Organization Active NPI

Rahim Karjoo MD Inc

  • Primary Care Clinic/Center
  • Garden Grove, CA
National Provider Identifier
1295914935
Registry record updated Jan 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
C37311 Issued in CA
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

Updated by the provider on Jan 7, 2011

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
00C373110MedicaidCA

Other names 1

  • Medical Center for Prevention & Early Diagnosis of Cancer Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.