Individual provider Active NPI

Mosen Istwani, MD

  • Nephrology Physician
  • Riverside, CA
National Provider Identifier
1043229453
Registry record updated Mar 21, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
A64871 Issued in CA
Practice address
3595 Van Buren Blvd
Suite 203
Riverside, CA 92503-0311
Phone
(951) 343-1978
Fax
(951) 343-1922
NPI assigned
Aug 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X A64871 CA Primary

Addresses

Primary practice location

3595 Van Buren Blvd
Suite 203
Riverside, CA 92503-0311

Mailing address

3595 Van Buren Blvd
Suite 203
Riverside, CA 92503-0311
Phone (951) 343-1978

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090622000653 CA Practitioner - Internal MedicinePractitioner - Nephrology 8527119163 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Nephrology
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Riverside Nephrology Physicians IncGroup PAC ID 9335271147, 3 clinicians

Practice addresses (Care Compare)

2224 Medical Ctr Dr
Perris, CA 92571-2638
Phone (951) 436-3535

3865 Jackson St
Riverside, CA 92503-3919
Phone (951) 688-2211

4445 Magnolia Ave
Riverside, CA 92501-4135
Phone (951) 788-3000

613 S Howard St
Corona, CA 92879-2254
Phone (951) 735-1257

7275 Indiana Ave
Suite 200
Riverside, CA 92504-4543
Phone (951) 343-1978

800 S Main St
Corona, CA 92882-3420
Phone (951) 736-6200

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A64871CAMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Riverside Nephrology Physicians Inc CurrentSince Apr 1, 2013 Accepting new patients
Mohammed Khan MD Inc Nephrology CurrentSince Nov 22, 2014 Accepting new patients
Shung-Man Kurt Lee Mdpa Nephrology Past Accepting new patients
Riverside Healthcare System, L.P. Past Accepting new patients
St Francis Hospital Past Accepting new patients
Jamal Azem, M.D., Inc PastSince Dec 7, 2005 Accepting new patients
Partners in Nephrology Care LTD. Nephrology Past Accepting new patients

Locations

613 S Howard St
Corona, CA 92879
Phone (951) 343-1978

3595 Van Buren Blvd
Ste 203
Riverside, CA 92503
Phone (951) 343-1978

7275 Indiana Ave
Riverside, CA 92504
Phone (951) 343-1978

7275 Indiana Ave
Ste 200
Riverside, CA 92504
Phone (951) 343-1978

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 7

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.

Hospital & facility affiliations 5

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": "1154736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1363824000000",
    "number": "1043229453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3595 VAN BUREN BLVD",
            "address_2": "SUITE 203",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925030311",
            "telephone_number": "951-343-1978",
            "fax_number": "951-343-1922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3595 VAN BUREN BLVD",
            "address_2": "SUITE 203",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925030311",
            "telephone_number": "951-343-1978",
            "fax_number": "951-343-1922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ISTWANI",
        "first_name": "MOSEN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-05",
        "last_updated": "2013-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "CA",
            "license": "A64871",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverside, CA

Sources for this page

Verify at the official NPI Registry.