Organization Active NPI

Nirr Inc

  • Vascular Neurology Physician
  • Anaheim, CA
National Provider Identifier
1124417092
Registry record updated Dec 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Neurology PhysicianTaxonomy code 2084V0102X
Legal business name
NIRR INC
Practice address
1211 W la Palma Ave Ste 710
Anaheim, CA 92801-2814
Phone
(949) 448-0302
Fax
(949) 448-0335
NPI assigned
Jan 15, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2024

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

Authorized official

Name
Dr. Radoslav Ivov Raychev, MDNPI 1932346301
Title
President
Phone
(415) 290-8683

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 4

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207T00000X
Vascular Neurology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084V0102X Primary
Clinic/Center 261Q00000X A1079595 CA
General Acute Care Hospital 282N00000X A1079595 CA

Addresses

Primary practice location

1211 W la Palma Ave Ste 710
Anaheim, CA 92801-2814

Mailing address

578 Washington Blvd # 5003
Marina del Rey, CA 90292-5421
Phone (949) 448-0302

Other names 1

  • Radoslav Raychev, MD Former legal business name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150514002421 CA Part B Supplier - Clinic/Group Practice 0244550275 Receives reassigned benefits from 2 practitioners
Practice locations: Anaheim, CA; Palm Springs, CA

National Provider Directory

National Provider Directory

Locations

1211 W La Palma Ave
Ste 710
Anaheim, CA 92801
Phone (657) 888-9199

1400 Reynolds Ave
#105
Irvine, CA 92614
Phone (714) 730-0311

Practitioners & affiliated clinicians

Practitioners 2

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": "1421280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734393600000",
    "number": "1124417092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "578 WASHINGTON BLVD # 5003",
            "city": "MARINA DEL REY",
            "state": "CA",
            "postal_code": "902925421",
            "telephone_number": "949-448-0302",
            "fax_number": "949-448-0335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1211 W LA PALMA AVE STE 710",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928012814",
            "telephone_number": "949-448-0302",
            "fax_number": "949-448-0335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NIRR INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-15",
        "last_updated": "2024-12-17",
        "certification_date": "2024-12-17",
        "status": "A",
        "authorized_official_last_name": "RAYCHEV",
        "authorized_official_first_name": "RADOSLAV",
        "authorized_official_middle_name": "IVOV",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "415-290-8683",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Neurological Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084V0102X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Vascular Neurology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "CA",
            "license": "A1079595",
            "primary": false
        },
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "CA",
            "license": "A1079595",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Radoslav Raychev, MD",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Anaheim, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 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.