Individual provider Active NPI

Omid Rabbani, M.D.

  • Neurology Physician
  • Simi Valley, CA
National Provider Identifier
1033296587
Registry record updated Oct 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
ME 97240 Issued in FL
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, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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, NM5 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 5

Enrollment IDStateProvider typePAC IDDetails
I20141208002482 CA Practitioner - Neurology 6406948231 Reassigns benefits to 2 organizations
I20241220000703 AZ Practitioner - Neurology 6406948231 Reassigns benefits to 1 organization
I20250106002071 MT Practitioner - Neurology 6406948231 Reassigns benefits to 1 organization
I20250111000272 NV Practitioner - Neurology 6406948231 Reassigns benefits to 1 organization
I20250414000254 NM Practitioner - Neurology 6406948231 Reassigns benefits to 1 organization

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
Access Telecare PLLCGroup PAC ID 7810204831, 409 clinicians
Access Telecare California PCGroup PAC ID 8325373525, 86 clinicians

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

LicenseStateTypeSpecialty
ME 97240FLMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Henry Tang, D.O. Inc. CurrentSince Jun 18, 2014 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

  • FHIR API: https://fhir4.healow.com/fhir/r4/DEGGCD
  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.