Active NPI
Hedyeh Mohajerin Golshan, M.D.
- Internal Medicine Physician
- Rialto, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- A75923
- Practice address
- 1850 N Riverside Ave
Suite 230
Rialto, CA 92376-8071 - Phone
- (909) 875-1199
- Fax
- (909) 875-1166
- NPI assigned
- Mar 22, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | A75923 | CA | Primary |
Addresses
Primary practice location
1850 N Riverside Ave
Suite 230
Rialto, CA 92376-8071
Mailing address
1850 N Riverside Ave
Suite 230
Rialto, CA 92376-8071
Phone (909) 875-1199
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A759230 | 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
- Internal Medicine
- Education
- Other, 1994
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1850 N Riverside Ave
Suite 230
Rialto, CA 92376-8082
Phone (909) 875-1199
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A75923 | CA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hedyeh M Golshan MD and Associates Inc | Internal Medicine | Current | Accepting new patients |
| San Antonio Regional Hospital | Past | Accepting new patients | |
| Community Hospital of San Bernardino | Past | Accepting new patients | |
| Dignity Health | Past | Accepting new patients | |
| United Family Care | Internal Medicine | Past | Accepting new patients |
| Pinnacle Medical Group, Inc. | Internal Medicine | Past | Accepting new patients |
Locations
1850 N Riverside Ave
Ste 230
Rialto, CA 92376
Phone (909) 821-0810
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Organizations & group practices 6
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.
-
- Internal Medicine Physician
- Rialto, CA
- NPI 1629251350
-
dba Community Convalescent Center of San Bernardino
- Pediatric Skilled Nursing Facility
- San Bernardino, CA
- NPI 1851395685
-
dba St. Bernardine Medical Center
- General Acute Care Hospital
- San Bernardino, CA
- NPI 1689769911
-
- Family Medicine Physician
- San Bernardino, CA
- NPI 1447292248
Internal Medicine
-
- General Acute Care Hospital
- Upland, CA
- NPI 1780681189
-
- Internal Medicine Physician
- Fontana, CA
- NPI 1629027255
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Community Based Hospice Care Agency
- Upland, CA
- NPI 1841425170
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142985600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1197244800000",
"number": "1174582688",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1850 N RIVERSIDE AVE",
"address_2": "SUITE 230",
"city": "RIALTO",
"state": "CA",
"postal_code": "923768071",
"telephone_number": "909-875-1199",
"fax_number": "909-875-1166"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1850 N RIVERSIDE AVE",
"address_2": "SUITE 230",
"city": "RIALTO",
"state": "CA",
"postal_code": "923768071",
"telephone_number": "909-875-1199",
"fax_number": "909-875-1166"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOLSHAN",
"first_name": "HEDYEH",
"middle_name": "MOHAJERIN",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-22",
"last_updated": "2007-12-10",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "A75923",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A759230",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Rialto, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2007; 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.