Active NPI
Omid Rabbani, M.D.
- Neurology Physician
- Simi Valley, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- ME 97240
- Practice address
- 2650 Jones Way
30
Simi Valley, CA 93065-1221 - Phone
- (805) 579-9999
- Fax
- (805) 579-9900
- NPI assigned
- Nov 1, 2006
- Last updated
- Oct 17, 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 |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | ME 97240 | FL | Primary |
Addresses
Primary practice location
2650 Jones Way
30
Simi Valley, CA 93065-1221
Mailing address
2650 Jones Way Ste 30
Simi Valley, CA 93065-1221
Phone (310) 467-2815
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA, AZ, MT, NV, NM
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 5
Care Compare profile
Medicare Care Compare- Specialty
- Neurology
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
Avondale, AZ 85392
Phone (972) 449-0540
Tucson, AZ 85718
Phone (972) 449-0540
Simi Valley, CA 93065
Phone (972) 449-0540
101 Civic Ctr LN
Lake Havasu City, AZ 86403-5607
Phone (972) 449-0540
10501 Golf Course Rd NW
Albuquerque, NM 87114-5019
Phone (972) 449-0540
117 E 19TH St
Roswell, NM 88201-5151
Phone (972) 449-0540
1601 W Saint Marys Rd
Tucson, AZ 85745-2623
Phone (972) 449-0540
2 Calle Final
Placitas, NM 87043-9214
Phone (972) 449-0540
2430 W Pierce St
Carlsbad, NM 88220-3553
Phone (972) 449-0540
2450 S Telshor Blvd
Las Cruces, NM 88011-5069
Phone (972) 449-0540
3269 N Stockton Hill Rd
Kingman, AZ 86409-3619
Phone (972) 449-0540
405 W Country Club Rd
Roswell, NM 88201-5209
Phone (972) 449-0540
4311 E Lohman Ave
Las Cruces, NM 88011-8255
Phone (972) 449-0540
4701 Montgomery Blvd NE
Albuquerque, NM 87109-1219
Phone (972) 449-0540
5700 E Hwy 90
Sierra Vista, AZ 85635-9110
Phone (972) 449-0540
601 Dr Martin Luther King Jr Ave NE
Albuquerque, NM 87102-3619
Phone (972) 449-0540
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME 97240 | FL | MD | Neurology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Henry Tang, D.O. Inc. | Current | Accepting new patients | |
| Collier Neurologic Specialists LLC | Neurology | Past | Accepting new patients |
Locations
2650 Jones Way
Ste 30
Simi Valley, CA 93065
Phone (805) 267-6161
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/DEGGCD
- orabbani1092836@ahs.direct-ci.com
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Specialist
- Simi Valley, CA
- NPI 1982841623
-
- Neurology Physician
- Naples, FL
- NPI 1871543512
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1381968000000",
"number": "1033296587",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2650 JONES WAY STE 30",
"city": "SIMI VALLEY",
"state": "CA",
"postal_code": "930651221",
"telephone_number": "310-467-2815"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2650 JONES WAY",
"address_2": "30",
"city": "SIMI VALLEY",
"state": "CA",
"postal_code": "930651221",
"telephone_number": "805-579-9999",
"fax_number": "805-579-9900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RABBANI",
"first_name": "OMID",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-01",
"last_updated": "2013-10-17",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "FL",
"license": "ME 97240",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Simi Valley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2013; 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.