Individual provider Active NPI

Cyrus David Rahnema, M.D.

  • Surgery Physician
  • El Segundo, CA
National Provider Identifier
1053790196
Registry record updated May 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
A171879 Issued in CA
Practice address
222 N Pacific Coast Hwy Ste 2175
El Segundo, CA 90245-5639
Phone
(877) 878-3289
Fax
(877) 817-3227
NPI assigned
May 21, 2015
Last updated
May 15, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X A171879 CA Primary

Addresses

Primary practice location

222 N Pacific Coast Hwy Ste 2175
El Segundo, CA 90245-5639

Mailing address

4000 Park Newport Apt 210
Newport Beach, CA 92660-6003
Phone (702) 444-6690

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
I20221206001486 CA Practitioner - General Surgery 3476848847 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
University of Tennessee, HSC, College of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Robert Marriott Medical CorpGroup PAC ID 2567531494, 63 clinicians
Baromedical Physician Associates Medical Group IncGroup PAC ID 9133031610, 6 clinicians

Practice addresses (Care Compare)

19191 Harvard Ave
Irvine, CA 92612-4670
Phone (949) 854-9500

720 N Tustin Ave
Suite 100
Santa Ana, CA 92705-3693
Phone (714) 973-8777

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue62

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A171879CAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Robert Marriott Medical Corp Surgery CurrentSince Nov 1, 2022 Accepting new patients
Baromedical Physician Associates Medical Group CurrentSince Feb 1, 2023 Accepting new patients
Dignity Health Past Accepting new patients
San Gorgonio Memorial Hospital Past Accepting new patients

Locations

1401 New Stine Rd
Bakersfield, CA 93309
Phone (661) 368-5926

1191 Phelps Ave
Coalinga, CA 93210
Phone (559) 897-5841

222 N Pacific Coast Hwy
Ste 1420
El Segundo, CA 90245

222 N Pacific Coast Hwy
Ste 2175
El Segundo, CA 90245
Phone (877) 850-8762

11926 La Mirada Blvd
La Mirada, CA 90638
Phone (562) 943-7156

23521 Paseo de Valencia
Ste 108
Laguna Hills, CA 92653
Phone (949) 588-7262

5750 Downey Ave
Ste 100
Lakewood, CA 90712
Phone (562) 630-3105

1428 W North Ave
Lompoc, CA 93436
Phone (805) 735-4010

2278 Nice Ave
Mentone, CA 92359
Phone (909) 204-5000

5225 S J St
Oxnard, CA 93033
Phone (805) 488-3696

751 San Pedro Terrace Rd
Pacifica, CA 94044
Phone (650) 359-4800

150 Bellefontaine St
Pasadena, CA 91105
Phone (626) 793-1103

2225 N Perris Blvd
Perris, CA 92571
Phone (951) 657-2135

2900 Stoneridge Dr
Pleasanton, CA 94588
Phone (925) 201-4000

2120 Stockton Blvd
Sacramento, CA 95817
Phone (916) 452-6631

900 Mountain Ranch Rd
San Andreas, CA 95249
Phone (209) 419-0956

2580 Samaritan Dr
San Jose, CA 95124
Phone (408) 356-7002

720 N Tustin Ave
Ste 100
Santa Ana, CA 92705
Phone (714) 973-8777

2990 Soquel Ave
Santa Cruz, CA 95062
Phone (831) 479-6950

1321 Franklin St
Santa Monica, CA 90404
Phone (310) 828-5596

501 Petaluma Ave
Sebastopol, CA 95472
Phone (707) 823-8511

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: crahnema563745@direct.llu.edu

Organizations & group practices 5

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.

Hospital & facility affiliations 1

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": "1432166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684108800000",
    "number": "1053790196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4000 PARK NEWPORT APT 210",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926606003",
            "telephone_number": "702-444-6690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 N PACIFIC COAST HWY STE 2175",
            "city": "EL SEGUNDO",
            "state": "CA",
            "postal_code": "902455639",
            "telephone_number": "877-878-3289",
            "fax_number": "877-817-3227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAHNEMA",
        "first_name": "CYRUS",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-05-21",
        "last_updated": "2023-05-15",
        "certification_date": "2022-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "A171879",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Segundo, CA

Sources for this page

Verify at the official NPI Registry.