
| Kerry E Wood | Nurse Practitioner | California Heart Associates | 18111 Brookhurst St, Suite 5100, Fountain Valley, CA 92708-6728 |
| Mohamed Fekry Al Sadek | Internal Medicine | 18111 Brookhurst St, Suite 6100, Fountain Valley, CA 92708-6728 | |
| Richard T Hoang | Physician Assistant | Leport Surgical Medical Corporation | 18111 Brookhurst St, Suite 5600, Fountain Valley, CA 92708-6728 |
| Ignacio M Carrillo-nunez | Neurology | 18111 Brookhurst St, Suite 6200, Fountain Valley, CA 92708-6728 | |
| Jamie E Kim | Obstetrics/gynecology | 18111 Brookhurst St, Suite 4450, Fountain Valley, CA 92708-6728 | |
| Richard Zelner | Gastroenterology | 18111 Brookhurst St, Suite 6700, Fountain Valley, CA 92708-6728 | |
| Steven Mark Schiff | Cardiovascular Disease (cardiology) | California Heart Associates | 18111 Brookhurst St, Suite 5100, Fountain Valley, CA 92708-6728 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ranjan Sapra | Hematology/oncology | 11190 Warner Ave, Suite 405, Fountain Valley, CA 92708-0000 | |
| Kinh Tu Tran | Family Medicine | 15975 Harbor Blvd, Fountain Valley, CA 92708-1303 | |
| Hiep Truong | Obstetrics/gynecology | 15975 Harbor Blvd, Fountain Valley, CA 92708-1303 | |
| Anh Linh T Nguyen | Optometry | 16125 Harbor Blvd, Fountain Valley, CA 92708-1305 | |
| Hoang T Nguyen | Internal Medicine | 16040 Harbor Blvd G, Fountain Valley, CA 92708-1327 | |
| Tuan Manh Hoang | Oral Surgery | 16045 Brookhurst St, Fountain Valley, CA 92708-1544 | |
| Raif W Iskander | Physician Assistant | Xtra Care Medical Group | 16171 Brookhurst St, Fountain Valley, CA 92708-1550 |
| Phong Huy Bui | Internal Medicine | 16055 Brookhurst St, Suite C, Fountain Valley, CA 92708-1566 | |
| Gordon K Ota | Optometry | Nhat Le-huynh Od A Professional Corporation | 10130 Warner Ave, Suite J, Fountain Valley, CA 92708-1619 |
| Kim Nhat Nguyen Le Huynh | Optometry | Nhat Le-huynh Od A Professional Corporation | 10130 Warner Ave, Suite J, Fountain Valley, CA 92708-1619 |
| Find all physicians in zip 92708 | |||
| City | FOUNTAIN VALLEY |
| Zip Code | 92708 |
| Specialty | GENERAL SURGERY |
| City + Specialty | FOUNTAIN VALLEY + GENERAL SURGERY |
Please comment or provide details below to improve the information on Mir B Ali.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.