NPIMap

Individual provider Active NPI

Babak Razaghi Khamsi, M.D.

  • Orthopaedic Surgery of the Spine Physician
  • Riverside, CA
National Provider Identifier
1457557100
Registry record updated Sep 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery of the Spine PhysicianTaxonomy code 207XS0117X
License
A119808 Issued in CA
Practice address
6276 River Crest Dr
Riverside, CA 92507-0783
Phone
(951) 413-0200
Fax
(951) 653-5680
NPI assigned
Jun 21, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2013

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Student in an Organized Health Care Education/Training Program 390200000X A119808 CA
Orthopaedic Surgery of the Spine Physician 207XS0117X A119808 CA Primary

Addresses

Primary practice location

6276 River Crest Dr
Riverside, CA 92507-0783

Mailing address

6276 River Crest Dr
Riverside, CA 92507-0783
Phone (951) 413-0200

Other identifiers 1

IdentifierTypeStateIssuer
1023079183MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120808000625 CA Practitioner - Orthopedic Surgery 1254587132 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
State University of New York at Stony Brook, School of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Haider Spine Center Medical Group Inc 5 clinicians

Practice addresses (Care Compare)

6276 River Crest Dr
Suite a
Riverside, CA 92507-0754
Phone (951) 413-0200

Hospital & facility affiliations

  • Sanitas Home Health Care, Inc. Home health agency, Los Angeles, CA, CCN 757508
  • Riverside Community Hospital Hospital, Riverside, CA, CCN 050022
  • Corona Regional Medical Center Hospital, Corona, CA, CCN 050329

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion33
Laminectomy or laminotomy (partial removal of spine bones)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A119808CAMDOrthopaedic Surgery of the Spine Physician

Practice roles (4 of 5)

OrganizationSpecialtyStatusNew patients
Uhs Corona Inc Past Accepting new patients
Doctors Hospital of Riverside LLC Past Accepting new patients
Riverside Healthcare System, L.P. Past Accepting new patients
Parkview Hospital, Inc. Past Accepting new patients

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 5

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.

Hospital & facility affiliations 3

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": "1182384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1378684800000",
    "number": "1457557100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6276 RIVER CREST DR",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925070783",
            "telephone_number": "951-413-0200",
            "fax_number": "951-653-5680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6276 RIVER CREST DR",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925070783",
            "telephone_number": "951-413-0200",
            "fax_number": "951-653-5680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAMSI",
        "first_name": "BABAK",
        "middle_name": "RAZAGHI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-21",
        "last_updated": "2013-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "CA",
            "license": "A119808",
            "primary": false
        },
        {
            "code": "207XS0117X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "CA",
            "license": "A119808",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1023079183",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverside, CA

Sources for this page

Verify at the official NPI Registry.