Individual provider Active NPI

Rodd Rezvani, MD

  • Anesthesiology Physician
  • Newport Beach, CA
National Provider Identifier
1700314713
Registry record updated Jul 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
A178348 Issued in CA
Practice address
441 Old Newport Blvd
Newport Beach, CA 92663-4210
Phone
(949) 491-9991
Fax
(949) 612-9795
NPI assigned
Jun 3, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 125070056 IL
Pain Medicine (Anesthesiology) Physician 207LP2900X A178348 CA
Anesthesiology Physician 207L00000X A178348 CA Primary

Addresses

Primary practice location

441 Old Newport Blvd
Newport Beach, CA 92663-4210

Mailing address

708 Paris Way
Placentia, CA 92870-4142
Phone (714) 797-1233

Other practice location 1

1653 W Congress Pkwy
Jelke 7
Chicago, IL 60612-3833
Phone (312) 942-3134

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, CA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20210907003129 IL Practitioner - AnesthesiologyPractitioner - Internal Medicine 3476823717 Reassigns benefits to 1 organization
I20220928003592 CA Practitioner - AnesthesiologyPractitioner - Pain Management 3476823717 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
AnesthesiologyAlso: Pain Management
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Darin Rentz DO PCGroup PAC ID 7315333853, 131 clinicians
Pasadena Orthopedics IncGroup PAC ID 5799090809, 8 clinicians

Practice addresses (Care Compare)

4445 Magnolia Ave
Riverside, CA 92501-4135
Phone (951) 788-3000

600 N Highland Springs Ave
Banning, CA 92220-3046
Phone (951) 845-1121

959 E Walnut St
Suite 150
Pasadena, CA 91106-5342
Phone (626) 517-0022

Hospital & facility affiliations

  • Riverside Community Hospital Hospital, Riverside, CA, CCN 050022

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A178348CAMDPain Medicine (Anesthesiology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pasadena Orthopedics Inc CurrentSince Feb 20, 2024 Accepting new patients
Newport Care Medical Group Inc CurrentSince Jul 19, 2022 Accepting new patients
Rush Oak Park Nocturnist CurrentSince Aug 1, 2021 Accepting new patients
Newport Care Medical Group, Inc CurrentSince Jul 19, 2022 Accepting new patients
Darin Rentz DO PC Anesthesiology CurrentSince Aug 15, 2024 Accepting new patients
Rush University Medical Group Past Accepting new patients
Rush University Medical Center Past Accepting new patients

Locations

600 N Highland Springs Ave
Banning, CA 92220
Phone (833) 443-6287

3711 Long Beach Blvd
Ste 101
Long Beach, CA 90807
Phone (310) 963-9727

3490 Linden Ave
Ste 2
Long Beach, CA 90807
Phone (888) 368-1850

1711 W Temple St
Ste 4675
Los Angeles, CA 90026
Phone (213) 483-6563

441 Old Newport Blvd
Ste 201
Newport Beach, CA 92663

441 Old Newport Blvd
Newport Beach, CA 92663
Phone (714) 309-9270

2617 E Chapman Ave
Ste 110
Orange, CA 92869
Phone (714) 633-0011

959 E Walnut St
Ste 150
Pasadena, CA 91106
Phone (626) 449-3033

1041 E Yorba Linda Blvd
Ste 306
Placentia, CA 92870
Phone (714) 577-9500

350 Terracina Blvd
Redlands, CA 92373
Phone (909) 335-5500

4354 Latham St
Ste 100
Riverside, CA 92501
Phone (909) 787-1101

3560 Arlington Ave
Riverside, CA 92506
Phone (909) 680-1200

4445 Magnolia Ave
Riverside, CA 92501
Phone (800) 498-7156

1386 W 7th St
Ste 306
San Pedro, CA 90732

28780 Single Oak Dr
Ste 270
Temecula, CA 92590
Phone (951) 600-1795

75 Remittance Dr
Chicago, IL 60675

520 S Maple Ave
Oak Park, IL 60304
Phone (708) 383-9300

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 7

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 1

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": "1496448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658275200000",
    "number": "1700314713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "708 PARIS WAY",
            "city": "PLACENTIA",
            "state": "CA",
            "postal_code": "928704142",
            "telephone_number": "714-797-1233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "441 OLD NEWPORT BLVD",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926634210",
            "telephone_number": "949-491-9991",
            "fax_number": "949-612-9795"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1653 W Congress Pkwy",
            "address_2": "Jelke 7",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606123833",
            "country_code": "US",
            "telephone_number": "312-942-3134",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REZVANI",
        "first_name": "RODD",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-03",
        "last_updated": "2022-07-20",
        "certification_date": "2022-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "IL",
            "license": "125070056",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "CA",
            "license": "A178348",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "A178348",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport Beach, CA

Sources for this page

Verify at the official NPI Registry.