Individual provider Active NPI

Hooman Rastegar, MD

  • Pain Medicine (Anesthesiology) Physician
  • Santa Ana, CA
National Provider Identifier
1710149711
Registry record updated Sep 21, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
A106971 Issued in CA
Practice address
1401 N Tustin Ave
Ste 140
Santa Ana, CA 92705-8644
Phone
(714) 543-2554
Fax
(714) 835-1383
NPI assigned
Jun 30, 2008
Last updated
Sep 21, 2009By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 21, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) Physician 207LP2900X A106971 CA Primary
Pain Medicine (Anesthesiology) Physician 207LP2900X MD435490 PA

Addresses

Primary practice location

1401 N Tustin Ave
Ste 140
Santa Ana, CA 92705-8644

Mailing address

5889 E Treehouse LN
Anaheim, CA 92807-3250
Phone (714) 912-4361

Other names 1

  • Hooman Rastegar Fassaei Former name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091104000585 CA Practitioner - AnesthesiologyPractitioner - Interventional Pain ManagementPractitioner - Pain Management 1456499854 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
AnesthesiologyAlso: Pain Management
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Pih Health PhysiciansGroup PAC ID 8426951328, 616 clinicians

Practice addresses (Care Compare)

11500 Brookshire Ave
Downey, CA 90241-4917
Phone (562) 904-5000

12401 Washington Blvd
Whittier, CA 90602-1006
Phone (562) 698-0811

12462 Putnam St
Whittier, CA 90602-1048
Phone (562) 789-5430

12675 La Mirada Blvd
Suite 201And401
La Mirada, CA 90638-2200
Phone (562) 903-7339

6557 Greenleaf Ave
Whittier, CA 90601-4108

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
78.61 of 100Reported as group
Quality
58.7
Improvement activities
40
Cost
75.08

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A106971CAMDPain Medicine (Anesthesiology) Physician
MD435490PAMDPain Medicine (Anesthesiology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pih Health Physicians CurrentSince May 12, 2018 Accepting new patients
Pih Health Physicians Current Accepting new patients
Pih Health Physicians CurrentSince May 12, 2018 Accepting new patients
Pih Health Whittier Hospital Past Accepting new patients
Pih Health Downey Hospital Past Accepting new patients
Hanford Community Hospital Past Accepting new patients
Bright Medical Associates, Inc. Past Accepting new patients
Portland Adventist Medical Center Past Accepting new patients
Neurology Diagnostic Centers of Orange County PC Past Accepting new patients

Locations

12675 La Mirada Blvd
Ste 201401
La Mirada, CA 90638
Phone (562) 903-7339

12462 Putnam St
Ste 402
Whittier, CA 90602
Phone (562) 789-5461

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: hoomanrastegar@pihh.allscriptsdirect.net

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1214784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1253491200000",
    "number": "1710149711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5889 E TREEHOUSE LN",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928073250",
            "telephone_number": "714-912-4361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 N TUSTIN AVE",
            "address_2": "STE 140",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927058644",
            "telephone_number": "714-543-2554",
            "fax_number": "714-835-1383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RASTEGAR",
        "first_name": "HOOMAN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-06-30",
        "last_updated": "2009-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "CA",
            "license": "A106971",
            "primary": true
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "PA",
            "license": "MD435490",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HOOMAN",
            "last_name": "RASTEGAR FASSAEI",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Santa Ana, CA

Sources for this page

Verify at the official NPI Registry.