Individual provider Active NPI

Nainamohamed Abdul Rahman, M.D.

  • Otolaryngology Physician
  • Anaheim, CA
National Provider Identifier
1346264587
Registry record updated Sep 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
A34425 Issued in CA
Practice address
1761 W Romneya Dr Ste J
Anaheim, CA 92801-1816
Phone
(714) 535-4844
Fax
(714) 776-8883
NPI assigned
Jul 27, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 17, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X A34425 CA Primary

Addresses

Primary practice location

1761 W Romneya Dr Ste J
Anaheim, CA 92801-1816

Mailing address

1761 W Romneya Dr Ste J
Anaheim, CA 92801-1816
Phone (714) 535-4844

Other identifiers 2

IdentifierTypeStateIssuer
A34425OtherCACALIFORNIA MEDICAL LICENS
00A344251MedicaidCA

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
I20101102000524 CA Practitioner - Otolaryngology 2769676980 Practice locations: Anaheim, CA

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A34425CAMDOtolaryngology Physician
34425CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Anaheim Global Medical Center, Inc Past Accepting new patients
Anaheim Memorial Medical Center Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1221609600000",
    "number": "1346264587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1761 W ROMNEYA DR STE J",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928011816",
            "telephone_number": "714-535-4844",
            "fax_number": "714-776-8883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1761 W ROMNEYA DR STE J",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928011816",
            "telephone_number": "714-535-4844",
            "fax_number": "714-776-8883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAHMAN",
        "first_name": "NAINAMOHAMED",
        "middle_name": "ABDUL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-27",
        "last_updated": "2008-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "CA",
            "license": "A34425",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CALIFORNIA MEDICAL LICENS",
            "identifier": "A34425",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A344251",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Anaheim, CA

Sources for this page

Verify at the official NPI Registry.