NPIMap

Individual provider Active NPI

Nima Ramezan Arab, M.D.

  • Neurology Physician
  • Los Alamitos, CA
National Provider Identifier
1699705772
Registry record updated Feb 19, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
A80191 Issued in CA
Practice address
3851 Katella Ave
Suite 215
Los Alamitos, CA 90720-3309
Phone
(562) 430-3114
Fax
(562) 430-7718
NPI assigned
Jul 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X A80191 CA Primary

Addresses

Primary practice location

3851 Katella Ave
Suite 215
Los Alamitos, CA 90720-3309

Mailing address

3747 Worsham Ave
Suite100
Long Beach, CA 90808-1731
Phone (562) 430-3114

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
I20070119000375 CA Practitioner - Neurology 4284635103 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
University of California, Irvine, California College of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Southland Neurologic Institute a Medical CorporationGroup PAC ID 0446555023, 8 clinicians

Practice addresses (Care Compare)

3747 Worsham Ave
Suite 100
Long Beach, CA 90808-1734
Phone (562) 430-4513

Hospital & facility affiliations

  • Memorialcare Long Beach Medical Center Hospital, Long Beach, CA, CCN 050485
  • Uci Health-Orange Hospital, Orange, CA, CCN 050348
  • Uci Health-Lakewood Hospital, Lakewood, CA, CCN 050581
  • Memoriacare Long Beach Medical Center Inpatient rehabilitation facility, Long Beach, CA, CCN 05T485

Merit-based Incentive Payment System (MIPS)

Final score
99.47 of 100Reported as individual
Quality
83.04
Promoting interoperability
96
Improvement activities
40

National Provider Directory

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

Practice roles (8 of 9)

OrganizationSpecialtyStatusNew patients
County of Los Angeles CurrentSince Nov 27, 2006 Accepting new patients
County of Los Angeles CurrentSince Nov 27, 2006 Accepting new patients
Southland Neurologic Associates Neurology PastSince Aug 7, 2006 Accepting new patients
Long Beach Memorial Medical Past Accepting new patients
University of California Irvine Past Accepting new patients
Memorial Medical Group Inc PastSince Aug 7, 2006 Accepting new patients
Southland Neurologic Institute Past Accepting new patients
Los Alamitos Medical Center, Inc. Past Accepting new patients

Locations

1000 S Fremont Ave
Unit 9
Alhambra, CA 91803

1000 W Carson St
Torrance, CA 90502
Phone (310) 222-3501

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/16722/brand/3/csg/1/fhir/r4
  • Direct secure messaging: nima.ramezan-arab.1@16722.direct.athenahealth.com

Organizations & group practices 9

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.

Hospital & facility affiliations 5

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": "1151971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487462400000",
    "number": "1699705772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3747 WORSHAM AVE",
            "address_2": "SUITE100",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908081731",
            "telephone_number": "562-430-3114",
            "fax_number": "562-430-7718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3851 KATELLA AVE",
            "address_2": "SUITE 215",
            "city": "LOS ALAMITOS",
            "state": "CA",
            "postal_code": "907203309",
            "telephone_number": "562-430-3114",
            "fax_number": "562-430-7718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAMEZAN ARAB",
        "first_name": "NIMA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-04",
        "last_updated": "2017-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "CA",
            "license": "A80191",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Alamitos, CA

Sources for this page

Verify at the official NPI Registry.