Individual provider Active NPI

Aras Emdadi, DO

  • Surgery Physician
  • Riverside, CA
National Provider Identifier
1477997336
Registry record updated Aug 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
17463 Issued in CA
Practice address
7111 Indiana Ave Ste 100
Riverside, CA 92504-4557
Phone
(951) 276-9012
Fax
(951) 276-9163
NPI assigned
Apr 23, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 10, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208600000X 17463 CA Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

7111 Indiana Ave Ste 100
Riverside, CA 92504-4557

Mailing address

7111 Indiana Ave Ste 100
Riverside, CA 92504-4557
Phone (951) 276-9012

Other practice location 1

7300 Magnolia Ave # Surgery
Riverside, CA 92504-3849
Phone (951) 278-8873

Other practice location 2

1501 Kings Hwy
Surgery
Shreveport, LA 71103-4228
Phone (318) 813-2655

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
I20211015001696 CA Practitioner - Colorectal Surgery (Proctology) 8820394885 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Colorectal Surgery (Proctology)
Education
Touro Un College of Osteopathic Medicine, Vallejo, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
United Medical DoctorsGroup PAC ID 2961305651, 168 clinicians
Nurick Surgical Institute IncGroup PAC ID 2961426630, 4 clinicians

Practice addresses (Care Compare)

28078 Baxter Rd
Suite 530
Murrieta, CA 92563-1405
Phone 9515665229125

7111 Indiana Ave
Suite 100
Riverside, CA 92504-4557
Phone (951) 276-9012

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy20
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
17463CAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Nurick Surgical Institute Inc Multi-Specialty CurrentSince Aug 11, 2021 Accepting new patients
United Medical Doctors Multi-Specialty CurrentSince Mar 1, 2026 Accepting new patients
United Medical Doctors Multi-Specialty CurrentSince Mar 1, 2026 Accepting new patients
Ocean Surgical Inc Multi-Specialty Past Accepting new patients
Doctors Hospital of Riverside LLC Past Accepting new patients
Riverside Healthcare System, L.P. Past Accepting new patients
Uhs Corona Inc Past Accepting new patients

Locations

6185 Paseo del Norte
Ste 140
Carlsbad, CA 92011
Phone (760) 683-0467

2083 Compton Ave
Ste 104
Corona, CA 92881
Phone (951) 256-8191

477 N El Camino Real
Ste C204
Encinitas, CA 92024
Phone (760) 230-2256

521 E Elder St
Ste 104
Fallbrook, CA 92028
Phone (760) 728-9560

4150 Regents Park Row
Ste 230
La Jolla, CA 92037
Phone (858) 207-3117

35100 Makena Ave
Ste 102
Murrieta, CA 92563
Phone (951) 574-6626

28078 Baxter Rd
Ste 530
Murrieta, CA 92563
Phone (951) 290-5472

400 Newport Center Dr
Ste 609
Newport Beach, CA 92660
Phone (949) 760-0398

7111 Indiana Ave
Ste 100
Riverside, CA 92504
Phone (951) 276-9012

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/9170/brand/1/csg/1/fhir/r4

Organizations & group practices 7

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 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": "1366675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628553600000",
    "number": "1477997336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7111 INDIANA AVE STE 100",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925044557",
            "telephone_number": "951-276-9012",
            "fax_number": "951-276-9163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7111 INDIANA AVE STE 100",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925044557",
            "telephone_number": "951-276-9012",
            "fax_number": "951-276-9163"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7300 Magnolia Ave # Surgery",
            "address_purpose": "LOCATION",
            "city": "Riverside",
            "state": "CA",
            "postal_code": "925043849",
            "country_code": "US",
            "telephone_number": "951-278-8873",
            "fax_number": "951-278-8913",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1501 Kings Hwy",
            "address_2": "Surgery",
            "address_purpose": "LOCATION",
            "city": "Shreveport",
            "state": "LA",
            "postal_code": "711034228",
            "country_code": "US",
            "telephone_number": "318-813-2655",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EMDADI",
        "first_name": "ARAS",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-04-23",
        "last_updated": "2021-08-10",
        "certification_date": "2021-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": "CA",
            "license": "17463",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverside, CA

Sources for this page

Verify at the official NPI Registry.