Individual provider Active NPI

Mohammad E Rassouli, MD

  • Neurology Physician
  • Mission Viejo, CA
National Provider Identifier
1134166010
Registry record updated Aug 14, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
A50587 Issued in CA
Practice address
25982 Pala Ste 170
Mission Viejo, CA 92691
Phone
(949) 716-6134
Fax
(949) 266-9719
NPI assigned
Jun 1, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 14, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X A50587 CA Primary

Addresses

Primary practice location

25982 Pala Ste 170
Mission Viejo, CA 92691

Mailing address

25982 Pala Ste 170
Mission Viejo, CA 92691-6736
Phone (949) 716-6134

Other identifiers 1

IdentifierTypeStateIssuer
31647900MedicaidWI

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
I20140129000952 CA Practitioner - NeurologyPractitioner - Pain ManagementPractitioner - Other (Physician) 7719075639 Reassigns benefits to 3 organizations
Practice locations: Fountain Valley, CA; Irvine, CA; Laguna Hills, CA; Mission Viejo, CA; Santa Ana, CA

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 1974
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Anchor Medical GroupGroup PAC ID 9133616519, 19 clinicians
Caduceus Physicians Medical GroupGroup PAC ID 5294762654, 23 clinicians

Practice addresses (Care Compare)

18200 Yorba Linda Blvd
Suite 250
Yorba Linda, CA 92886-4044
Phone (714) 577-6031

19742 Macarthur Blvd
Suite 100
Irvine, CA 92612-2408
Phone (949) 428-0330

Procedures performed for Medicare patients

ProcedureNumber of procedures
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A50587CAMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Anchor Medical Group Neurology CurrentSince Sep 8, 2025 Accepting new patients
Caduceus Physicians Medical Group CurrentSince Apr 1, 2016 Accepting new patients
Mohammad E Rassouli MD, SC PastSince Jan 1, 1990 Accepting new patients
Ascension St Francis Hospital, Inc Past Accepting new patients
Neurology Center of Milwaukee, LLC Neurology Past Accepting new patients
Saddleback Memorial Medical Center Past Accepting new patients
Aurora Health Care Metro, Inc. Past Accepting new patients

Locations

19742 MacArthur Blvd
Ste 100
Irvine, CA 92612
Phone (714) 646-8034

19742 MacArthur Blvd
Irvine, CA 92612
Phone (949) 428-0330

333 Thalia St
Laguna Beach, CA 92651
Phone (949) 499-0577

18200 Yorba Linda Blvd
Ste 250
Yorba Linda, CA 92886
Phone (714) 577-6000

18200 Yorba Linda Blvd
Ste 111
Yorba Linda, CA 92886

18200 Yorba Linda Blvd
Ste 401
Yorba Linda, CA 92886
Phone (714) 646-8010

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 8

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": "1149120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534204800000",
    "number": "1134166010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25982 PALA STE 170",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926916736",
            "telephone_number": "949-716-6134",
            "fax_number": "949-266-9719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25982 PALA STE 170",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "92691",
            "telephone_number": "949-716-6134",
            "fax_number": "949-266-9719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RASSOULI",
        "first_name": "MOHAMMAD",
        "middle_name": "E",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-01",
        "last_updated": "2018-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "CA",
            "license": "A50587",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "31647900",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mission Viejo, CA

Sources for this page

Verify at the official NPI Registry.