Individual provider Active NPI

Kavoos Cameron Nazeri, M.D.

  • Rheumatology Physician
  • Rancho Cucamonga, CA
National Provider Identifier
1477731644
Registry record updated Feb 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
A110017 Issued in CA
Practice address
9170 Haven Ave Ste 120
Rancho Cucamonga, CA 91730-5416
Phone
(909) 466-0550
Fax
(909) 466-0755
NPI assigned
Feb 9, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A110017 CA
Rheumatology Physician 207RR0500X A110017 CA Primary

Addresses

Primary practice location

9170 Haven Ave Ste 120
Rancho Cucamonga, CA 91730-5416

Mailing address

840 Towne Center Dr
Pomona, CA 91767-5900
Phone (909) 398-1550

Other identifiers 1

IdentifierTypeStateIssuer
CA164176OtherCAMEDICARE PIN

Other names 1

  • Seyedkavoos Nazeri Other name

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
I20120525000156 CA Practitioner - RheumatologyPractitioner - Internal Medicine 9830352087 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
RheumatologyAlso: Internal Medicine
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Copa de Oro Medical Group IncGroup PAC ID 2264971449, 6 clinicians
Chaparral Medical Group IncGroup PAC ID 6800709403, shared by 2 NPIs, 66 clinicians

Practice addresses (Care Compare)

12052 Imperial Hwy
Suite 102
Norwalk, CA 90650-3091
Phone (562) 261-9330

160 E Artesia St
Suite 220
Pomona, CA 91767-2921
Phone (909) 865-1020

9170 Haven Ave
Suite 120
Rancho Cucamonga, CA 91730-5416
Phone (909) 476-8700

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
78.08 of 100Reported as group
Quality
40.87
Promoting interoperability
75
Improvement activities
40
Cost
74.84

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A110017CAMDRheumatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Chaparral Medical Group, Inc. CurrentSince Sep 23, 2023 Accepting new patients
Chaparral Medical Group, Inc. Rheumatology Current Accepting new patients
Chaparral Medical Group, Inc. CurrentSince Jun 1, 2012 Accepting new patients
Chaparral Medical Group, Inc. Internal Medicine Current Accepting new patients
Copa de Oro Medical Group Inc Internal Medicine CurrentSince Sep 1, 2025 Accepting new patients
Hospitalist Corporation of Inland Empire Internal Medicine Past Accepting new patients
Community Hospital of San Bernardino Past Accepting new patients
Pomona Valley Hospital Medical Center Past Accepting new patients
Chino Medical Group, Inc Internal Medicine Past Accepting new patients
Chaparral Medical Group Inc Internal Medicine Past Accepting new patients
Dignity Health Past Accepting new patients
San Antonio Regional Hospital Past Accepting new patients
Loma Linda University Medical Center Past Accepting new patients

Locations

12052 Imperial Hwy
Ste 102
Norwalk, CA 90650
Phone (562) 261-9330

840 Towne Center Dr
Pomona, CA 91767

160 E Artesia St
Ste 220
Pomona, CA 91767
Phone (909) 623-3428

1866 N Orange Grove Ave
Ste 202
Pomona, CA 91767
Phone (909) 623-8796

160 E Artesia St
Ste 360
Pomona, CA 91767
Phone (909) 629-4604

9190 Haven Ave
Fl 1
Rancho Cucamonga, CA 91730
Phone (909) 527-8110

9170 Haven Ave
Ste 120
Rancho Cucamonga, CA 91730
Phone (909) 467-8700

9190 Haven Ave
Ste 101
Rancho Cucamonga, CA 91730
Phone (909) 581-6732

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: kavoos.nazeri.1@30850.direct.athenahealth.com

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 2

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": "1202515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645401600000",
    "number": "1477731644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "840 TOWNE CENTER DR",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917675900",
            "telephone_number": "909-398-1550",
            "fax_number": "909-398-1488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9170 HAVEN AVE STE 120",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917305416",
            "telephone_number": "909-466-0550",
            "fax_number": "909-466-0755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAZERI",
        "first_name": "KAVOOS",
        "middle_name": "CAMERON",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-02-09",
        "last_updated": "2022-02-21",
        "certification_date": "2022-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A110017",
            "primary": false
        },
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "CA",
            "license": "A110017",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PIN",
            "identifier": "CA164176",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SEYEDKAVOOS",
            "last_name": "NAZERI",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Rancho Cucamonga, CA

Sources for this page

Verify at the official NPI Registry.