Ocean Front Urgent Care P.C

Primary specialty

Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X

License

A89780 Issued in CA

Legal business name

OCEAN FRONT URGENT CARE P.C

Practice address

31236 Palos Verdes Dr W
Rancho Palos Verdes, CA 90275-5361

Phone

(760) 686-3121

Fax

(888) 411-5121

NPI assigned

Nov 30, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Mostafa S Rahimi, M.DNPI 1881687309

Title

President

Phone

(760) 686-3121

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPDPlans: Blue Shield 65 Plus (HMO) (H0504-015-000, H0504); Blue Shield 65 Plus (HMO) (H0504-039-000, H0504); Blue Shield 65 Plus Plan 2 (HMO) (H0504-021-000, H0504); Blue Shield Inspire (HMO) (H0504-041-000, H0504); Blue Shield 65 Plus (HMO) (H0504-038-000, H0504); Blue Shield Inspire (HMO) (H0504-047-000, H0504); Blue Shield 65 Plus (HMO) (H0504-026-000, H0504); Blue Shield Advantage (HMO) (H0504-050-000, H0504); Blue Shield AdvantageOptimum Plan (HMO) (H5928-004-000, H5928); Blue Shield Inspire (HMO) (H0504-043-000, H0504)…

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mostafa S Rahimi, M.D

  • Family Medicine Physician
  • San Pedro, CA
  • NPI 1881687309

  Geriatric Medicine

  Medicare reassignment NPD Authorized official
• Kari Elizabeth Wells, NP

  • Family Nurse Practitioner
  • Torrance, CA
  • NPI 1922699149
  NPD
• Regilah Ann Tan Ramon, NURSE PRACTITIONER

  • Primary Care Nurse Practitioner
  • Rancho Palos Verdes, CA
  • NPI 1184151235
  NPD (past)

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

{
    "created_epoch": "1322611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1322611200000",
    "number": "1619244993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31236 PALOS VERDES DR W",
            "city": "RANCHO PALOS VERDES",
            "state": "CA",
            "postal_code": "902755361",
            "telephone_number": "760-686-3121",
            "fax_number": "888-411-5121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31236 PALOS VERDES DR W",
            "city": "RANCHO PALOS VERDES",
            "state": "CA",
            "postal_code": "902755361",
            "telephone_number": "760-686-3121",
            "fax_number": "888-411-5121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OCEAN FRONT URGENT CARE P.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-30",
        "last_updated": "2011-11-30",
        "status": "A",
        "authorized_official_last_name": "RAHIMI",
        "authorized_official_first_name": "MOSTAFA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "760-686-3121",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "CA",
            "license": "A89780",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jill A Nobilione-Constable, PT
• Wendy Elaine Norris, SLP
• Michelle Novotny, PSY.D.
• Nu-Era Home Health Agency, Inc
• Maria Nucum, OTR
• Oceanaire Residential Treatment Program
• Oceanview Estates Inc
• Octavio Gonzalez MD
• Rachel Ohara, DPT
• Eriko Okubo

• Geriatric Medicine (Family Medicine) Physician in Rancho Palos Verdes, CA
• Providers in Rancho Palos Verdes, CA by specialty
• Geriatric Medicine (Family Medicine) Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.