Individual provider Active NPI

Mojdeh Najle-Rahim, M.D.

  • Specialist
  • Riverside, CA
National Provider Identifier
1063511046
Registry record updated Apr 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
A82888 Issued in CA
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

Updated by the provider on Apr 9, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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 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
I20080130000448 CA Practitioner - Infectious DiseasePractitioner - Geriatric MedicinePractitioner - Internal MedicinePractitioner - General Practice 8729160759 Practice locations: Riverside, CA

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A82888CAMDSpecialist

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

Verify at the official NPI Registry.