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ALI GHAZVINI M.D.
NPI 1104865153
Internal Medicine in Laguna Hills, CA

Active since June 05, 2006PECOS EnrolledAccepts Medicare Assignment
76.74/100
CMS Quality Rating
23961 CALLE DE LA MAGDALENA, STE 430, LAGUNA HILLS, CA 92653(949) 716-7700 Get Directions Write a Review

NPPES record last updated: October 11, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 11, 2019, Oct 10, 2018 (2 updates tracked since 2018).

About Ali Ghazvini M.d. NPPES

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

ALI GHAZVINI M.D. (NPI 1104865153) is an individual internal medicine provider in Laguna Hills, California, licensed in California (A80873) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1987).

NPPES Registry Identity

NPI1104865153
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameALI GHAZVINICredential: M.D.
Location Address23961 CALLE DE LA MAGDALENA, STE 430Laguna Hills, CA 92653-3616
Mailing Address23961 Calle De La Magdalena, Ste 430Laguna Hills, CA 92653-3616 · (949) 716-7700
Phone(949) 716-7700
Sole ProprietorYes
Medical School CMSOtherGraduated 1987
Enumeration DateJune 5, 2006
Last NPPES UpdateOctober 11, 20192 updates tracked since enumeration
✔ NPI 1104865153 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in CA · A80873
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
23961 CALLE DE LA MAGDALENA, Laguna Hills, CA 92653
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ali Ghazvini M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5890699128
PECOS Enrollment IDI20031119000984
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 6

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
438 services179 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
134 services131 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
125 services123 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
42 services42 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
19 services18 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
18 services18 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92653 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$142.39 typical visit price
range $62.96 – $187.60
Typical copayment $35.59 (range $15.74 – $46.90)
Most-billed visit code 99204
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

76.74/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality80.94
Promoting Interoperability78
Improvement Activities40
Cost55.12

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MATTHEW HARRIS, MD, A MEDICAL CORPORATION
Anesthesiology (Pain Medicine)
23961 CALLE DE LA MAGDALENA, SUITE 405
LAGUNA HILLS, CA 92653
Orange County (949) 588-7246
ROBERT J JACKSON M.D.
Neurological Surgery
23961 CALLE DE LA MAGDALENA, 504
LAGUNA HILLS, CA 92653
Orange County (949) 588-5800
SADDLEBACK VALLEY NEUROSCIENCE MEDICAL GROUP
Psychiatry & Neurology (Neurology)
23961 CALLE DE LA MAGDALENA, SUITE 317
LAGUNA HILLS, CA 92653
Orange County (949) 837-1133
MRS. MICHELLE M FARRELL PT
Physical Therapist
23961 CALLE DE LA MAGDALENA, SADDLEBACK MEDICAL GROUP, INC, SUITE 130
LAGUNA HILLS, CA 92653
Orange County (949) 588-8700
DR. JAMES M HAWKINS MD
Internal Medicine (Cardiovascular Disease)
23961 CALLE DE LA MAGDALENA, #130
LAGUNA HILLS, CA 92653
Orange County (949) 465-8155
ROBIN W ANDREWS DPM
Podiatrist (Foot Surgery)
23961 CALLE DE LA MAGDALENA, #143
LAGUNA HILLS, CA 92653
Orange County (949) 768-9495
DR. SARA ETEMAD M.D.
Family Medicine
23961 CALLE DE LA MAGDALENA
LAGUNA HILLS, CA 92653
Orange County (949) 238-4100
SOUTH COAST EYE CARE CENTERS A COMP OPHTHALMOLOGY MEDICAL GRP INC.
Ophthalmology
23961 CALLE DE LA MAGDALENA, STE. 302
LAGUNA HILLS, CA 92653
Orange County (949) 588-2020

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 Ghazvini's NPI number?

The NPI number for Ali Ghazvini is 1104865153. It was assigned to this individual provider in the NPPES registry on June 5, 2006.

Where is Ali Ghazvini located?

Ali Ghazvini practices at 23961 Calle De La Magdalena Ste 430, Laguna Hills, CA 92653. The listed phone number is (949) 716-7700.

What is Ali Ghazvini's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Ali Ghazvini enrolled in Medicare?

Yes. Ali Ghazvini is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Ali Ghazvini was last updated on October 11, 2019. 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.