Dr Nima Alipour, DO is a medicare enrolled "Preventive Medicine - Occupational Medicine" physician in Hawthorne, California. His current practice location is
3615 Jack Northrop Ave Ste 100, Hawthorne, California. You can reach out to his office (for appointments etc.) via phone at
(888) 663-6331.
Dr Nima Alipour is licensed to practice in California (license number A11637) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1639300106.
Physician's Profile
| Full Name | Dr Nima Alipour |
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| Gender | Male |
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| Speciality | Preventive Medicine - Occupational Medicine |
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| Location | 3615 Jack Northrop Ave Ste 100, Hawthorne, California |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1639300106
- Provider Enumeration Date: 08/01/2009
- Last Update Date: 06/07/2024
Medicare PECOS Information:
- PECOS PAC ID: 0143494575
- Enrollment ID: I20111122000272
Medical Identifiers
Medical identifiers for Dr Nima Alipour such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1639300106 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208D00000X | General Practice | A11637 (California) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| 2083X0100X | Preventive Medicine - Occupational Medicine | A11637 (California) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Nima Alipour allows following entities to bill medicare on his behalf.
| Entity Name | Sand Canyon Medical Group |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1962688390
PECOS PAC ID: 9436223781
Enrollment ID: O20080804000619 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Nima Alipour is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Dr Nima Alipour, DO
1 Embarcadero Ctr Ste 1900,
San Francisco, CA 94111-3723
Ph: (415) 658-6791 | Dr Nima Alipour, DO
3615 Jack Northrop Ave Ste 100,
Hawthorne, CA 90250-4436
Ph: (888) 663-6331 |
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