Active NPI
Rafat Momensafaii, REHS
- Specialist
- Long Beach, CA
National Provider Identifier
1861519043
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- I2699
- Practice address
- 2525 Grand Ave
Long Beach, CA 90815-1765 - Phone
- (562) 570-4493
- Fax
- (562) 570-4498
- NPI assigned
- Mar 23, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | I2699 | CA | Primary |
Addresses
Primary practice location
2525 Grand Ave
Long Beach, CA 90815-1765
Mailing address
2592 Associated Rd Apt 8
Fullerton, CA 92835-3270
Phone (714) 738-7722
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| I2699 | CA | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174608000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1861519043",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2592 ASSOCIATED RD APT 8",
"city": "FULLERTON",
"state": "CA",
"postal_code": "928353270",
"telephone_number": "714-738-7722"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2525 GRAND AVE",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908151765",
"telephone_number": "562-570-4493",
"fax_number": "562-570-4498"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOMENSAFAII",
"first_name": "RAFAT",
"name_prefix": "Miss",
"credential": "REHS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-23",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "CA",
"license": "I2699",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Long Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.