Individual provider Active NPI

Amir Ali Rahnavard, M.D.

  • Physical Medicine & Rehabilitation Physician
  • Monterey, CA
National Provider Identifier
1326440124
Registry record updated Mar 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
A153979 Issued in CA
Practice address
23845 Holman Hwy Ste 203
Monterey, CA 93940-5901
Phone
(831) 241-9155
Fax
(831) 886-3616
NPI assigned
Sep 23, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X A153979 CA Primary

Addresses

Primary practice location

23845 Holman Hwy Ste 203
Monterey, CA 93940-5901

Mailing address

23845 Holman Hwy Ste 203
Monterey, CA 93940-5901
Phone (831) 241-9155

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
I20180329001656 CA Practitioner - Physical Medicine and Rehabilitation 1456643071 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Montage Medical GroupGroup PAC ID 6406901941, 125 clinicians

Practice addresses (Care Compare)

23845 Holman Hwy
Suite 203
Monterey, CA 93940-5901
Phone (831) 241-9155

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
86.59 of 100Reported as group
Quality
81.82
Promoting interoperability
100
Improvement activities
40
Cost
73.46

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A153979CAMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Montage Medical Group CurrentSince May 1, 2018 Accepting new patients
Community Hospital of the Monterey Peninsula Past Accepting new patients

Locations

23845 Holman Hwy
Ste 203
Monterey, CA 93940
Phone (831) 241-9155

23845 Holman Hwy
Ste 210
Monterey, CA 93940
Phone (831) 620-0296

100 Wilson Rd
Ste 100
Monterey, CA 93940
Phone (831) 242-8301

2 Upper Ragsdale Dr
Bldg A
Monterey, CA 93940
Phone (831) 333-3040

Organizations & group practices 2

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1411430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521590400000",
    "number": "1326440124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23845 HOLMAN HWY STE 203",
            "city": "MONTEREY",
            "state": "CA",
            "postal_code": "939405901",
            "telephone_number": "831-241-9155",
            "fax_number": "831-886-3616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23845 HOLMAN HWY STE 203",
            "city": "MONTEREY",
            "state": "CA",
            "postal_code": "939405901",
            "telephone_number": "831-241-9155",
            "fax_number": "831-886-3616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAHNAVARD",
        "first_name": "AMIR",
        "middle_name": "ALI",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-09-23",
        "last_updated": "2018-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "CA",
            "license": "A153979",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monterey, CA

Sources for this page

Verify at the official NPI Registry.