Rehan Muttalib, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

A174176 Issued in CA

Practice address

23639 Hawthorne Blvd Ste 102
Torrance, CA 90505-5985

Phone

(310) 373-9980

NPI assigned

Jun 23, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

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

Specialty

Family Practice

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Rehan Muttalib MD Inc ApmcGroup PAC ID 6800279225, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Torrance Memorial Medical Center Hospital, Torrance, CA, CCN 050351
• Heritage Rehabilitation Center Nursing home, Torrance, CA, CCN 056308
• Harbor Post Acute Care Center Nursing home, Torrance, CA, CCN 056192
• Camino Healthcare Nursing home, Hawthorne, CA, CCN 056267

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

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.

• Rehan Muttalib MD Inc Apmc

  dba Rehan Muttalib MD

  • Family Medicine Physician
  • Torrance, CA
  • NPI 1063146041
  Medicare reassignment Care Compare group NPD
• Azhar Muttalib MD a Professional Corporation

  • Internal Medicine Physician
  • Torrance, CA
  • NPI 1619011392
  Medicare reassignment NPD
• Torrance Memorial Medical Center

  • Skilled Nursing Facility
  • Torrance, CA
  • NPI 1740268713
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Geri-Care Inc.

  dba Harbor Post-Acute Care Center

  • Skilled Nursing Facility
  • Torrance, CA
  • NPI 1053392639

  Nursing home

  Care Compare affiliation
• Heritage Care, LLC

  dba Heritage Rehabilitation Center

  • Skilled Nursing Facility
  • Torrance, CA
  • NPI 1164410783

  Nursing home

  Care Compare affiliation
• Pine Forest Healthcare, Inc.

  dba Camino Healthcare

  • Skilled Nursing Facility
  • Hawthorne, CA
  • NPI 1801406772

  Nursing home

  Care Compare affiliation
• Torrance Memorial Medical Center

  • General Acute Care Hospital
  • Torrance, CA
  • NPI 1467459776
  Care Compare affiliation

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

{
    "created_epoch": "1529712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657756800000",
    "number": "1679068506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23639 HAWTHORNE BLVD STE 102",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905055985",
            "telephone_number": "310-373-9980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23639 HAWTHORNE BLVD STE 102",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905055985",
            "telephone_number": "310-373-9980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUTTALIB",
        "first_name": "REHAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-06-23",
        "last_updated": "2022-07-14",
        "certification_date": "2022-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "LL52609",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A174176",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "THE MEDICAL BOARD OF CALIFORNIA",
            "identifier": "A174176",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kiara Muschamp-Nettles
• Zuhra Musherraf, D.O.
• Edgar Allan Musngi, M.D.
• Tatiana Maryam Mustafa
• Azhar Muttalib, M.D.
• Omoyi Guy Mvuemba
• Didi Mwengela, M.D.
• My Concierge Psychotherapy Inc
• My Hearing Centers, LLC
• Serena Myatt

• Family Medicine Physician in Torrance, CA
• Providers in Torrance, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2022; 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.

Verify at the official NPI Registry.