Active NPI
Mojdeh Najle-Rahim, M.D.
- Specialist
- Riverside, CA
National Provider Identifier
1063511046
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- A82888
- Practice address
- 3742 Tibbetts St
Suite 102
Riverside, CA 92506-2602 - Phone
- (951) 639-3800
- Fax
- (951) 639-3800
- NPI assigned
- Sep 22, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Specialist | 174400000X | A82888 | CA | Primary |
Addresses
Primary practice location
3742 Tibbetts St
Suite 102
Riverside, CA 92506-2602
Mailing address
14244 Avenida Munoz
Riverside, CA 92508-2403
Phone (951) 653-2700
Other names 1
- Mojdeh Ghadiri
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 |
|---|---|---|---|---|
| I20080130000448 | CA | Practitioner - Infectious Disease | 8729160759 | Practice locations: Riverside, CA |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A82888 | CA | MD | Specialist |
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158883200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1428537600000",
"number": "1063511046",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14244 AVENIDA MUNOZ",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925082403",
"telephone_number": "951-653-2700",
"fax_number": "951-653-2700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3742 TIBBETTS ST",
"address_2": "SUITE 102",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925062602",
"telephone_number": "951-639-3800",
"fax_number": "951-639-3800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NAJLE-RAHIM",
"first_name": "MOJDEH",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-09-22",
"last_updated": "2015-04-09",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "CA",
"license": "A82888",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MOJDEH",
"last_name": "GHADIRI",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Riverside, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2015; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.