Individual provider Active NPI

Ali Rafatnia

  • Family Medicine Physician
  • Henderson, NV
National Provider Identifier
1346878717
Registry record updated Sep 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
25751 Issued in NV
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, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 19, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X 25751 NV Primary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X A191713 CA
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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

IdentifierTypeStateIssuer
1346878717MedicaidNV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR, CA, NV3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20220802003243 AR Practitioner - Family Practice 2668893009 Reassigns benefits to 10 organizations
I20231115002192 CA Practitioner - Family Practice 2668893009 Reassigns benefits to 8 organizations
I20240926002943 NV Practitioner - Family Practice 2668893009 Reassigns benefits to 2 organizations

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
Socal HospitalistsGroup PAC ID 3274047816, 30 clinicians
Pih Health PhysiciansGroup PAC ID 8426951328, 616 clinicians
Platinum Hospitalists LLPGroup PAC ID 7214076322, 197 clinicians

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

LicenseStateTypeSpecialty
A191713CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Socal Hospitalists Multi-Specialty CurrentSince May 25, 2025 Accepting new patients
Healthcare Partners Affiliates Medical Group CurrentSince Jan 2, 2024 Accepting new patients
Monticello Ess LLC Multi-Specialty CurrentSince Aug 1, 2022 Accepting new patients
Hollywood Family Clinic Inc Multi-Specialty Current Accepting new patients
Ess Hospitalist LLC Multi-Specialty CurrentSince Aug 1, 2022 Accepting new patients
Platinum Hospitalists LLP Multi-Specialty CurrentSince Oct 1, 2024 Accepting new patients
Platinum Hospitalists LLP Multi-Specialty CurrentSince Oct 1, 2024 Accepting new patients
Hospital Care Consultants of Fordyce LLC Multi-Specialty CurrentSince Aug 1, 2022 Accepting new patients
Ess of El Dorado, LLC Multi-Specialty CurrentSince Aug 1, 2022 Accepting new patients
Pih Health Physicians Multi-Specialty CurrentSince Dec 1, 2023 Accepting new patients
Ess of McGehee LLC Multi-Specialty CurrentSince Aug 1, 2022 Accepting new patients
Pih Health Physicians Multi-Specialty Current Accepting new patients
The Huntington Medical Foundation Multi-Specialty CurrentSince Apr 1, 2024 Accepting new patients
HCC of El Dorado LLC Multi-Specialty CurrentSince Aug 1, 2022 Accepting new patients
Inpatient Specialists of California, PC Multi-Specialty CurrentSince Oct 24, 2023 Accepting new patients
HCC of Warren Hospitalist LLC Multi-Specialty CurrentSince Aug 1, 2022 Accepting new patients
HCC of Warren LLC Multi-Specialty CurrentSince Aug 1, 2022 Accepting new patients
HCC of Magnolia LLC Multi-Specialty CurrentSince Aug 1, 2022 Accepting new patients
Emergency Staffing Solutions Region III Multi-Specialty CurrentSince Aug 1, 2022 Accepting new patients
Healthcare Partners Affiliates Medical Group Multi-Specialty CurrentSince Jan 2, 2024 Accepting new patients
Pih Health Physicians CurrentSince Dec 1, 2023 Accepting new patients
Sunny Hills Medical Center Inc. Multi-Specialty CurrentSince Nov 8, 2023 Accepting new patients
Dana Forte D O LTD Multi-Specialty CurrentSince Jul 10, 2024 Accepting new patients
Ess of Fordyce LLC Multi-Specialty CurrentSince Aug 1, 2022 Accepting new patients
Arkansas Emergency Staffing Solutions, Inc Multi-Specialty CurrentSince Aug 1, 2022 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

  • Direct secure messaging: 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.

View all 27

Hospital & facility affiliations 6

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": "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

Verify at the official NPI Registry.