Med Imaging Care, Inc

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

A113116 Issued in CA

Legal business name

MED IMAGING CARE, INC

Practice address

3392 Motor Ave
Los Angeles, CA 90034-3712

Phone

(734) 788-9646

Fax

(310) 424-3404

NPI assigned

Feb 20, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Mohammad Rezvani, MDNPI 1487976668

Title

Ceo

Phone

(734) 788-9646

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/9046/brand/1/csg/1/fhir/r4

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.

• Mohammad Rezvani, M.D.

  • Internal Medicine Physician
  • Los Angeles, CA
  • NPI 1487976668
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1329696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330560000000",
    "number": "1780957860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11693 SAN VICENTE BLVD",
            "address_2": "STE 389",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900495105",
            "telephone_number": "734-788-9646",
            "fax_number": "310-424-3404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3392 MOTOR AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900343712",
            "telephone_number": "734-788-9646",
            "fax_number": "310-424-3404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MED IMAGING CARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-20",
        "last_updated": "2012-03-01",
        "status": "A",
        "authorized_official_last_name": "REZVANI",
        "authorized_official_first_name": "MOHAMMAD",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "734-788-9646",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A113116",
            "primary": true
        },
        {
            "code": "207U00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nuclear Medicine",
            "state": "CA",
            "license": "A113116",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Measure of Hearts Foundation
• Miranda Maxson Meaux, PSY.D.
• Amal Mebasher
• Joshua M Mechanic, M.D.
• Alyssa Mercedes Mechem I
• Med Spa Surgery Inc
• Med Star Agency, Inc.
• Med-Kal Equipment & Supply, Inc.
• Med-Neuro Corp
• Med-X Drug & Alcohol Testing Services (Medical Industrial Evaluators)

• Internal Medicine Physician in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.