NPIMap

Individual provider Active NPI

Ramin Amirnovin, MD

  • Neurological Surgery Physician
  • Pomona, CA
National Provider Identifier
1497736334
Registry record updated Jan 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
A98619 Issued in CA
Practice address
255 East Bonita Avenue Building #9
LDR Neurosurgery
Pomona, CA 91767
Phone
(909) 450-0369
Fax
(909) 450-0366
NPI assigned
Nov 8, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 19, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X A98619 CA Primary
Neurological Surgery Physician 207T00000X 213866 MA

Addresses

Primary practice location

255 East Bonita Avenue Building #9
LDR Neurosurgery
Pomona, CA 91767

Mailing address

255 East Bonita Avenue Building #9
LDR Neurosurgery
Pomona, CA 91767
Phone (909) 450-0369

Other identifiers 2

IdentifierTypeStateIssuer
GR0099730MedicaidCA
00A986190MedicaidCA

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
I20070920000337 CA Practitioner - Neurosurgery 7113927088 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurosurgery
Education
New York University School of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

255 E Bonita Ave
BLDG 9
Pomona, CA 91767-1923
Phone 9094500369213

Hospital & facility affiliations

  • Casa Colina Hospital Hospital, Pomona, CA, CCN 050782
  • Pomona Valley Hospital Medical Center Hospital, Pomona, CA, CCN 050231
  • Emanate Health Inter-Community Hospital Hospital, Covina, CA, CCN 050382
  • San Antonio Regional Hospital Hospital, Upland, CA, CCN 050099
  • Emanate Health Foothill Presbyterian Hospital Hospital, Glendora, CA, CCN 050597

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion65
Laminectomy or laminotomy (partial removal of spine bones)20

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A98619CAMDNeurological Surgery Physician
213866MAMDNeurological Surgery Physician

Practice roles (14 of 15)

OrganizationSpecialtyStatusNew patients
Casa Colina Hospital and Centers for Healthcare Current Accepting new patients
Emanate Health Medical Center Past Accepting new patients
Superior Multi-Specialty Medical Group Inc of Ca PastSince Oct 20, 2009 Accepting new patients
St. Joseph Health Northern California, LLC Past Accepting new patients
Scott C Lederhaus MD & Lew B Disney MD PRT Lederhaus Scott C Gen PTR Past Accepting new patients
Universal Health Services of Rancho Springs Inc Past Accepting new patients
Pomona Valley Hospital Medical Center Past Accepting new patients
San Antonio Regional Hospital Past Accepting new patients
Emanate Health Foothill Presbyterian Hospital Past Accepting new patients
Yong Luke Lee Medical Corporation Past Accepting new patients
San Dimas Community Hospital, Inc. Past Accepting new patients
Massachusetts General Physicians Organization Inc Neurological Surgery Past Accepting new patients
Emanate Health Medical Center Past Accepting new patients
Ahmc Garfield Medical Center LP Past Accepting new patients

Locations

255 E Bonita Ave
Pomona, CA 91767
Phone (866) 724-4127

255 E Bonita Ave
Bldg 9
Pomona, CA 91767
Phone (909) 450-0369

255 E Bonita Ave
Ste 9
Pomona, CA 91767

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: casacolina@direct.casacolina.org

Organizations & group practices 15

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 15

Hospital & facility affiliations 8

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": "1131408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1295395200000",
    "number": "1497736334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 EAST BONITA AVENUE BUILDING #9",
            "address_2": "LDR NEUROSURGERY",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "91767",
            "telephone_number": "909-450-0369",
            "fax_number": "909-450-0366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 EAST BONITA AVENUE BUILDING #9",
            "address_2": "LDR NEUROSURGERY",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "91767",
            "telephone_number": "909-450-0369",
            "fax_number": "909-450-0366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMIRNOVIN",
        "first_name": "RAMIN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-08",
        "last_updated": "2011-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "CA",
            "license": "A98619",
            "primary": true
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "MA",
            "license": "213866",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0099730",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A986190",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pomona, CA

Sources for this page

Verify at the official NPI Registry.