Organization Active NPI

Reza Sharafi MD Inc

  • Internal Medicine Physician
  • Downey, CA
National Provider Identifier
1255777843
Registry record updated May 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A96845 Issued in CA
Legal business name
REZA SHARAFI MD INC
Practice address
9818 Paramount Blvd Ste D
Downey, CA 90240-4407
Phone
(917) 687-1256
NPI assigned
May 22, 2013
Last updated
May 22, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 22, 2013

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

Authorized official

Name
Reza Sharafi, MDNPI 1336199660
Title
President
Phone
(562) 658-0499

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A96845 CA Primary

Addresses

Primary practice location

9818 Paramount Blvd Ste D
Downey, CA 90240-4407

Mailing address

9818 Paramount Blvd Ste D
Downey, CA 90240-4407

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20131121001699 CA Part B Supplier - Clinic/Group Practice 4284860289 Receives reassigned benefits from 4 practitioners
Practice locations: Downey, CA; Pico Rivera, CA; Paramount, CA; Norwalk, CA; Lynwood, CA; Los Alamitos, CA; Lakewood, CA; Bellflower, CA

National Provider Directory

National Provider Directory

Locations

8558 Rosecrans Ave
Paramount, CA 90723
Phone (562) 634-6877

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1369180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369180800000",
    "number": "1255777843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9818 PARAMOUNT BLVD STE D",
            "city": "DOWNEY",
            "state": "CA",
            "postal_code": "902404407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9818 PARAMOUNT BLVD STE D",
            "city": "DOWNEY",
            "state": "CA",
            "postal_code": "902404407",
            "telephone_number": "917-687-1256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REZA SHARAFI MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-22",
        "last_updated": "2013-05-22",
        "status": "A",
        "authorized_official_last_name": "SHARAFI",
        "authorized_official_first_name": "REZA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "562-658-0499",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A96845",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Downey, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2013; 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.