Reza Tahmoures Rostami, MA, ATC, CSCS, EMT-B

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

Practice address

8151 Beaver Lake Dr
San Diego, CA 92119-2601

Phone

(619) 665-8837

NPI assigned

Jan 28, 2010

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Tom Rostami Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

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

{
    "created_epoch": "1264636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1264636800000",
    "number": "1790016848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8151 BEAVER LAKE DR",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921192601",
            "telephone_number": "619-665-8837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8151 BEAVER LAKE DR",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921192601",
            "telephone_number": "619-665-8837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSTAMI",
        "first_name": "REZA",
        "middle_name": "TAHMOURES",
        "credential": "MA, ATC, CSCS, EMT-B",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-01-28",
        "last_updated": "2010-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TOM",
            "last_name": "ROSTAMI",
            "credential": "MA, ATC, CSCS, EMT-B",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• David J. Rossman, M.D.
• Heather Rosso-Perkins, OTR/L
• Andrew Joseph Rosso, MD
• Fariba Rostami, M.A., LMFT
• Niloofar Rostami
• Catherine Rostan, MS, CCC-SLP
• Rhiana Lynn Roston
• Jazmine Rostro
• Silvina Rostro
• Lindsay Rotblatt, PHD

• Athletic Trainer in San Diego, CA
• Providers in San Diego, CA by specialty
• Athletic Trainer in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2010; 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.