Active NPI
Rheumatology Associates of Southern California
- Rheumatology Physician
- Santa Clarita, CA
National Provider Identifier
1871868299
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rheumatology Physician
- Legal business name
- RHEUMATOLOGY ASSOCIATES OF SOUTHERN CALIFORNIA
- Practice address
- 23206 Lyons Avenue
Suite 106
Santa Clarita, CA 91321-2671 - Phone
- (661) 505-9901
- Fax
- (661) 505-9902
- NPI assigned
- Mar 19, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Amir Moldovan, M.D.
- Title
- President
- Phone
- (661) 505-9901
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Rheumatology Physician | 207RR0500X | Primary |
Addresses
Primary practice location
23206 Lyons Avenue
Suite 106
Santa Clarita, CA 91321-2671
Mailing address
23206 Lyons Avenue
Suite 106
Santa Clarita, CA 91321-2671
Phone (661) 505-9901
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GC956A | Other | CA | MEDICARE PTAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
23206 Lyons Ave
Ste 106
Santa Clarita, CA 91321
Phone (661) 505-9901
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Rheumatology Physician
- Santa Clarita, CA
- NPI 1295777837
-
- Student in an Organized Health Care Education/Training Program
- Temecula, CA
- NPI 1083892236
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1332115200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1370390400000",
"number": "1871868299",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23206 LYONS AVENUE",
"address_2": "SUITE 106",
"city": "SANTA CLARITA",
"state": "CA",
"postal_code": "913212671",
"telephone_number": "661-505-9901",
"fax_number": "661-505-9902"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23206 LYONS AVENUE",
"address_2": "SUITE 106",
"city": "SANTA CLARITA",
"state": "CA",
"postal_code": "913212671",
"telephone_number": "661-505-9901",
"fax_number": "661-505-9902"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RHEUMATOLOGY ASSOCIATES OF SOUTHERN CALIFORNIA",
"organizational_subpart": "NO",
"enumeration_date": "2012-03-19",
"last_updated": "2013-06-05",
"status": "A",
"authorized_official_last_name": "MOLDOVAN",
"authorized_official_first_name": "AMIR",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "661-505-9901",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207RR0500X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Rheumatology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "GC956A",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Santa Clarita, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2013; 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.