Active NPI
Ali Rafatnia
- Family Medicine Physician
- Henderson, NV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 25751
- Practice address
- 10624 S Eastern Ave # a-955
Henderson, NV 89052-2982 - Phone
- (702) 407-7700
- Fax
- (702) 407-7016
- NPI assigned
- Mar 31, 2020
- Last updated
- Sep 19, 2024
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 25751 | NV | Primary |
| Family Medicine Physician | 207Q00000X | A191713 | CA | |
| Family Medicine Physician | 207Q00000X | E-14974 | AR |
Addresses
Primary practice location
10624 S Eastern Ave # a-955
Henderson, NV 89052-2982
Mailing address
10624 S Eastern Ave # a-955
Henderson, NV 89052-2982
Phone (702) 407-7700
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346878717 | Medicaid | NV |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR, CA, NV
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Un of California, Irvine, College of Medicine, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1050 Linden Ave
Long Beach, CA 90813-3321
Phone (562) 491-9469
12401 Washington Blvd
Whittier, CA 90602-1006
Phone (562) 698-0811
7495 W Azure Dr
Suite 209
Las Vegas, NV 89130-4440
Phone (702) 407-7700
866 N Vermont Ave
Suite 3
Los Angeles, CA 90029-3587
Phone (323) 407-6597
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A191713 | CA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Socal Hospitalists | Multi-Specialty | Current | Accepting new patients |
| Healthcare Partners Affiliates Medical Group | Current | Accepting new patients | |
| Monticello Ess LLC | Multi-Specialty | Current | Accepting new patients |
| Hollywood Family Clinic Inc | Multi-Specialty | Current | Accepting new patients |
| Ess Hospitalist LLC | Multi-Specialty | Current | Accepting new patients |
| Platinum Hospitalists LLP | Multi-Specialty | Current | Accepting new patients |
| Platinum Hospitalists LLP | Multi-Specialty | Current | Accepting new patients |
| Hospital Care Consultants of Fordyce LLC | Multi-Specialty | Current | Accepting new patients |
| Ess of El Dorado, LLC | Multi-Specialty | Current | Accepting new patients |
| Pih Health Physicians | Multi-Specialty | Current | Accepting new patients |
| Ess of McGehee LLC | Multi-Specialty | Current | Accepting new patients |
| Pih Health Physicians | Multi-Specialty | Current | Accepting new patients |
| The Huntington Medical Foundation | Multi-Specialty | Current | Accepting new patients |
| HCC of El Dorado LLC | Multi-Specialty | Current | Accepting new patients |
| Inpatient Specialists of California, PC | Multi-Specialty | Current | Accepting new patients |
| HCC of Warren Hospitalist LLC | Multi-Specialty | Current | Accepting new patients |
| HCC of Warren LLC | Multi-Specialty | Current | Accepting new patients |
| HCC of Magnolia LLC | Multi-Specialty | Current | Accepting new patients |
| Emergency Staffing Solutions Region III | Multi-Specialty | Current | Accepting new patients |
| Healthcare Partners Affiliates Medical Group | Multi-Specialty | Current | Accepting new patients |
| Pih Health Physicians | Current | Accepting new patients | |
| Sunny Hills Medical Center Inc. | Multi-Specialty | Current | Accepting new patients |
| Dana Forte D O LTD | Multi-Specialty | Current | Accepting new patients |
| Ess of Fordyce LLC | Multi-Specialty | Current | Accepting new patients |
| Arkansas Emergency Staffing Solutions, Inc | Multi-Specialty | Current | Accepting new patients |
| Dignity Health | Past | Accepting new patients |
Locations (25 of 26)
1015 Unity Rd
Crossett, AR 71635
Phone (870) 364-0590
700 W Grove St
El Dorado, AR 71730
Phone (870) 863-2200
201 N Clifton St
Fordyce, AR 71742
Phone (870) 352-6300
101 Hospital Dr
Magnolia, AR 71753
