NPIMap

Organization Active NPI

Mohammad E Rassouli MD, SC

  • Neurology with Special Qualifications in Child Neurology Physician
  • Irvine, CA
National Provider Identifier
1710924097
Registry record updated Feb 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology with Special Qualifications in Child Neurology PhysicianTaxonomy code 2084N0402X
License
A50587 Issued in CA
Legal business name
MOHAMMAD E RASSOULI MD, SC
Practice address
22 Odyssey
Suite 165
Irvine, CA 92618-3186
Phone
(949) 716-4439
Fax
(949) 266-9719
NPI assigned
Jun 2, 2006
Last updated
Feb 25, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2014

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

Authorized official

Name
Mohammad E Rassouli, MDNPI 1134166010
Title
President
Phone
(949) 716-4439

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
Neurology with Special Qualifications in Child Neurology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084N0402X A50587 CA Primary

Addresses

Primary practice location

22 Odyssey
Suite 165
Irvine, CA 92618-3186

Mailing address

22 Odyssey
Suite 165
Irvine, CA 92618-3186
Phone (949) 716-4439

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, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1149206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1393286400000",
    "number": "1710924097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 ODYSSEY",
            "address_2": "SUITE 165",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926183186",
            "telephone_number": "949-716-4439",
            "fax_number": "949-266-9719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 ODYSSEY",
            "address_2": "SUITE 165",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926183186",
            "telephone_number": "949-716-4439",
            "fax_number": "949-266-9719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOHAMMAD E RASSOULI MD, SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-02",
        "last_updated": "2014-02-25",
        "status": "A",
        "authorized_official_last_name": "RASSOULI",
        "authorized_official_first_name": "MOHAMMAD",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "949-716-4439",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0402X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
            "state": "CA",
            "license": "A50587",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irvine, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.