NPIMap

Individual provider Active NPI

Kaveh N Rezvan, D.O.

  • Pulmonary Disease Physician
  • San Juan Capistrano, CA
National Provider Identifier
1003140922
Registry record updated Jan 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
20A10932 Issued in CA
Practice address
30230 Rancho Viejo Rd Ste 200
San Juan Capistrano, CA 92675-1585
Phone
(949) 443-4303
Fax
(949) 443-4033
NPI assigned
Sep 24, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 21, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 20A10932 CA
Pulmonary Disease Physician 207RP1001X 20A10932 CA Primary

Addresses

Primary practice location

30230 Rancho Viejo Rd Ste 200
San Juan Capistrano, CA 92675-1585

Mailing address

30230 Rancho Viejo Rd Ste 200
San Juan Capistrano, CA 92675-1585
Phone (949) 443-4303

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101216000931 CA Practitioner - Pulmonary DiseasePractitioner - Internal MedicinePractitioner - Critical Care (Intensivists)Practitioner - Sleep Medicine 6002004082 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Critical Care (Intensivists), Internal Medicine, Sleep Medicine
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Paloma Medical Group IncGroup PAC ID 5193821908, 18 clinicians
Western Institute of Critical Care Medicine, IncGroup PAC ID 4385986033, 10 clinicians

Practice addresses (Care Compare)

30230 Rancho Viejo Rd
Suite 200
San Juan Capistrano, CA 92675-1585
Phone (949) 443-4303

800 S Main St
Corona, CA 92882-3420
Phone (951) 737-4343

Hospital & facility affiliations

  • Providence Mission Hospital Hospital, Mission Viejo, CA, CCN 050567
  • Hoag Memorial Hospital Presbyterian Hospital, Newport Beach, CA, CCN 050224
  • Memorialcare Saddleback Medical Center Hospital, Laguna Hills, CA, CCN 050603
  • Corona Regional Medical Center Hospital, Corona, CA, CCN 050329
  • Kindred Hospital Brea Long-term care hospital, Brea, CA, CCN 052039
  • Kindred Hospital Westminster Long-term care hospital, Westminster, CA, CCN 052035
  • Pelican Ridge Post Acute Nursing home, Newport Beach, CA, CCN 055121
  • Mesa Verde Post Acute Care Center Nursing home, Costa Mesa, CA, CCN 056362
  • Newport Subacute Healthcare Center Nursing home, Costa Mesa, CA, CCN 555751

Merit-based Incentive Payment System (MIPS)

Final score
80.2 of 100Reported as group
Quality
59.72
Improvement activities
40
Cost
66.71

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Pacific Private Practice Network Inc Internal Medicine CurrentSince Nov 2, 2021 Accepting new patients
Paloma Medical Group Inc Internal Medicine CurrentSince Jul 1, 2018 Accepting new patients
UC Regents Current Accepting new patients
UC Regents Pulmonary Disease CurrentSince May 1, 2020 Accepting new patients
Paloma Incare CurrentSince Dec 3, 2023 Accepting new patients
Corona Hospitalist Medical Group, Inc. Internal Medicine CurrentSince Oct 22, 2018 Accepting new patients
Riverside Healthcare System, L.P. Past Accepting new patients
Mission Hospital Regional Medical Center Past Accepting new patients
Uhs Corona Inc Past Accepting new patients
Riverside Medical Clinic, Inc Internal Medicine Past Accepting new patients
Nassau Health Care Corporation Past Accepting new patients
Doctors Hospital of Riverside LLC Past Accepting new patients
MD Solutions Medical Corp Past Accepting new patients
Saddleback Memorial Medical Center Past Accepting new patients
University of California Irvine Past Accepting new patients

Locations

800 S Main St
Corona, CA 92882
Phone (909) 625-5411

16305 Sand Canyon Ave
Ste 255
Irvine, CA 92618
Phone (949) 443-4303

31872 Coast Hwy
Laguna Beach, CA 92651
Phone (949) 499-1311

23141 Moulton Pkwy
Ste 108
Laguna Hills, CA 92653
Phone (949) 215-7575

24451 Health Center Dr
Laguna Hills, CA 92653
Phone (949) 452-3573

27700 Medical Center Rd
Mission Viejo, CA 92691
Phone (949) 364-7744

101 The City Dr S
Orange, CA 92868
Phone (714) 456-6054

30230 Rancho Viejo Rd
Ste 110
San Juan Capo, CA 92675
Phone (949) 441-5681

30230 Rancho Viejo Rd
Ste 200
San Juan Capo, CA 92675
Phone (949) 443-4114

1901 College Ave
Santa Ana, CA 92706
Phone (714) 564-7800

200 Hospital Cir
Westminster, CA 92683
Phone (714) 386-9043

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GIJIBD
  • FHIR API: https://fhir4.healow.com/fhir/r4/GIJIBD/Endpoint/GIJIBD

Organizations & group practices 16

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 16

Hospital & facility affiliations 11

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1253750400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579564800000",
    "number": "1003140922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30230 RANCHO VIEJO RD STE 200",
            "city": "SAN JUAN CAPISTRANO",
            "state": "CA",
            "postal_code": "926751585",
            "telephone_number": "949-443-4303",
            "fax_number": "949-443-4033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30230 RANCHO VIEJO RD STE 200",
            "city": "SAN JUAN CAPISTRANO",
            "state": "CA",
            "postal_code": "926751585",
            "telephone_number": "949-443-4303",
            "fax_number": "949-443-4033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REZVAN",
        "first_name": "KAVEH",
        "middle_name": "N",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-09-24",
        "last_updated": "2020-01-21",
        "certification_date": "2020-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "20A10932",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "CA",
            "license": "20A10932",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan Capistrano, CA

Sources for this page

Verify at the official NPI Registry.