Wendy Dawn Rashidi, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

G55445 Issued in CA

Practice address

299 W Foothill Blvd Ste 209
Upland, CA 91786-3806

Phone

(909) 982-4000

Fax

(909) 981-7800

NPI assigned

Sep 13, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Healthcare Partners Affiliates Medical Group

  dba Optum

  • Internal Medicine Physician
  • Los Angeles, CA
  • NPI 1659312593

  Family Medicine

  Medicare reassignment NPD
• Healthcare Partners Affiliates Medical Group

  dba Optum

  • Durable Medical Equipment & Medical Supplies
  • Murrieta, CA
  • NPI 1760057269
  NPD

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

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478217600000",
    "number": "1245335777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "299 W FOOTHILL BLVD STE 209",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917863806",
            "telephone_number": "909-982-4000",
            "fax_number": "909-981-7800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "299 W FOOTHILL BLVD STE 209",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917863806",
            "telephone_number": "909-982-4000",
            "fax_number": "909-981-7800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RASHIDI",
        "first_name": "WENDY",
        "middle_name": "DAWN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-13",
        "last_updated": "2016-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "G55445",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "91-2163283",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Daphne Rantung
• Bansari Rao
• Suraj Rasania, M.D.
• Aryan Rashidi, DC
• Atisa Rashidi, L.AC, DTCM
• Stephanie J Rasmussen, NP
• Anthony Joseph Ratkovic, D.C.
• Emily Elizabeth Ratliff
• Bilal Rafic Rayes, MD
• Pablo R Razo, MD

• Family Medicine Physician in Upland, CA
• Providers in Upland, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2016; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.