Organization Active NPI

Medical Consultants of Southern California, Inc

  • Ophthalmology Physician
  • Rancho Cucamonga, CA
National Provider Identifier
1073644027
Registry record updated Jun 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
G86057 Issued in CA
Legal business name
MEDICAL CONSULTANTS OF SOUTHERN CALIFORNIA, INC
Practice address
8577 Haven Ave
Suite 208
Rancho Cucamonga, CA 91730-4850
Phone
(909) 944-5353
NPI assigned
Mar 8, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2024

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

Authorized official

Name
Dr. Ramin Monshizadeh, MDNPI 1578566030
Title
President
Phone
(909) 944-5353

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207W00000X G86057 CA Primary

Addresses

Primary practice location

8577 Haven Ave
Suite 208
Rancho Cucamonga, CA 91730-4850

Mailing address

8577 Haven Ave
Suite 208
Rancho Cucamonga, CA 91730-4850
Phone (909) 944-5353

Other identifiers 1

IdentifierTypeStateIssuer
00G860570MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060316000293 CA Part B Supplier - Clinic/Group Practice 9537176540 Receives reassigned benefits from 2 practitioners
Practice locations: Pomona, CA; Rancho Cucamonga, CA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719273600000",
    "number": "1073644027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8577 HAVEN AVE",
            "address_2": "SUITE 208",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917304850",
            "telephone_number": "909-944-5353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8577 HAVEN AVE",
            "address_2": "SUITE 208",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917304850",
            "telephone_number": "909-944-5353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL CONSULTANTS OF SOUTHERN CALIFORNIA, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-08",
        "last_updated": "2024-06-25",
        "certification_date": "2024-06-25",
        "status": "A",
        "authorized_official_last_name": "MONSHIZADEH",
        "authorized_official_first_name": "RAMIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "909-944-5353",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "G86057",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G860570",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rancho Cucamonga, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.