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
- 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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180802001247 | CA | Practitioner - Internal Medicine | 8123376407 | Reassigns benefits to 4 organizations |
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
- Vital Medical Group Inc
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 (6 of 7)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vital Medical Group, Inc | Single Specialty | Current | Accepting new patients |
| Kolli Medical Corporation | Single Specialty | Current | Accepting new patients |
| Remedial Patients Care Inc | Single Specialty | Current | Accepting new patients |
| Hemchand Kolli, MD Inc | Single Specialty | Current | Accepting new patients |
| Ac and CS | Single Specialty | Past | Accepting new patients |
| Novak Urgent Care Inc | 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 and National Provider Directory roles.
-
- Primary Care Clinic/Center
- Corona, CA
- NPI 1508507229
CA, Single Specialty
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.