Individual provider Active NPI

Menezha Rahimi, D.O.

  • Family Medicine Physician
  • Yorba Linda, CA
National Provider Identifier
1568403731
Registry record updated Jun 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
20A8038 Issued in CA
Practice address
18637 Yorba Linda Blvd
Yorba Linda, CA 92886-4136
Phone
(714) 790-8600
NPI assigned
Jun 9, 2006
Last updated
Jun 6, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 20A8038 CA Primary

Addresses

Primary practice location

18637 Yorba Linda Blvd
Yorba Linda, CA 92886-4136

Mailing address

200 S Manchester Ave Ste 300
Orange, CA 92868-3219
Phone (714) 456-2986

Other practice location 1

1330 W Covina Blvd
Suite 105
San Dimas, CA 91773-3200
Phone (909) 599-0069

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20041115000454 CA Practitioner - Family PracticePractitioner - Emergency Medicine 8820052475 Reassigns benefits to 4 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20A8038CAMDFamily Medicine Physician
8038CAMDHearing Instrument Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Mountain View Urgent Care Group, Inc CurrentSince Apr 15, 2015 Accepting new patients
Regents of the University of California Current Accepting new patients
Regents of the University of Family Medicine CurrentSince Mar 18, 2020 Accepting new patients
Mountain View Emergency Physicians Medical Group, Inc. CurrentSince Apr 1, 2004 Accepting new patients
Regents of the University of California Family Medicine CurrentSince Jan 1, 2023 Accepting new patients
Mountain View Urgent Care Group, Inc CurrentSince Apr 15, 2015 Accepting new patients
University of California Irvine Past Accepting new patients
Uci Medical Group Past Accepting new patients
University of California Irvine Past Accepting new patients

Locations

12442 Limonite Ave
Eastvale, CA 91752
Phone (951) 344-4451

12442 Limonite Ave
Unit 102
Eastvale, CA 91752
Phone (951) 393-3000

16465 Sierra Lakes Pkwy
Fontana, CA 92336
Phone (909) 244-9593

16465 Sierra Lakes Pkwy
Ste 100
Fontana, CA 92336
Phone (909) 434-1150

970 N Mountain Ave
Ontario, CA 91762
Phone (909) 579-6680

101 The City Dr S
Orange, CA 92868
Phone (714) 456-6054

7777 Milliken Ave
Ste A
Rch Cucamonga, CA 91730
Phone (909) 948-8000

999 San Bernardino Rd
Upland, CA 91786
Phone (909) 920-4841

18637 Yorba Linda Blvd
Yorba Linda, CA 92886
Phone (714) 790-8600

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/18095/brand/2/csg/1/fhir/r4

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1149811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686009600000",
    "number": "1568403731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 S MANCHESTER AVE STE 300",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928683219",
            "telephone_number": "714-456-2986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18637 YORBA LINDA BLVD",
            "city": "YORBA LINDA",
            "state": "CA",
            "postal_code": "928864136",
            "telephone_number": "714-790-8600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1330 W Covina Blvd",
            "address_2": "Suite 105",
            "address_purpose": "LOCATION",
            "city": "San Dimas",
            "state": "CA",
            "postal_code": "917733200",
            "country_code": "US",
            "telephone_number": "909-599-0069",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAHIMI",
        "first_name": "MENEZHA",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-09",
        "last_updated": "2023-06-06",
        "certification_date": "2023-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "20A8038",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yorba Linda, CA

Sources for this page

Verify at the official NPI Registry.