Mohammad Rezvani, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

A113116 Issued in CA

Practice address

3392 Motor Ave
Los Angeles, CA 90034-3712

Phone

(310) 858-5090

Fax

(310) 424-3404

NPI assigned

Feb 16, 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

Other identifiers 2

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

Specialty

Internal MedicineAlso: Nuclear Medicine

Education

Other, 1999

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Hospital & facility affiliations

• Arden Home Health Inc Home health agency, Calabasas, CA, CCN 757238
• Tulip Hospice, Inc Hospice, Northridge, CA, CCN A11629
• Comforting Care Services Hospice, Calabasas, CA, CCN 751652
• Cedars-Sinai Medical Center Hospital, Los Angeles, CA, CCN 050625
• Southern California Hospital at Hollywood Hospital, Hollywood, CA, CCN 050135
• La Brea Rehabilitation Center Nursing home, Los Angeles, CA, CCN 056195
• Lakewood Healthcare Center Nursing home, Downey, CA, CCN 555099
• Crenshaw Nursing Home Nursing home, Los Angeles, CA, CCN 055525
• Mar Vista Country Villa Healthcare & Wellness Nursing home, Los Angeles, CA, CCN 555726
• New Vista Post-Acute Care Center Nursing home, Los Angeles, CA, CCN 055473

Merit-based Incentive Payment System (MIPS)

Final score

97.04 of 100Reported as individual

Quality

76.44

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/9046/brand/1/csg/1/fhir/r4
• Direct secure messaging: mohammad.rezvani.1@9046.direct.athenahealth.com

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Comforting Care Services

  • Community Based Hospice Care Agency
  • Calabasas, CA
  • NPI 1093078297

  Contracted Managing Employee

  CMS ownership

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.

• Med Imaging Care, Inc

  • Internal Medicine Physician
  • Los Angeles, CA
  • NPI 1780957860
  Medicare reassignment NPD Authorized official

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Arden Home Health Inc

  • Home Health Agency
  • Glendale, CA
  • NPI 1699441352
  Care Compare affiliation
• Cedars-Sinai Medical Center

  • General Acute Care Hospital
  • Los Angeles, CA
  • NPI 1639172372
  Care Compare affiliation
• Cedars-Sinai Medical Center

  • General Acute Care Hospital
  • West Hollywood, CA
  • NPI 1891940326
  Care Compare affiliation
• Comforting Care Services

  • Community Based Hospice Care Agency
  • Calabasas, CA
  • NPI 1093078297
  Care Compare affiliation
• Crenshaw Nursing Home LLC

  • Skilled Nursing Facility
  • Los Angeles, CA
  • NPI 1386728939

  Nursing home

  Care Compare affiliation
• La Brea Rehabilitation Center, LLC

  • Skilled Nursing Facility
  • Los Angeles, CA
  • NPI 1205299484

  Nursing home

  Care Compare affiliation
• Mar Vista Country Villa Healthcare & Wellness Centre, LP

  • Skilled Nursing Facility
  • Los Angeles, CA
  • NPI 1720488067

  Nursing home

  Care Compare affiliation
• New Vista Pac Operator, LLC

  • Skilled Nursing Facility
  • Los Angeles, CA
  • NPI 1881932424

  Nursing home

  Care Compare affiliation
• Southern California Healthcare System, Inc

  • General Acute Care Hospital
  • Hollywood, CA
  • NPI 1023010113
  Care Compare affiliation
• The Healthcare Center of Downey, LLC

  • Skilled Nursing Facility
  • Downey, CA
  • NPI 1396029724

  Nursing home

  Care Compare affiliation
• Tulip Hospice Inc

  • Community Based Hospice Care Agency
  • Northridge, CA
  • NPI 1578114641
  Care Compare affiliation

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

{
    "created_epoch": "1266278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1330387200000",
    "number": "1487976668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11693 SAN VICENTE BLVD # 389",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900495105",
            "telephone_number": "310-858-5090",
            "fax_number": "310-424-3404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3392 MOTOR AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900343712",
            "telephone_number": "310-858-5090",
            "fax_number": "310-424-3404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REZVANI",
        "first_name": "MOHAMMAD",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-02-16",
        "last_updated": "2012-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207U00000X",
            "taxonomy_group": "",
            "desc": "Nuclear Medicine",
            "state": "MI",
            "license": "4301086547",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A113116",
            "primary": true
        },
        {
            "code": "207U00000X",
            "taxonomy_group": "",
            "desc": "Nuclear Medicine",
            "state": "CA",
            "license": "A113116",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0066315",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "A113116",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Neda Rezapoor, M.S., CCC-SLP
• Charlotte Reznick, PH.D.
• Gary Reznik, MD
• Rezolve Telemed
• Diana Rezvani, DO
• Ata Daniel Rezvanpour, M.D.
• Siam Kabir Rezwan
• Rudy Robert Rezzadeh, MD
• RG Diagnostic, Inc
• RG Smiles

• Internal Medicine Physician in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.