DR. REZA FAZL ALIZADEH MD
NPI 1336643550
General Practice in Orange, CA

Q: What is Reza Fazl Alizadeh's NPI number?

The NPI number for Reza Fazl Alizadeh is 1336643550. It was assigned to this individual provider in the NPPES registry on March 21, 2018.

Q: What is Reza Fazl Alizadeh's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Active since March 21, 2018PECOS Enrolled

333 CITY BLVD W STE 1600, ORANGE, CA 92868(714) 456-5532 Get Directions Write a Review

NPPES record last updated: December 18, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 18, 2025, Jul 20, 2023, Mar 21, 2018 (3 updates tracked since 2018).

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About Dr. Reza Fazl Alizadeh Md NPPES

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

DR. REZA FAZL ALIZADEH MD (NPI 1336643550) is an individual general practice provider in Orange, California, licensed in California (A183634) and active in the NPI registry since March 2018. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1336643550

Entity TypeIndividualMale

Primary Taxonomy208D00000X

Provider Legal NameDR. REZA FAZL ALIZADEHCredential: MD

Location Address333 CITY BLVD W STE 1600Orange, CA 92868-5903

Mailing Address333 City Blvd W Ste 1600Orange, CA 92868-5903 · (714) 456-5532

Phone(714) 456-5532

Sole ProprietorNo

Enumeration DateMarch 21, 2018

Last NPPES UpdateDecember 18, 20253 updates tracked since enumeration

NPPES CertifiedDecember 18, 2025

✔ NPI 1336643550 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians

Taxonomy Code208D00000X

License✔ Licensed in CA · A183634

Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

Also ListedSurgeryTaxonomy 208600000X · License A183634 (CA)

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

333 CITY BLVD W STE 1600, Orange, CA 92868

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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 (PECOS)

Dr. Reza Fazl Alizadeh Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.

ZACHARY NATHAN LU

Student in an Organized Health Care Education/Training Program