Organization Active NPI

Razi Medical Group Inc

  • Internal Medicine Physician
  • Victorville, CA
National Provider Identifier
1295165645
Registry record updated Feb 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A118364 Issued in CA
Legal business name
RAZI MEDICAL GROUP INC
Practice address
12740 Hesperia Rd Ste B
Victorville, CA 92395-8306
Phone
(760) 713-6969
Fax
(760) 245-9448
NPI assigned
Nov 22, 2013
Last updated
Feb 29, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 29, 2020

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

Authorized official

Name
Arash MilaniNPI 1043581317
Title
President
Phone
(760) 713-6969

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 A118364 CA Primary

Addresses

Primary practice location

12740 Hesperia Rd Ste B
Victorville, CA 92395-8306

Mailing address

12740 Hesperia Rd Ste a
Victorville, CA 92395-8306
Phone (760) 245-6106

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140225000110 CA Part B Supplier - Clinic/Group Practice 1456580737 Receives reassigned benefits from 9 practitioners
Practice locations: Victorville, CA

National Provider Directory

National Provider Directory

Locations

215 W Pearl St
Pomona, CA 91768
Phone (909) 227-0750

250 W Artesia St
Pomona, CA 91768
Phone (626) 757-1984

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CGAJCA

Practitioners & affiliated clinicians

Practitioners 9

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": "1385078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582934400000",
    "number": "1295165645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12740 HESPERIA RD STE A",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923958306",
            "telephone_number": "760-245-6106",
            "fax_number": "760-245-9448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12740 HESPERIA RD STE B",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923958306",
            "telephone_number": "760-713-6969",
            "fax_number": "760-245-9448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAZI MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-22",
        "last_updated": "2020-02-29",
        "certification_date": "2020-02-29",
        "status": "A",
        "authorized_official_last_name": "MILANI",
        "authorized_official_first_name": "ARASH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "760-713-6969"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A118364",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Victorville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2020; 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.