Provider Demographics
NPI:1215036215
Name:KARIMI, ARDESHIR (MD)
Entity Type:Individual
Prefix:DR
First Name:ARDESHIR
Middle Name:
Last Name:KARIMI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:207 S SANTA ANITA ST STE 338
Mailing Address - Street 2:
Mailing Address - City:SAN GABRIEL
Mailing Address - State:CA
Mailing Address - Zip Code:91776-1160
Mailing Address - Country:US
Mailing Address - Phone:626-282-9250
Mailing Address - Fax:626-282-9953
Practice Address - Street 1:207 S SANTA ANITA ST STE 338
Practice Address - Street 2:
Practice Address - City:SAN GABRIEL
Practice Address - State:CA
Practice Address - Zip Code:91776-1160
Practice Address - Country:US
Practice Address - Phone:626-282-9250
Practice Address - Fax:626-282-9953
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-22
Last Update Date:2022-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA50980207SG0201X, 207V00000X, 207VM0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207VM0101XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyMaternal & Fetal Medicine
No207SG0201XAllopathic & Osteopathic PhysiciansMedical GeneticsClinical Genetics (M.D.)Group - Multi-Specialty
No207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA6727433Medicaid
CA050149Medicare ID - Type Unspecified
CA6727433Medicaid