Active NPI
Ben Rad, M.D.
- Internal Medicine Physician
- Fresno, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- A40892
- Practice address
- 4590 E Clinton Ave
Fresno, CA 93703-2659 - Phone
- (559) 252-0500
- Fax
- (559) 252-2804
- NPI assigned
- Sep 28, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | A40892 | CA | Primary |
Addresses
Primary practice location
4590 E Clinton Ave
Fresno, CA 93703-2659
Mailing address
4590 E Clinton Ave
Fresno, CA 93703-2659
Phone (559) 252-0500
Other names 1
- Dr. Roben Moradzadeh
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20101229000645 | CA | Practitioner - Internal Medicine | 4981892353 |
Reassigns benefits to 2 organizations Practice locations: Fresno, CA |
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 1973
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Todos Para la SaludMonarch Medical Clinic
Practice addresses (Care Compare)
3830 N 1St St
Fresno, CA 93726-2328
4420 N 1St St
Suite 123
Fresno, CA 93726-2328
Phone (559) 231-5366
4590 E Clinton Ave
Fresno, CA 93703-2659
Phone (559) 878-4804
Hospital & facility affiliations
- Dignity Home Health Care
- Montana Hospice, Inc
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
Practice roles (4 of 5)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Todos Para la Salud | Current | Accepting new patients | |
| Monarch Medical Clinic | Current | Accepting new patients | |
| Todos Para la Salud | Current | Accepting new patients | |
| Todos Para la Salud | Current | Accepting new patients |
Locations
22030 Sherman Way
Ste 211
Canoga Park, CA 91303
Phone (818) 810-5947
4420 N 1st St
Ste 123
Fresno, CA 93726
Phone (559) 231-5366
4590 E Clinton Ave
Fresno, CA 93703
Phone (559) 878-4804
7227 Reseda Blvd
Reseda, CA 91335
Phone (818) 708-7227
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/HCGBCD
Organizations & group practices 4
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.
-
- Primary Care Clinic/Center
- Fresno, CA
- NPI 1740625235
-
- Family Medicine Physician
- Fresno, CA
- NPI 1073321543
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Fresno, CA
- NPI 1467017061
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159401600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1279584000000",
"number": "1063504249",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4590 E CLINTON AVE",
"city": "FRESNO",
"state": "CA",
"postal_code": "937032659",
"telephone_number": "559-252-0500",
"fax_number": "559-252-2804"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4590 E CLINTON AVE",
"city": "FRESNO",
"state": "CA",
"postal_code": "937032659",
"telephone_number": "559-252-0500",
"fax_number": "559-252-2804"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAD",
"first_name": "BEN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-28",
"last_updated": "2010-07-20",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "A40892",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ROBEN",
"last_name": "MORADZADEH",
"prefix": "DR.",
"credential": "M.D.",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Fresno, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.