Organization Active NPI

Mt. Everest Medical PC

  • Addiction Psychiatry Physician
  • Cypress, CA
National Provider Identifier
1679047823
Registry record updated Jan 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Psychiatry PhysicianTaxonomy code 2084P0802X
Legal business name
MT. EVEREST MEDICAL PC
Practice address
10440 Rexford CT
Cypress, CA 90630-4633
Phone
(339) 203-5104
NPI assigned
Jan 21, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2019

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

Authorized official

Name
Abishek Rizal, MDNPI 1518132067
Title
Owner, President
Phone
(339) 203-5104

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0802X Primary

Addresses

Primary practice location

10440 Rexford CT
Cypress, CA 90630-4633

Mailing address

10440 Rexford CT
Cypress, CA 90630-4633
Phone (339) 203-5104

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190320000878 CA Part B Supplier - Clinic/Group Practice 8123368628 Receives reassigned benefits from 1 practitioner
Practice locations: Los Alamitos, CA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1548028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1548028800000",
    "number": "1679047823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10440 REXFORD CT",
            "city": "CYPRESS",
            "state": "CA",
            "postal_code": "906304633",
            "telephone_number": "339-203-5104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10440 REXFORD CT",
            "city": "CYPRESS",
            "state": "CA",
            "postal_code": "906304633",
            "telephone_number": "339-203-5104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MT. EVEREST MEDICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-21",
        "last_updated": "2019-01-21",
        "status": "A",
        "authorized_official_last_name": "RIZAL",
        "authorized_official_first_name": "ABISHEK",
        "authorized_official_title_or_position": "OWNER, PRESIDENT",
        "authorized_official_telephone_number": "339-203-5104",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0802X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Addiction Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cypress, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.