Active NPI
Anahita Rezaie, MD
- Gastroenterology Physician
- Duarte, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- C55510
- Practice address
- 1500 Duarte Rd
Duarte, CA 91010 - Phone
- (626) 256-4673
- NPI assigned
- Jun 25, 2007
- Last updated
- Jul 27, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | MD00047553 | WA | |
| Gastroenterology Physician | 207RG0100X | C55510 | CA | Primary |
Addresses
Primary practice location
1500 Duarte Rd
Duarte, CA 91010
Mailing address
1417 S Westgate Ave Apt 202
Los Angeles, CA 90025-5270
Other practice location 1
2202 S Cedar St
#310
Tacoma, WA 98405-2318
Phone (253) 383-8342
Other practice location 2
1500 Duarte Rd
Duarte, CA 91010-3012
Phone (626) 256-4673
Other practice location 3
1500 Duarte Rd
Duarte, CA 91010-3012
Phone (626) 256-4673
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8489965 | Medicaid | WA | |
| MD00047553 | Other | WA | WA LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA, CO, HI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Gastroenterology
- Education
- Other, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
751 S Bascom Ave
Santa Clara Vly Med
San Jose, CA 95128-2604
Phone (408) 885-5000
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 24 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 49 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sonora Community Hospital | Family Medicine | Current | Accepting new patients |
| Sonora Community Hospital | Family Medicine | Current | Accepting new patients |
| The Queens Medical Center | Current | Accepting new patients | |
| Poudre Valley Medical Group, LLC | Current | Accepting new patients | |
| Poudre Valley Medical Group, LLC | Current | Accepting new patients | |
| The Queen's Medical Center | Current | Accepting new patients | |
| Queen Emma Clinics | Current | Accepting new patients | |
| County of Santa Clara | Current | Accepting new patients | |
| Sonora Community Hospital | Current | Accepting new patients | |
| Sonora Community Hospital | Current | Accepting new patients | |
| Sonora Community Hospital | Current | Accepting new patients | |
| County of Santa Clara | Current | Accepting new patients | |
| County of Santa Clara | Current | Accepting new patients | |
| County of Santa Clara | Past | Accepting new patients | |
| Western Washington Endoscopy Centers, LLC | Past | Accepting new patients | |
| Multicare Health System | Past | Accepting new patients | |
| Multicare Health System | Past | Accepting new patients | |
| Providence Health & Services - Wa | Past | Accepting new patients | |
| Dignity Health | Past | Accepting new patients |
Locations
2105 Forest Ave
San Jose, CA 95128
Phone (408) 947-2500
751 S Bascom Ave
San Jose, CA 95128
Phone (408) 885-5110
193 Fairview Ln
Sonora, CA 95370
Phone (209) 536-5100
680 Guzzi Ln
Ste 105
Sonora, CA 95370
Phone (209) 532-0126
680 Guzzi Ln
Ste 206
Sonora, CA 95370
Phone (209) 536-5760
1750 E Ken Pratt Blvd
Longmont, CO 80504
Phone (720) 718-7000
1925 Mountain View Ave
Longmont, CO 80501
Phone (303) 776-1234
2695 Rocky Mountain Ave
Ste 150
Loveland, CO 80538
Phone (970) 624-2412
1301 Punchbowl St
Honolulu, HI 96813
Phone (808) 538-9011
550 S Beretania St
Ste 404
Honolulu, HI 96813
Phone (808) 691-8897
Interoperability endpoints
- arezaie10548@cityofhope.direct-ci.com
- arezaie176095@santaclaravalley.direct-ci.net
Organizations & group practices 19
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.
-
dba Josefina Narvaez Mental Health Center MH Aoa
- Mental Health Clinic/Center (Including Community Mental Health Center)
- San Jose, CA
- NPI 1699885079
-
dba Greenley Primary Care
- Family Medicine Physician
- Sonora, CA
- NPI 1033100854
-
dba Adventist Health Sonora
- Radiation Oncology Clinic/Center
- Sonora, CA
- NPI 1891732418
-
dba UCHealth Medical Group
- General Practice Physician
- Loveland, CO
- NPI 1225356868
-
- General Acute Care Hospital
- Honolulu, HI
- NPI 1487693586
-
dba Santa Clara Healthcare- Multi-Specialty Clinic
- Clinic/Center
- Mountain View, CA
- NPI 1912650672
-
dba Forest Road Health & Wellness Center
- Rural Health Clinic/Center
- Sonora, CA
- NPI 1003014952
Family Medicine
-
- Community/Retail Pharmacy
- Sonora, CA
- NPI 1740582568
-
dba Adventist Health Sonora
- General Acute Care Hospital
- Sonora, CA
- NPI 1780673376
-
dba UCHealth Medical Group
- General Practice Physician
- Loveland, CO
- NPI 1366763260
-
- Clinic/Center
- Honolulu, HI
- NPI 1528097094
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Inpatient Acute/Outpatient Facility Services
- General Acute Care Hospital
- San Jose, CA
- NPI 1063406551
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182729600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1627344000000",
"number": "1821294000",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1417 S WESTGATE AVE APT 202",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900255270"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1500 DUARTE RD",
"city": "DUARTE",
"state": "CA",
"postal_code": "91010",
"telephone_number": "626-256-4673"
}
],
"practiceLocations": [
{
"address_1": "2202 S Cedar St",
"address_2": "#310",
"address_purpose": "LOCATION",
"city": "Tacoma",
"state": "WA",
"postal_code": "984052318",
"country_code": "US",
"telephone_number": "253-383-8342",
"fax_number": "253-404-0506",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1500 Duarte Rd",
"address_purpose": "LOCATION",
"city": "Duarte",
"state": "CA",
"postal_code": "910103012",
"country_code": "US",
"telephone_number": "626-256-4673",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1500 Duarte Rd",
"address_purpose": "LOCATION",
"city": "Duarte",
"state": "CA",
"postal_code": "910103012",
"country_code": "US",
"telephone_number": "626-256-4673",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "REZAIE",
"first_name": "ANAHITA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-06-25",
"last_updated": "2021-07-27",
"certification_date": "2021-07-27",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "WA",
"license": "MD00047553",
"primary": false
},
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "CA",
"license": "C55510",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8489965",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WA LICENSE",
"identifier": "MD00047553",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Duarte, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.