Individual provider Active NPI

Kavosh Rahimi, MD

  • Internal Medicine Physician
  • La Habra, CA
National Provider Identifier
1841556818
Registry record updated Apr 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A135098 Issued in CA
Practice address
501 S Idaho St Ste 100
La Habra, CA 90631-6047
Phone
(562) 690-0400
Fax
(562) 690-3182
NPI assigned
Apr 4, 2012
Last updated
Apr 17, 2018By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 17, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 054062 CT
Internal Medicine Physician 207R00000X A135098 CA Primary

Addresses

Primary practice location

501 S Idaho St Ste 100
La Habra, CA 90631-6047

Mailing address

501 S Idaho St Ste 100
La Habra, CA 90631-6047
Phone (562) 690-0400

Other practice location 1

13152 Newport Ave Ste B
Tustin, CA 92780-3469
Phone (714) 263-8600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260318001892 CA Practitioner - Internal Medicine 7315250669 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Friends of Family Health CenterGroup PAC ID 7315120730, 11 clinicians

Practice addresses (Care Compare)

501 S Idaho St
Suite 100
La Habra, CA 90631-6047
Phone 56269004001680

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A135098CAMDInternal Medicine Physician
054062CTMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Friends of Family Health Center CurrentSince Mar 4, 2026 Accepting new patients
Friends of Family Health Center Internal Medicine CurrentSince Mar 4, 2026 Accepting new patients

Locations

501 S Idaho St
Ste 100
La Habra, CA 90631
Phone (562) 690-0400

501 S Idaho St
Ste 190
La Habra, CA 90631
Phone (562) 690-0400

1129 W 4th St
Ontario, CA 91762
Phone (909) 363-9300

13152 Newport Ave
Tustin, CA 92780
Phone (714) 442-4864

13152 Newport Ave
Ste B
Tustin, CA 92780
Phone (714) 263-8600

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: krahimi630246@direct.ochin.org

Organizations & group practices 2

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1333497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1523923200000",
    "number": "1841556818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 S IDAHO ST STE 100",
            "city": "LA HABRA",
            "state": "CA",
            "postal_code": "906316047",
            "telephone_number": "562-690-0400",
            "fax_number": "562-690-3182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 S IDAHO ST STE 100",
            "city": "LA HABRA",
            "state": "CA",
            "postal_code": "906316047",
            "telephone_number": "562-690-0400",
            "fax_number": "562-690-3182"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13152 Newport Ave Ste B",
            "address_purpose": "LOCATION",
            "city": "Tustin",
            "state": "CA",
            "postal_code": "927803469",
            "country_code": "US",
            "telephone_number": "714-263-8600",
            "fax_number": "714-263-8601",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAHIMI",
        "first_name": "KAVOSH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-04-04",
        "last_updated": "2018-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CT",
            "license": "054062",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A135098",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Habra, CA

Sources for this page

Verify at the official NPI Registry.