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ALI R NAMAZIE MD A MEDICAL GROUP, INC
NPI 1104046747
Otolaryngology - Facial Plastic Surgery in Encino, CA

Active since April 26, 2007
16661 VENTURA BLVD STE 226, ENCINO, CA 91436(818) 986-5500(818) 986-5503 Get Directions Write a Review

NPPES record last updated: February 20, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Ali R Namazie Md A Medical Group, Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ALI R NAMAZIE MD A MEDICAL GROUP, INC (NPI 1104046747) is a healthcare organization registered as a facial plastic surgery in Encino, California and active in the NPI registry since April 2007. The organization lists Ali R Namazie, Practice President, as its authorized official.

NPPES Registry Identity

NPI1104046747
Entity TypeOrganization
Primary Taxonomy207YS0123X
Legal Business NameALI R NAMAZIE MD A MEDICAL GROUP, INC
Location Address16661 VENTURA BLVD STE 226Encino, CA 91436-1947
Mailing Address4955 Van Nuys Blvd, Suite 505Sherman Oaks, CA 91403-1801 · (818) 986-5500 · Fax (818) 986-5503
Phone(818) 986-5500
Fax(818) 986-5503
Organization SubpartNo
Authorized OfficialAli R NamaziePractice President · (818) 986-5500
Enumeration DateApril 26, 2007
Last NPPES UpdateFebruary 20, 2020
✔ NPI 1104046747 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOtolaryngology · Facial Plastic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207YS0123X
Definition
An otolaryngologist who specializes in facial plastic surgery.
Also ListedOtolaryngologyTaxonomy 207Y00000X
16661 VENTURA BLVD STE 226, Encino, CA 91436
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Other Identifiers 2

Medicaid00A602910CA
Other00A602910CA · Blue Shield

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ali R Namazie Md A Medical Group, Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Ali R Namazie MD A Medical Group, Inc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Ali Namazie, MD
Otolaryngology
NPI 1184603102
16661 VENTURA BLVD STE 226
Encino, CA 91436
(818) 986-5500
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ali R Namazie MD A Medical Group, Inc's NPI number?

The NPI number for Ali R Namazie MD A Medical Group, Inc is 1104046747. It was assigned to this organization in the NPPES registry on April 26, 2007.

Where is Ali R Namazie MD A Medical Group, Inc located?

Ali R Namazie MD A Medical Group, Inc is located at 16661 Ventura Blvd Ste 226, Encino, CA 91436. The listed phone number is (818) 986-5500.

What is Ali R Namazie MD A Medical Group, Inc's specialty?

The primary specialty registered for this NPI is Otolaryngology, specializing in Facial Plastic Surgery, with taxonomy code 207YS0123X.

Is Ali R Namazie MD A Medical Group, Inc enrolled in Medicare?

Yes. Ali R Namazie MD A Medical Group, Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Ali R Namazie MD A Medical Group, Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Otolaryngology) reassigns their Medicare billing to Ali R Namazie MD A Medical Group, Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Ali R Namazie MD A Medical Group, Inc was last updated on February 20, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.