Premium Health Medical Group

Primary specialty

Occupational Medicine PhysicianTaxonomy code 2083X0100X

Legal business name

PREMIUM HEALTH MEDICAL GROUP

Practice address

1820 E Garry Ave Ste 116
Santa Ana, CA 92705-5804

Phone

(949) 463-9876

NPI assigned

May 13, 2022

Last updated

Jun 30, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ramin Montazeri

Title

Ceo

Phone

(949) 463-9876

Specialties & licenses 3

Addresses

Locations

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.

• Rasoul M. Montazeri, D.O.

  • Occupational Medicine Physician
  • Irvine, CA
  • NPI 1992068191
  NPD

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

{
    "created_epoch": "1652400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1656547200000",
    "number": "1720725583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1820 E GARRY AVE STE 103",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927055804",
            "telephone_number": "949-463-9876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1820 E GARRY AVE STE 116",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927055804",
            "telephone_number": "949-463-9876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIUM HEALTH MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-13",
        "last_updated": "2022-06-30",
        "certification_date": "2022-06-30",
        "status": "A",
        "authorized_official_last_name": "MONTAZERI",
        "authorized_official_first_name": "RAMIN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "949-463-9876"
    },
    "taxonomies": [
        {
            "code": "2083X0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Prause
• Viraphone Pravongviengkham
• Preferred Health Partners, Inc.
• Preferred Medical Solutions LLC
• Premier Healthcare Services, LLC
• Kim Uyen Tran Preston, LMFT
• Allison Preziosi, CTRS
• Vasthi N Priano, RN
• Lauren Price, BCBA
• Linda Kay Price, RN

• Occupational Medicine Physician in Santa Ana, CA
• Providers in Santa Ana, CA by specialty
• Occupational Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2022; 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.