Organization Active NPI

Murtaza Rizvi MD Inc

  • Plastic Surgery Physician
  • Los Angeles, CA
National Provider Identifier
1821587536
Registry record updated May 8, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
A95879 Issued in CA
Legal business name
MURTAZA RIZVI MD INC
Practice address
11645 Wilshire Blvd Ste 1155
Los Angeles, CA 90025-6807
Phone
(424) 293-8861
Fax
(424) 293-8864
NPI assigned
May 8, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 8, 2018

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

Authorized official

Name
Murtaza Rizvi, MDNPI 1205071073
Title
Owner
Phone
(424) 293-8861

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
Plastic Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208200000X A95879 CA Primary

Addresses

Primary practice location

11645 Wilshire Blvd Ste 1155
Los Angeles, CA 90025-6807

Mailing address

11645 Wilshire Blvd Ste 1155
Los Angeles, CA 90025-6807
Phone (424) 293-8861

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180702002566 CA Part B Supplier - Clinic/Group Practice 6305192568 Receives reassigned benefits from 1 practitioner
Practice locations: Studio City, CA

National Provider Directory

National Provider Directory

Locations

13211 Ventura Blvd
Studio City, CA 91604
Phone (424) 293-8861

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1525737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1525737600000",
    "number": "1821587536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11645 WILSHIRE BLVD STE 1155",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900256807",
            "telephone_number": "424-293-8861",
            "fax_number": "424-293-8864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11645 WILSHIRE BLVD STE 1155",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900256807",
            "telephone_number": "424-293-8861",
            "fax_number": "424-293-8864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MURTAZA RIZVI MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-08",
        "last_updated": "2018-05-08",
        "status": "A",
        "authorized_official_last_name": "RIZVI",
        "authorized_official_first_name": "MURTAZA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "424-293-8861",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Plastic Surgery",
            "state": "CA",
            "license": "A95879",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2018; 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.