Individual provider Active NPI

Syed Arif Ali Rizvi, M.D.

  • Specialist
  • San Dimas, CA
National Provider Identifier
1659395754
Registry record updated Aug 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
0954046364 Issued in CA
Practice address
1335 Cypress Street,
Suite 205
San Dimas, CA 91773-3538
Phone
(909) 542-2777
Fax
(909) 394-1800
NPI assigned
Jul 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 0954046364 CA Primary
Internal Medicine Physician 207R00000X A36388 CA

Addresses

Primary practice location

1335 Cypress Street,
Suite 205
San Dimas, CA 91773-3538

Mailing address

1335 Cypress Street,
Suite 205
San Dimas, CA 91773-3538
Phone (909) 542-2777

Other identifiers 1

IdentifierTypeStateIssuer
P.A.-C 13719OtherCAVINCENT TRISTAN, P.A.-C

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
I20091204000584 CA Practitioner - Internal MedicinePractitioner - Nephrology 0143212894 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Nephrology
Education
Other, 1972
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
California Kidney SpecialistsGroup PAC ID 0345232096, 16 clinicians

Practice addresses (Care Compare)

1335 Cypress St
Suite 205
San Dimas, CA 91773-3538
Phone 90954227772770

315 N 3Rd Ave
Suite 104
Covina, CA 91723-1901
Phone (626) 332-2777

Hospital & facility affiliations

  • La Puente Dialysis Center, Inc. Dialysis facility, La Puente, CA, CCN 052710
  • Onoria Health Care Provider Inc Home Health and Ho Home health agency, Montclair, CA, CCN 059482
  • Emanate Health Inter-Community Hospital Hospital, Covina, CA, CCN 050382
  • San Antonio Regional Hospital Hospital, Upland, CA, CCN 050099

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A36388CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
California Kidney Specialists Internal Medicine CurrentSince Jun 9, 1986 Accepting new patients
Southern California Hospitalist Network Medical Group Inc Internal Medicine CurrentSince Jul 1, 2015 Accepting new patients
Emanate Health Medical Center Past Accepting new patients
Yong Luke Lee Medical Corporation Past Accepting new patients
San Antonio Regional Hospital Past Accepting new patients
Pomona Dialysis Center, Inc. PastSince Mar 26, 2016 Accepting new patients
Ahmc Whittier Hospital Medical Center LP Past Accepting new patients
Pomona Valley Hospital Medical Center Past Accepting new patients
Emanate Health Foothill Presbyterian Hospital Past Accepting new patients
St. Joseph Health Northern California, LLC Past Accepting new patients
Prime Healthcare Services - Montclair, LLC Past Accepting new patients
La Puente Dialysis Center, Inc. PastSince Apr 8, 2005 Accepting new patients
San Dimas Community Hospital, Inc. Past Accepting new patients
Emanate Health Medical Center Past Accepting new patients
California Vascular Center, Inc. PastSince Jul 1, 2017 Accepting new patients
Doctors Hospital of West Covina, Inc. Past Accepting new patients
Casa Colina Hospital and Centers for Healthcare Past Accepting new patients
Queen'S Dialysis Unit, Inc. PastSince Jun 23, 2000 Accepting new patients

Locations

210 W San Bernardino Rd
Covina, CA 91723
Phone (626) 858-8580

315 N 3rd Ave
Ste 104
Covina, CA 91723
Phone (626) 331-0133

717 W Foothill Blvd
Monrovia, CA 91016
Phone (626) 327-9805

1304 W Holt Blvd
Ste A
Ontario, CA 91762
Phone (626) 859-2249

625 The City Dr S
Ste 320
Orange, CA 92868
Phone (714) 202-2330

3235 E Colorado Blvd
Ste 102
Pasadena, CA 91107
Phone (626) 859-2249

9380 Magnolia Ave
Riverside, CA 92503
Phone (951) 373-5620

901 San Bernardino Rd
Ste 104
Upland, CA 91786
Phone (909) 542-2779

845 N Lark Ellen Ave
West Covina, CA 91791
Phone (626) 339-5451

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/5192cc27-2764-47df-a8de-8ad1cf29ade6/
  • Direct secure messaging: syedarif.rizvi@californiakidney.cernerdirect.com

Organizations & group practices 18

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 18

Hospital & facility affiliations 6

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": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598572800000",
    "number": "1659395754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1335 CYPRESS STREET,",
            "address_2": "SUITE 205",
            "city": "SAN DIMAS",
            "state": "CA",
            "postal_code": "917733538",
            "telephone_number": "909-542-2777",
            "fax_number": "909-394-1800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1335 CYPRESS STREET,",
            "address_2": "SUITE 205",
            "city": "SAN DIMAS",
            "state": "CA",
            "postal_code": "917733538",
            "telephone_number": "909-542-2777",
            "fax_number": "909-394-1800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIZVI",
        "first_name": "SYED",
        "middle_name": "ARIF ALI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-26",
        "last_updated": "2020-08-28",
        "certification_date": "2020-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "0954046364",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A36388",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VINCENT TRISTAN, P.A.-C",
            "identifier": "P.A.-C 13719",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Dimas, CA

Sources for this page

Verify at the official NPI Registry.