Active NPI
Basit Rahim, MD
- Vascular Neurology Physician
- Mission Viejo, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular Neurology Physician
- License
- A148046
- Practice address
- 26800 Crown Valley Pkwy Ste 385
Mission Viejo, CA 92691-7320 - Phone
- (949) 542-8002
- Fax
- (949) 542-7337
- NPI assigned
- May 30, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Vascular Neurology Physician | 2084V0102X | A148046 | CA | Primary |
Addresses
Primary practice location
26800 Crown Valley Pkwy Ste 385
Mission Viejo, CA 92691-7320
Mailing address
26800 Crown Valley Pkwy Ste 385
Mission Viejo, CA 92691-7320
Phone (949) 542-8002
Other practice location 1
291 Campus Dr
Stanford, CA 94305-5101
Phone (650) 725-3098
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | basitrahim@sjhhandhmg.allscriptsdirect.net |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Neurology
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1950 Sunny Crest Dr
Suite 2900
Fullerton, CA 92835-3641
Phone (714) 992-5350
27700 Medical Ctr Rd
Mission Viejo, CA 92691-6426
Phone (949) 364-1400
Hospital & facility affiliations
- Providence Mission Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A148046 | CA | MD | Vascular Neurology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Providence Medical Foundation | Current | Accepting new patients | |
| Providence Medical Foundation | Current | Accepting new patients | |
| Mission Hospital Regional Medical Center | Past | Accepting new patients | |
| Providence Medical Foundation | Past | Accepting new patients |
Locations
200 W Ctr St Promenade
Ste 300
Anaheim, CA 92805
Phone (714) 449-4841
1950 Sunny Crest Dr
Ste 2900
Fullerton, CA 92835
100 E Valencia Mesa Dr
#1051182
Fullerton, CA 92835
Phone (714) 446-5200
100 E Valencia Mesa Dr
Ste 105
Fullerton, CA 92835
Phone (714) 446-5200
26800 Crown Valley Pkwy
Ste 385
Mission Viejo, CA 92691
Phone (949) 388-3878
26800 Crown Valley Pkwy
Ste 300
Mission Viejo, CA 92691
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Organizations & group practices 4
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.
-
- Family Medicine Physician
- Brea, CA
- NPI 1871607762
-
- General Practice Physician
- Diamond Bar, CA
- NPI 1285890624
-
- Family Medicine Physician
- Anaheim, CA
- NPI 1639715709
-
- Rehabilitation Hospital
- Mission Viejo, CA
- NPI 1003956913
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Mission Viejo, CA
- NPI 1912108002
-
- General Acute Care Hospital
- Mission Viejo, CA
- NPI 1992752315
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1369872000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1603843200000",
"number": "1003253071",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "26800 CROWN VALLEY PKWY STE 385",
"city": "MISSION VIEJO",
"state": "CA",
"postal_code": "926917320",
"telephone_number": "949-542-8002",
"fax_number": "949-542-7337"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "26800 CROWN VALLEY PKWY STE 385",
"city": "MISSION VIEJO",
"state": "CA",
"postal_code": "926917320",
"telephone_number": "949-542-8002",
"fax_number": "949-542-7337"
}
],
"practiceLocations": [
{
"address_1": "291 Campus Dr",
"address_purpose": "LOCATION",
"city": "Stanford",
"state": "CA",
"postal_code": "943055101",
"country_code": "US",
"telephone_number": "650-725-3098",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RAHIM",
"first_name": "BASIT",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-05-30",
"last_updated": "2020-10-28",
"certification_date": "2020-10-28",
"status": "A"
},
"taxonomies": [
{
"code": "2084V0102X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Vascular Neurology",
"state": "CA",
"license": "A148046",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "basitrahim@sjhhandhmg.allscriptsdirect.net",
"affiliation": "N",
"address_1": "26800 Crown Valley Pkwy Ste 385",
"city": "Mission Viejo",
"state": "CA",
"country_code": "US",
"postal_code": "926917320",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Mission Viejo, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.