Active NPI
Mohammad H Rahman, MD
- Allergy Physician
- Clovis, CA
National Provider Identifier
1497742555
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Allergy Physician
- License
- 34881
- Practice address
- 12365 N Via Tuscania
Clovis, CA 93619 - Phone
- (314) 878-7988
- Fax
- (314) 878-7988
- NPI assigned
- Oct 4, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Allergy Physician | 207KA0200X | 34881 | MO | Primary |
Addresses
Primary practice location
12365 N Via Tuscania
Clovis, CA 93619
Mailing address
12365 N Via Tuscania
Clovis, CA 93619
Phone (314) 878-7988
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0004000868 | Other | MO | AETNA |
| 26775 | Other | MO | BLUECROSS BLUE SHIELD |
| P0200039 | Other | MO | UNITEDHEALTHCARE |
| 0689941002 | Other | MO | CIGNA |
| 0006000455 | Other | IL | BLUECROSSBLUESHIELD |
| 34512 | Other | MO | GROUP HEALTH PLAN |
| 437407473D | Other | MO | MEDICARE HIC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128384000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1548806400000",
"number": "1497742555",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12365 N VIA TUSCANIA",
"city": "CLOVIS",
"state": "CA",
"postal_code": "93619",
"telephone_number": "314-878-7988",
"fax_number": "314-878-7988"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12365 N VIA TUSCANIA",
"city": "CLOVIS",
"state": "CA",
"postal_code": "93619",
"telephone_number": "314-878-7988",
"fax_number": "314-878-7988"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAHMAN",
"first_name": "MOHAMMAD",
"middle_name": "H",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-10-04",
"last_updated": "2019-01-30",
"status": "A"
},
"taxonomies": [
{
"code": "207KA0200X",
"taxonomy_group": "",
"desc": "Allergy & Immunology, Allergy",
"state": "MO",
"license": "34881",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "0004000868",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUECROSS BLUE SHIELD",
"identifier": "26775",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITEDHEALTHCARE",
"identifier": "P0200039",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "0689941002",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUECROSSBLUESHIELD",
"identifier": "0006000455",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP HEALTH PLAN",
"identifier": "34512",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE HIC",
"identifier": "437407473D",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Clovis, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.