Individual provider Active NPI

Ben Rad, M.D.

  • Internal Medicine Physician
  • Fresno, CA
National Provider Identifier
1063504249
Registry record updated Jul 20, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A40892 Issued in CA
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

Updated by the provider on Jul 20, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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 Other name

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
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 SaludGroup PAC ID 1951673748, 9 clinicians
Monarch Medical ClinicGroup PAC ID 8729454665, 2 clinicians

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 Home health agency, Fresno, CA, CCN 559417
  • Montana Hospice, Inc Hospice, Glendale, CA, CCN B21548

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. Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Practice roles (4 of 5)

OrganizationSpecialtyStatusNew patients
Todos Para la Salud CurrentSince Apr 1, 2021 Accepting new patients
Monarch Medical Clinic CurrentSince Sep 13, 2022 Accepting new patients
Todos Para la Salud Current Accepting new patients
Todos Para la Salud CurrentSince Apr 1, 2021 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

  • FHIR API: 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.

Hospital & facility affiliations 2

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": "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

Verify at the official NPI Registry.