NPIMap

Individual provider Active NPI

Syed Muhammad Hammad Rizvi, MD

  • Family Medicine Physician
  • Upland, CA
National Provider Identifier
1669677365
Registry record updated Oct 8, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A96440 Issued in CA
Practice address
901 San Bernardino Rd Ste 104
Upland, CA 91786-4993
Phone
(909) 946-0844
Fax
(909) 982-4770
NPI assigned
Jun 20, 2007
Last updated
Oct 8, 2018By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 8, 2018

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 A96440 CA Primary

Addresses

Primary practice location

901 San Bernardino Rd Ste 104
Upland, CA 91786-4993

Mailing address

901 San Bernardino Rd Ste 104
Upland, CA 91786-4993
Phone (909) 946-0844

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080110000582 CA Practitioner - Family Practice 4486734860 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
United Hospitalist IncGroup PAC ID 5092814038, 17 clinicians

Practice addresses (Care Compare)

255 E Bonita Ave
Pomona, CA 91767-1923
Phone (909) 941-0661

901 San Bernardino Rd
Suite 104
Upland, CA 91786-4993
Phone (909) 946-0844

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A96440CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
S M Hammad Rizvi M D Inc Family Medicine CurrentSince Jan 1, 2009 Accepting new patients
Casa Colina Hospital and Centers for Healthcare Current Accepting new patients
Primecare Medical Group Past Accepting new patients
San Antonio Regional Hospital Past Accepting new patients

Locations

255 E Bonita Ave
Pomona, CA 91767
Phone (866) 724-4127

10841 White Oak Ave
Rch Cucamonga, CA 91730
Phone (626) 914-1514

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

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

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: casacolina@direct.casacolina.org

Organizations & group practices 5

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.

Hospital & facility affiliations 8

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": "1182297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538956800000",
    "number": "1669677365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 SAN BERNARDINO RD STE 104",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917864993",
            "telephone_number": "909-946-0844",
            "fax_number": "909-982-4770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 SAN BERNARDINO RD STE 104",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917864993",
            "telephone_number": "909-946-0844",
            "fax_number": "909-982-4770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIZVI",
        "first_name": "SYED",
        "middle_name": "MUHAMMAD HAMMAD",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-20",
        "last_updated": "2018-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A96440",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Upland, CA

Sources for this page

Verify at the official NPI Registry.