Active NPI
Rahim Karjoo MD Inc
- Primary Care Clinic/Center
- Garden Grove, CA
National Provider Identifier
1295914935
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- License
- C37311
- Legal business name
- RAHIM KARJOO MD INC
- Practice address
- 12665 Garden Grove Blvd.
Ste. 113
Garden Grove, CA 92843-1915 - Phone
- (714) 636-0261
- Fax
- (714) 636-0263
- NPI assigned
- Oct 30, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Rahim Karjoo, MD
- Title
- President/Medical Director
- Phone
- (714) 636-0261
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | C37311 | CA | Primary |
Addresses
Primary practice location
12665 Garden Grove Blvd.
Ste. 113
Garden Grove, CA 92843-1915
Mailing address
12665 Garden Grove Blvd.
Ste. 113
Garden Grove, CA 92843-1915
Phone (714) 636-0261
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00C373110 | Medicaid | CA |
Other names 1
- Medical Center for Prevention & Early Diagnosis of Cancer
National Provider Directory
National Provider DirectoryLocations
12665 Garden Grove Blvd
Ste 113
Garden Grove, CA 92843
Phone (714) 636-0261
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1193702400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1294358400000",
"number": "1295914935",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12665 GARDEN GROVE BLVD.",
"address_2": "STE. 113",
"city": "GARDEN GROVE",
"state": "CA",
"postal_code": "928431915",
"telephone_number": "714-636-0261",
"fax_number": "714-636-0263"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12665 GARDEN GROVE BLVD.",
"address_2": "STE. 113",
"city": "GARDEN GROVE",
"state": "CA",
"postal_code": "928431915",
"telephone_number": "714-636-0261",
"fax_number": "714-636-0263"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RAHIM KARJOO MD INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-10-30",
"last_updated": "2011-01-07",
"status": "A",
"authorized_official_last_name": "KARJOO",
"authorized_official_first_name": "RAHIM",
"authorized_official_title_or_position": "PRESIDENT/MEDICAL DIRECTOR",
"authorized_official_telephone_number": "714-636-0261",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": "CA",
"license": "C37311",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00C373110",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Medical Center for Prevention & Early Diagnosis of Cancer",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Garden Grove, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.