Organization Active NPI

Rashidi Medical Corporation

  • Specialist
  • Santa Rosa, CA
National Provider Identifier
1518235340
Registry record updated Mar 22, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
A87654 Issued in CA
Legal business name
RASHIDI MEDICAL CORPORATION
Practice address
95 Montgomery Dr
Suite 118
Santa Rosa, CA 95404-6617
Phone
(707) 545-7175
Fax
(707) 545-7938
NPI assigned
Dec 7, 2011
Last updated
Mar 22, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2012

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

Authorized official

Name
Dr. Mahmoud Rashidi, M.D.
Title
Owner
Phone
(707) 545-7175

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X A87654 CA Primary

Addresses

Primary practice location

95 Montgomery Dr
Suite 118
Santa Rosa, CA 95404-6617

Mailing address

95 Montgomery Dr
Suite 118
Santa Rosa, CA 95404-6617
Phone (707) 545-7175

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1323216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332374400000",
    "number": "1518235340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "95 MONTGOMERY DR",
            "address_2": "SUITE 118",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954046617",
            "telephone_number": "707-545-7175",
            "fax_number": "707-545-7938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "95 MONTGOMERY DR",
            "address_2": "SUITE 118",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954046617",
            "telephone_number": "707-545-7175",
            "fax_number": "707-545-7938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RASHIDI MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-07",
        "last_updated": "2012-03-22",
        "status": "A",
        "authorized_official_last_name": "RASHIDI",
        "authorized_official_first_name": "MAHMOUD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "707-545-7175",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "A87654",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Rosa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.