Ata Soleimani Rahbar MD Inc
Organization Active NPI Internal Medicine Physician · Westminster, CA
NPI 1063258713 · NPPES record last updated Jul 10, 2024
Key facts
- NPI
- 1063258713
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Internal Medicine Physician 207R00000X
- Legal business name
- ATA SOLEIMANI RAHBAR MD INC
- Practice address
- 200 Hospital Cir
Westminster, CA 92683-3910 - Phone
- (714) 893-4541
- NPI assigned
- Jul 2, 2024
- Organization subpart
- No
Authorized official
- Name
- Ata Soleimani Rahbar, MD
- Title
- MD/President
- Phone
- (415) 994-6958
Practitioners 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20240828002122 | CA | Part B Supplier - Clinic/Group Practice | 1254870728 |
Receives reassigned benefits from 1 practitioner Practice locations: Westminster, CA |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician |
207R00000X | Yes |
Addresses
Primary practice location
200 Hospital Cir
Westminster, CA 92683-3910
Mailing address
6230 Irvine Blvd # 423
Irvine, CA 92620-2103
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All providers in Westminster, CA · Internal Medicine Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 10, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.