Organization Active NPI

Reza Nazemi, MD, a Professional Corporation

  • Neurology Physician
  • Rancho Mirage, CA
National Provider Identifier
1336313378
Registry record updated Apr 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
A34180 Issued in CA
Legal business name
REZA NAZEMI, MD, A PROFESSIONAL CORPORATION
Practice address
39000 Bob Hope Dr
K308
Rancho Mirage, CA 92270-3221
Phone
(760) 341-3400
Fax
(760) 340-5050
NPI assigned
Apr 22, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2008

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

Authorized official

Name
Dr. Reza Nazemi
Title
Principal
Phone
(760) 341-3400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084N0400X A34180 CA Primary

Addresses

Primary practice location

39000 Bob Hope Dr
K308
Rancho Mirage, CA 92270-3221

Mailing address

39000 Bob Hope Dr
K308
Rancho Mirage, CA 92270-3221
Phone (760) 341-3400

Other identifiers 1

IdentifierTypeStateIssuer
00A341800MedicaidCA

National Provider Directory

National Provider Directory

Locations

39000 Bob Hope Dr
Ste K308
Rancho Mirage, CA 92270
Phone (760) 341-3400

NPI Registry JSON

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

{
    "created_epoch": "1208822400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208822400000",
    "number": "1336313378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39000 BOB HOPE DR",
            "address_2": "K308",
            "city": "RANCHO MIRAGE",
            "state": "CA",
            "postal_code": "922703221",
            "telephone_number": "760-341-3400",
            "fax_number": "760-340-5050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39000 BOB HOPE DR",
            "address_2": "K308",
            "city": "RANCHO MIRAGE",
            "state": "CA",
            "postal_code": "922703221",
            "telephone_number": "760-341-3400",
            "fax_number": "760-340-5050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REZA NAZEMI, MD, A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-22",
        "last_updated": "2008-04-22",
        "status": "A",
        "authorized_official_last_name": "NAZEMI",
        "authorized_official_first_name": "REZA",
        "authorized_official_title_or_position": "PRINCIPAL",
        "authorized_official_telephone_number": "760-341-3400",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "CA",
            "license": "A34180",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A341800",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rancho Mirage, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2008; 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.