Individual provider Active NPI

Syed Munawwar Rizvi, M.D.

  • Obstetrics & Gynecology Physician
  • Hemet, CA
National Provider Identifier
1295770287
Registry record updated Aug 2, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
A51073 Issued in CA
Practice address
1600 E Florida Ave
Suite 315
Hemet, CA 92544-8643
Phone
(951) 765-1766
Fax
(951) 765-1770
NPI assigned
Jun 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X A51073 CA Primary

Addresses

Primary practice location

1600 E Florida Ave
Suite 315
Hemet, CA 92544-8643

Mailing address

1600 E Florida Ave
Suite 315
Hemet, CA 92544-8643
Phone (951) 765-1766

Other identifiers 1

IdentifierTypeStateIssuer
GR0102090MedicaidCA

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
I20100809000905 CA Practitioner - Obstetrics/Gynecology 7517010861 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 1985
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1600 E Florida Ave
Suite 315
Hemet, CA 92544-8639
Phone (951) 765-1766

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A51073CAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Valley OB/GYN Medical Group,Inc. Obstetrics & Gynecology CurrentSince Oct 24, 2017 Accepting new patients
Menifee Valley Medical Center Past Accepting new patients
Universal Health Services of Rancho Springs Inc Past Accepting new patients

Locations

1600 E Florida Ave
Ste 315
Hemet, CA 92544
Phone (951) 765-1766

27174 Newport Rd
Ste 2
Menifee, CA 92584

31493 Rancho Pueblo Rd
Temecula, CA 92592
Phone (951) 302-6385

31493 Rancho Pueblo Rd
Ste 201
Temecula, CA 92592

Interoperability endpoints

  • Direct secure messaging: srizvi@386.securemail.prognocis.com

Organizations & group practices 3

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": "1150502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1501632000000",
    "number": "1295770287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 E FLORIDA AVE",
            "address_2": "SUITE 315",
            "city": "HEMET",
            "state": "CA",
            "postal_code": "925448643",
            "telephone_number": "951-765-1766",
            "fax_number": "951-765-1770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 E FLORIDA AVE",
            "address_2": "SUITE 315",
            "city": "HEMET",
            "state": "CA",
            "postal_code": "925448643",
            "telephone_number": "951-765-1766",
            "fax_number": "951-765-1770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIZVI",
        "first_name": "SYED",
        "middle_name": "MUNAWWAR",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-17",
        "last_updated": "2017-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "A51073",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0102090",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hemet, CA

Sources for this page

Verify at the official NPI Registry.