Ata Soleimani Rahbar, MD
Individual provider Active NPI Hospitalist Physician · Irvine, CA
NPI 1487059192 · NPPES record last updated Jul 21, 2021
Key facts
- NPI
- 1487059192
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Hospitalist Physician 208M00000X
- License
- A171330 (CA)
- Practice address
- 11 Technology Dr
Irvine, CA 92618-2302 - Phone
- (855) 206-6764
- Fax
- (949) 923-3575
- NPI assigned
- Oct 24, 2014
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 4
Hospital & facility affiliations 8
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- Other, 2006
- Medicare assignment
- May accept Medicare assignment
- Telehealth
- Offers telehealth services
- Group practices
- Alex Zand MD a Professional Corporation
Practice addresses (Care Compare)
1010 W la Veta Ave
Suite 610
Orange, CA 92868-4306
Phone (714) 285-2311
200 Hospital Cir
Westminster, CA 92683-3910
Phone (714) 893-4541
Hospital & facility affiliations
- Liahona Home Health Services Inc.
- Memorialcare Saddleback Medical Center
- Providence St. Joseph Hospital
- Providence Mission Hospital
- Orange Healthcare & Wellness Centre, LLC
- Rowntree Gardens
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210728002155 | CA | Practitioner - Internal Medicine | 0042584856 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A171330 | CA | MD | Internal Medicine Physician |
Practice roles (4 of 5)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ata Soleimani Rahbar MD Inc | Internal Medicine | Current |
Accepting new patients |
| Centers for Family Medicine GP | Internal Medicine | Current |
Accepting new patients |
| Alex Zand, MD a Professional Corporation | Internal Medicine | Current |
Accepting new patients |
| Springfield Clinic LLP | Current | Accepting new patients |
Locations
6230 Irvine Blvd
Irvine, CA 92620
Phone (949) 378-8757
11 Technology Dr
Irvine, CA 92618
Phone (855) 206-6764
24451 Health Center Dr
Laguna Hills, CA 92653
Phone (949) 452-3573
3460 Katella Ave
Los Alamitos, CA 90720
Phone (310) 594-6599
1010 W La Veta Ave
Ste 610
Orange, CA 92868
Phone (714) 285-2311
200 Hospital Cir
Westminster, CA 92683
Phone (714) 386-9043
1025 S 6th St
Springfield, IL 62703
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- atasoleimanirahbar@sfc.allscriptsdirect.net
- ata.rahbar.p7@direct.monarchhealthcare.nextgenshare.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | A171330 | CA | |
| Hospitalist Physician | 208M00000X | A171330 | CA | Yes |
Addresses
Primary practice location
11 Technology Dr
Irvine, CA 92618-2302
Mailing address
11 Technology Dr
Irvine, CA 92618-2302
Phone (855) 206-6764
NPI Registry JSON
{
"created_epoch": "1414108800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1626825600000",
"number": "1487059192",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11 TECHNOLOGY DR",
"city": "IRVINE",
"state": "CA",
"postal_code": "926182302",
"telephone_number": "855-206-6764",
"fax_number": "949-923-3575"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11 TECHNOLOGY DR",
"city": "IRVINE",
"state": "CA",
"postal_code": "926182302",
"telephone_number": "855-206-6764",
"fax_number": "949-923-3575"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOLEIMANI RAHBAR",
"first_name": "ATA",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-10-24",
"last_updated": "2021-07-21",
"certification_date": "2021-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "A171330",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "CA",
"license": "A171330",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Irvine, CA
- Sohin Group LLC
- Erin Sohn
- Sohrab Rahbar, D.D.S., Inc.
- Sagar Solanki
- Sara Solar
- Itzel Soler
- Solid Foundation Physical Therapy & Wellness Co.
- Rayann Solidum
- Ashraf Loutfi Soliman
- Janet Solis
All providers in Irvine, CA · Hospitalist Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 21, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.