Individual provider Active NPI

Reza Rasouli, MD

  • Hospitalist Physician
  • Costa Mesa, CA
National Provider Identifier
1053395731
Registry record updated Sep 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
A85426 Issued in CA
Practice address
1665 Scenic Ave
Ste # 100
Costa Mesa, CA 92626-1445
Phone
(714) 436-4444
NPI assigned
Dec 6, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X A85426 CA Primary
Infectious Disease Physician 207RI0200X 40509 TN

Addresses

Primary practice location

1665 Scenic Ave
Ste # 100
Costa Mesa, CA 92626-1445

Mailing address

751 S Weir Canyon Rd Ste 157-283
Anaheim, CA 92808-1962
Phone (714) 298-8118

Other identifiers 1

IdentifierTypeStateIssuer
42346MedicaidLA

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
I20070515000494 CA Practitioner - Internal MedicinePractitioner - Infectious Disease 0941246359 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Infectious Disease
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

17100 Euclid St
Fountain Valley, CA 92708-4004
Phone (714) 298-8118

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
40509TNMDInfectious Disease Physician
A85426CAMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Healthcare Partners Affiliates Medical Group CurrentSince Nov 2, 2015 Accepting new patients
Healthcare Partners Affiliates Medical Group CurrentSince Nov 2, 2015 Accepting new patients
Prohealth Partners, a Medical Group Hospitalist Current Accepting new patients
Reza Rasouli MD Inc Infectious Disease CurrentSince Nov 1, 2023 Accepting new patients
Memphis Infectious Diseases Consultants, PLLC Infectious Disease PastSince Sep 1, 2003 Accepting new patients
Rasouli Medical Group Infectious Disease PastSince Aug 13, 2000 Accepting new patients
Talbert Medical Group, P.C. Past Accepting new patients
Memorial Medical Group Inc Past Accepting new patients

Locations

1236 N Magnolia Ave
Anaheim, CA 92801
Phone (714) 995-1000

751 S Weir Canyon Rd
Ste 157283
Anaheim, CA 92808

5957 W Ramsey St
Banning, CA 92220
Phone (951) 845-8864

824 E Carson St
Ste 104
Carson, CA 90745
Phone (310) 830-9706

818 W Alondra Blvd
Compton, CA 90220
Phone (310) 537-1137

1665 Scenic Ave
Ste 100
Costa Mesa, CA 92626
Phone (714) 436-4444

8311 Florence Ave
Downey, CA 90240
Phone (310) 923-4911

17100 Euclid St
Fountain Vly, CA 92708
Phone (714) 966-7200

9920 Talbert Ave
Fountain Vly, CA 92708
Phone (714) 236-4000

9930 Talbert Ave
Fountain Vly, CA 92708
Phone (714) 964-6229

19066 Magnolia St
Huntington Beach, CA 92646
Phone (714) 378-2225

3650 South St
Ste 303
Lakewood, CA 90712
Phone (563) 633-9734

500 Alamitos Ave
Long Beach, CA 90802
Phone (310) 432-5661

1050 Linden Ave
Long Beach, CA 90813
Phone (562) 491-9000

2925 Palo Verde Ave
Long Beach, CA 90815
Phone (562) 421-2757

2801 Atlantic Ave
Long Beach, CA 90806
Phone (310) 933-2000

File 54567
Los Angeles, CA 90074
Phone (310) 491-9060

2 W Fern Ave
Redlands, CA 92373
Phone (909) 335-4137

601 Torrance Blvd
#1182
Redondo Beach, CA 90277

3501 S Harbor Blvd
Santa Ana, CA 92704
Phone (714) 784-1658

1002 N Fairview St
Santa Ana, CA 92703
Phone (714) 332-1069

1700 N Waterman Ave
Sn Bernrdno, CA 92404
Phone (909) 883-8611

4201 Torrance Blvd
Ste 350
Torrance, CA 90503
Phone (310) 540-5494

13152 Newport Ave
Tustin, CA 92780
Phone (714) 442-4864

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 8

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 3

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": "1133827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758067200000",
    "number": "1053395731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "751 S WEIR CANYON RD STE 157-283",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928081962",
            "telephone_number": "714-298-8118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1665 SCENIC AVE",
            "address_2": "STE # 100",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926261445",
            "telephone_number": "714-436-4444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RASOULI",
        "first_name": "REZA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-06",
        "last_updated": "2025-09-17",
        "certification_date": "2025-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "CA",
            "license": "A85426",
            "primary": true
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "TN",
            "license": "40509",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "42346",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Costa Mesa, CA

Sources for this page

Verify at the official NPI Registry.