Individual provider Active NPI

Homayoun Abdollahzadeh, M.D.

  • Hospitalist Physician
  • Rancho Mirage, CA
National Provider Identifier
1871802454
Registry record updated Oct 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
A129821 Issued in CA
Practice address
35400 Bob Hope Dr
Suite 102
Rancho Mirage, CA 92270-1772
Phone
(760) 833-7977
Fax
(866) 455-0114
NPI assigned
Sep 30, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2014

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X 245851 MA
Internal Medicine Physician 207R00000X 245851 MA
Internal Medicine Physician 207R00000X A129821 CA
Hospitalist Physician 208M00000X A129821 CA Primary

Addresses

Primary practice location

35400 Bob Hope Dr
Suite 102
Rancho Mirage, CA 92270-1772

Mailing address

35400 Bob Hope Dr
Suite 102
Rancho Mirage, CA 92270-1772
Phone (760) 833-7977

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
I20140908002500 CA Practitioner - Internal Medicine 5597946863 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A129821CAMDInternal Medicine Physician
245851MAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Homan a. Zadeh, M.D., M.P.H., Inc. CurrentSince Jun 1, 2015 Accepting new patients
Desert Medical Group, Inc. Internal Medicine Past Accepting new patients

Locations

1150 N Indian Canyon Dr
Palm Springs, CA 92262
Phone (760) 323-6251

1330 N Indian Canyon Dr
Ste F
Palm Springs, CA 92262
Phone (760) 327-9402

39000 Bob Hope Dr
#1112
Rancho Mirage, CA 92270
Phone (760) 773-1251

39000 Bob Hope Dr
Rancho Mirage, CA 92270
Phone (760) 340-3911

Interoperability endpoints

  • Direct secure messaging: homayoun.abdollahzadeh.p69@direct.mydohc.nextgenshare.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1285804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1413849600000",
    "number": "1871802454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35400 BOB HOPE DR",
            "address_2": "SUITE 102",
            "city": "RANCHO MIRAGE",
            "state": "CA",
            "postal_code": "922701772",
            "telephone_number": "760-833-7977",
            "fax_number": "866-455-0114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35400 BOB HOPE DR",
            "address_2": "SUITE 102",
            "city": "RANCHO MIRAGE",
            "state": "CA",
            "postal_code": "922701772",
            "telephone_number": "760-833-7977",
            "fax_number": "866-455-0114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABDOLLAHZADEH",
        "first_name": "HOMAYOUN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-09-30",
        "last_updated": "2014-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "MA",
            "license": "245851",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "245851",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A129821",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "CA",
            "license": "A129821",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rancho Mirage, CA

Sources for this page

Verify at the official NPI Registry.