Phone (870) 235-3000
900 S 3rd St
McGehee, AR 71654
Phone (855) 498-6768
778 Scogin Dr
Monticello, AR 71655
Phone (870) 367-2411
404 S Bradley St
Warren, AR 71671
Phone (870) 226-3731
1236 N Magnolia Ave
Anaheim, CA 92801
Phone (714) 995-1000
5957 W Ramsey St
Banning, CA 92220
Phone (951) 845-8864
2309 Antonio Ave
Camarillo, CA 93010
Phone (805) 389-5655
824 E Carson St
Ste 104
Carson, CA 90745
Phone (310) 830-9706
11411 Brookshire Ave
Downey, CA 90241
Phone (562) 862-4566
140 E Commonwealth Ave
Ste 100
Fullerton, CA 92832
Phone (714) 572-3900
12675 La Mirada Blvd
Ste 201401
La Mirada, CA 90638
Phone (562) 903-7339
1050 Linden Ave
Long Beach, CA 90813
Phone (562) 491-9000
21163 Newport Coast Dr
Newport Coast, CA 92657
Phone (800) 578-5145
1600 N Rose Ave
Oxnard, CA 93030
Phone (805) 988-2500
65 N Madison Ave
Ste 800
Pasadena, CA 91101
Phone (626) 792-3141
10 Congress St
Ste 208
Pasadena, CA 91105
Phone (626) 792-2166
1700 N Waterman Ave
Sn Bernrdno, CA 92404
Phone (909) 883-8611
12401 Washington Blvd
Whittier, CA 90602
Phone (562) 698-0611
10624 S Eastern Ave
Ste A995
Henderson, NV 89052
10624 S Eastern Ave
#A955
Henderson, NV 89052
Phone (702) 407-7700
7495 W Azure Dr
Ste 209
Las Vegas, NV 89130
Phone (702) 327-6653
4845 S Rainbow Blvd
Ste 402
Las Vegas, NV 89103
Phone (702) 362-9800
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- ali.rafatnia.1@14940.direct.athenahealth.com
Organizations & group practices 27
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Geriatric Medicine (Family Medicine) Physician
- Los Angeles, CA
- NPI 1629912100
Multi-Specialty
-
dba Forte Family Practice
- Family Medicine Physician
- Las Vegas, NV
- NPI 1649209420
Multi-Specialty
-
- Emergency Medicine Physician
- Hope, AR
- NPI 1275774630
Multi-Specialty
-
- Emergency Medicine Physician
- Dallas, TX
- NPI 1689967895
AR, Multi-Specialty
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba St. Rose Dominican Hospital, San Martin Campus
- General Acute Care Hospital
- Las Vegas, NV
- NPI 1528101284
-
dba Summerlin Hospital Medical Center
- General Acute Care Hospital
- Las Vegas, NV
- NPI 1831189638
-
dba ER at South Summerlin, Extension of Summerlin Hospital
- Emergency Care Clinic/Center
- Las Vegas, NV
- NPI 1861234619
Hospital
-
- General Acute Care Hospital
- Henderson, NV
- NPI 1962181172
-
dba St. Mary Medical Center
- General Acute Care Hospital
- Long Beach, CA
- NPI 1194840421
-
- General Acute Care Hospital
- Whittier, CA
- NPI 1043215379
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1585612800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1726704000000",
"number": "1346878717",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10624 S EASTERN AVE # A-955",
"city": "HENDERSON",
"state": "NV",
"postal_code": "890522982",
"telephone_number": "702-407-7700",
"fax_number": "702-407-7016"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10624 S EASTERN AVE # A-955",
"city": "HENDERSON",
"state": "NV",
"postal_code": "890522982",
"telephone_number": "702-407-7700",
"fax_number": "702-407-7016"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAFATNIA",
"first_name": "ALI",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-03-31",
"last_updated": "2024-09-19",
"certification_date": "2024-09-19",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "NV",
"license": "25751",
"primary": true
},
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "CA",
"license": "A191713",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "AR",
"license": "E-14974",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1346878717",
"state": "NV"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Henderson, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.