Rasouli Medical Group

Primary specialty

Infectious Disease PhysicianTaxonomy code 207RI0200X

License

A85426 Issued in CA

Legal business name

RASOULI MEDICAL GROUP

Practice address

2101 N Waterman Ave
San Bernardino, CA 92404-4836

Phone

(909) 883-8711

NPI assigned

Oct 20, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Gholamreza Rasouli, MD

Title

Sole Owner

Phone

(909) 289-4906

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Donald R Jary, PHD

  • Psychologist
  • San Bernardino, CA
  • NPI 1699701250
  NPD (past)
• Reza Rasouli, MD

  • Hospitalist Physician
  • Costa Mesa, CA
  • NPI 1053395731

  Infectious Disease

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1192838400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192838400000",
    "number": "1053500561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 E REDLANDS BLVD",
            "address_2": "STE U, # 361",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923736143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 N WATERMAN AVE",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924044836",
            "telephone_number": "909-883-8711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RASOULI MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-20",
        "last_updated": "2007-10-20",
        "status": "A",
        "authorized_official_last_name": "RASOULI",
        "authorized_official_first_name": "GHOLAMREZA",
        "authorized_official_title_or_position": "SOLE OWNER",
        "authorized_official_telephone_number": "909-289-4906",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "CA",
            "license": "A85426",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Suchet Srivamsi Suryadevara Rao, M.D.
• Talia Rapel, MA
• Haley Rashidi
• Jessica Racine Rasmussen
• Serehnaty Rasmussen
• Joseph Salinas Rastrollo, MD
• Ahmad Matin Rasul, DDS
• Annay Ratcliff
• Julie Rathbun, PH.D.
• Daniel Alec Ratica

• Infectious Disease Physician in San Bernardino, CA
• Providers in San Bernardino, CA by specialty
• Infectious Disease Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.