Individual provider Active NPI

Reza John Emami, MD

  • Psychiatry Physician
  • Visalia, CA
National Provider Identifier
1124580741
Registry record updated Oct 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
A180452 Issued in CA
Practice address
1100 S Akers St
Visalia, CA 93277-8311
Phone
(559) 624-3300
NPI assigned
Apr 2, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 23, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X A180452 CA Primary

Addresses

Primary practice location

1100 S Akers St
Visalia, CA 93277-8311

Mailing address

1100 S Akers St
Visalia, CA 93277-8311
Phone (559) 624-3300

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
I20241031003703 CA Practitioner - Psychiatry 4183157969 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Precision Psychiatric Services IncGroup PAC ID 9436491420, 19 clinicians

Practice addresses (Care Compare)

1100 S Akers St
Visalia, CA 93277-8311
Phone (559) 624-3300

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A180452CAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Precision Psychiatric Services Inc CurrentSince Aug 25, 2024 Accepting new patients

Locations

7850 White Ln
#E301
Bakersfield, CA 93309

400 W Mineral King Ave
Visalia, CA 93291
Phone (559) 624-2001

1100 S Akers St
Visalia, CA 93277
Phone (559) 509-0846

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1554163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729641600000",
    "number": "1124580741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 S AKERS ST",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932778311",
            "telephone_number": "559-624-3300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 S AKERS ST",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932778311",
            "telephone_number": "559-624-3300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EMAMI",
        "first_name": "REZA",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-04-02",
        "last_updated": "2024-10-23",
        "certification_date": "2024-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A180452",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Visalia, CA

Sources for this page

Verify at the official NPI Registry.