Kazi Rezai, D.O.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

20A12157 Issued in CA

Practice address

18672 Florida St
Suite 302-B
Huntington Beach, CA 92648-1925

Phone

(714) 375-0691

NPI assigned

May 11, 2010

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/ADEBAA
• FHIR API: https://fhir4.healow.com/fhir/r4/ADHCCA
• Direct secure messaging: kazi.rezai.p1@direct.fhccgla.nextgenshare.com
• Direct secure messaging: krezai660472@direct.ochin.org

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.

• Hurtt Family Health Clinic Inc.

  • Federally Qualified Health Center (FQHC)
  • Tustin, CA
  • NPI 1306965587
  NPD
• Hurtt Family Health Clinic Inc

  • Federally Qualified Health Center (FQHC)
  • Santa Ana, CA
  • NPI 1003250093
  NPD (past)

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

{
    "created_epoch": "1273536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487721600000",
    "number": "1386962686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18672 FLORIDA ST",
            "address_2": "SUITE 302-B",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926481925",
            "telephone_number": "714-375-0691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18672 FLORIDA ST",
            "address_2": "SUITE 302-B",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926481925",
            "telephone_number": "714-375-0691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REZAI",
        "first_name": "KAZI",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-05-11",
        "last_updated": "2017-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": "20A12157",
            "primary": true
        },
        {
            "code": "204D00000X",
            "taxonomy_group": "",
            "desc": "Neuromusculoskeletal Medicine & OMM",
            "state": "CA",
            "license": "20A12157",
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "CA",
            "license": "20A12157",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Reynoso Chiropractic Corp
• Reynoso-Belling Chiropractic Corp
• Reynoso-Bruce Chiropractic Corp
• Robert Bruce Reynoso, D.C.
• Nima Rezaei Abbassi
• RH Home Health Services, Inc.
• Brian Y Rhee
• Jerome Hyun Ri, D.C.
• Nicholas Rians
• Richard a Enns MD Inc

• General Practice Physician in Huntington Beach, CA
• Providers in Huntington Beach, CA by specialty
• General Practice Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2017; 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.