Active NPI
Mohammadreza Ghayuri, MD
- Obstetrics & Gynecology Physician
- Colton, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- C54829
- Practice address
- 400 N Pepper Ave
Colton, CA 92324-1801 - Phone
- (909) 580-3470
- Fax
- (909) 580-3289
- NPI assigned
- Jul 10, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 35.090050 | OH | |
| Obstetrics & Gynecology Physician | 207V00000X | C54829 | CA | Primary |
Addresses
Primary practice location
400 N Pepper Ave
Colton, CA 92324-1801
Mailing address
400 N Pepper Ave
Colton, CA 92324-1801
Phone (909) 580-3470
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073711156 | Medicaid | CA |
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
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- Other, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
400 N Pepper Ave
2Mob206
Colton, CA 92324-1801
Phone (909) 580-2270
Hospital & facility affiliations
- Arrowhead Regional Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C54829 | CA | MD | Obstetrics & Gynecology Physician |
| 35.090050 | OH | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Valley Obstetrics & Gynecology Medical Group, Inc. | Obstetrics & Gynecology | Current | Accepting new patients |
| Senior'S Choice Medical Group, Inc. | Current | Accepting new patients | |
| San Marcos Medical Group Inc | Obstetrics & Gynecology | Current | Accepting new patients |
| Mommy and Me Medical Group, Inc. | Obstetrics & Gynecology | Current | Accepting new patients |
| Clinic Regional Physicians LLC | Obstetrics & Gynecology | Past | Accepting new patients |
| The Cleveland Clinic Foundation | Past | Accepting new patients | |
| Reuben C Castillo, Professional Corporation | Past | Accepting new patients |
Locations
400 N Pepper Ave
Colton, CA 92324
Phone (909) 580-1800
400 N Pepper Ave
#2
Colton, CA 92324
Phone (909) 580-2270
7965 Sierra Ave
Fontana, CA 92336
Phone (909) 356-4459
14980 Summit Ave
Ste 230
Fontana, CA 92336
Phone (909) 803-1160
498 W 4th St
Perris, CA 92570
Phone (951) 657-5441
416 W Foothill Blvd
Rialto, CA 92376
Phone (909) 421-0493
4190 Chicago Ave
Riverside, CA 92507
Phone (951) 632-2106
7576 Sterling Ave
Ste Cd
San Bernardino, CA 92410
Phone (909) 381-8983
742 W Highland Ave
Sn Bernrdno, CA 92405
Phone (909) 881-7320
1574 W Base Line St
Ste 107
Sn Bernrdno, CA 92411
Phone (909) 386-1880
Interoperability endpoints
- mohamadreza.ghayuri.p2@direct.mpmccorp.nextgenshare.com
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Organizations & group practices 7
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.
-
- Obstetrics & Gynecology Physician
- Colton, CA
- NPI 1144304817
-
- Family Medicine Physician
- Riverside, CA
- NPI 1730258765
Obstetrics & Gynecology
-
- Obstetrics & Gynecology Physician
- Fontana, CA
- NPI 1447446448
-
- Family Medicine Physician
- Fontana, CA
- NPI 1023506672
-
- General Practice Physician
- Perris, CA
- NPI 1942429188
-
- Internal Medicine Physician
- Beachwood, OH
- NPI 1043470453
Obstetrics & Gynecology
-
- General Acute Care Hospital
- Cleveland, OH
- NPI 1679525919
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Colton, CA
- NPI 1720158009
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184025600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1519689600000",
"number": "1073711156",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 N PEPPER AVE",
"city": "COLTON",
"state": "CA",
"postal_code": "923241801",
"telephone_number": "909-580-3470",
"fax_number": "909-580-3289"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 N PEPPER AVE",
"city": "COLTON",
"state": "CA",
"postal_code": "923241801",
"telephone_number": "909-580-3470",
"fax_number": "909-580-3289"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GHAYURI",
"first_name": "MOHAMMADREZA",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-07-10",
"last_updated": "2018-02-27",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "OH",
"license": "35.090050",
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "CA",
"license": "C54829",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1073711156",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Colton, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2018; 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.