Active NPI
Amir Rahnavard, D.O.
- Internal Medicine Physician
- Corona, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- UO2771
- Practice address
- 1451 Rimpau Ave Ste 213
Corona, CA 92879-7522 - Phone
- (951) 268-6272
- NPI assigned
- Sep 21, 2011
- Last updated
- Oct 5, 2023
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 20A15779 | CA | |
| Internal Medicine Physician | 207R00000X | UO2771 | FL | Primary |
Addresses
Primary practice location
1451 Rimpau Ave Ste 213
Corona, CA 92879-7522
Mailing address
80545 US Highway 111
Indio, CA 92201-8367
Phone (760) 347-9221
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1314 W Glenoaks Blvd
Suite 205
Glendale, CA 91201-4890
Phone (818) 396-5158
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20A15779 | CA | MD | Internal Medicine Physician |
| UO2771 | FL | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vital Medical Group, Inc | Single Specialty | Current | Accepting new patients |
| Remedial Patients Care Inc | Single Specialty | Current | Accepting new patients |
| Kolli Medical Corporation | Single Specialty | Current | Accepting new patients |
| Hemchand Kolli, MD Inc | Single Specialty | Current | Accepting new patients |
| Novak Urgent Care Inc | Single Specialty | Past | Accepting new patients |
| Ac and CS | Single Specialty | Past | Accepting new patients |
Locations
801 E Birch St
Ste 2
Calexico, CA 92231
Phone (562) 273-5572
1451 Rimpau Ave
Ste 213
Corona, CA 92879
Phone (951) 268-6272
1314 W Glenoaks Blvd
Ste 205
Glendale, CA 91201
Phone (818) 396-5158
1278 E Latham Ave
Hemet, CA 92543
Phone (951) 925-6625
1600 E Florida Ave
Ste 103
Hemet, CA 92544
Phone (951) 925-6625
1215 N Wabash Ave
Redlands, CA 92374
Phone (909) 794-0200
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Organizations & group practices 6
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": "1316563200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1696464000000",
"number": "1669755153",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "80545 US HIGHWAY 111",
"city": "INDIO",
"state": "CA",
"postal_code": "922018367",
"telephone_number": "760-347-9221"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1451 RIMPAU AVE STE 213",
"city": "CORONA",
"state": "CA",
"postal_code": "928797522",
"telephone_number": "951-268-6272"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAHNAVARD",
"first_name": "AMIR",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-09-21",
"last_updated": "2023-10-05",
"certification_date": "2022-08-24",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "CA",
"license": "20A15779",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "FL",
"license": "UO2771",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Corona, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.