Organization Active NPI

Hamid Rahman MD Medical Corporation

Doing business as Orthopedic Spine & Sports Medical Group

  • Specialist
  • Upland, CA
National Provider Identifier
1104021104
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
A36842 Issued in CA
Legal business name
HAMID RAHMAN MD MEDICAL CORPORATION
Doing business as
Orthopedic Spine & Sports Medical Group
Practice address
330 E 7TH St
2ND Floor
Upland, CA 91786-6740
Phone
(909) 931-3800
Fax
(909) 931-3815
NPI assigned
Jun 19, 2007
Last updated
Mar 7, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Authorized official

Name
Mr. Hamid U Rahman, M.D.
Title
President
Phone
(909) 931-3800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X A36842 CA Primary

Addresses

Primary practice location

330 E 7TH St
2ND Floor
Upland, CA 91786-6740

Mailing address

330 E 7TH St
2ND Floor
Upland, CA 91786-6740
Phone (909) 931-3800

Other identifiers 1

IdentifierTypeStateIssuer
A36842OtherCAMEDICAL LICENSE

Other names 1

  • Orthopedic Spine & Sports Medical Group Doing business as

National Provider Directory

National Provider Directory

Locations

6927 Brockton Ave
Ste 2C
Riverside, CA 92506
Phone (909) 931-3800

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1182211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1104021104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 E 7TH ST",
            "address_2": "2ND FLOOR",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917866740",
            "telephone_number": "909-931-3800",
            "fax_number": "909-931-3815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 E 7TH ST",
            "address_2": "2ND FLOOR",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917866740",
            "telephone_number": "909-931-3800",
            "fax_number": "909-931-3815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAMID RAHMAN MD MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-19",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "RAHMAN",
        "authorized_official_first_name": "HAMID",
        "authorized_official_middle_name": "U",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "909-931-3800",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "A36842",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "A36842",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Orthopedic Spine & Sports Medical Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Upland, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.