NPIMap

Individual provider Active NPI

Mostafa S Rahimi, M.D

  • Family Medicine Physician
  • San Pedro, CA
National Provider Identifier
1881687309
Registry record updated Jun 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A89780 Issued in CA
Practice address
1499 W 1St St
San Pedro, CA 90732-3255
Phone
(310) 241-2590
NPI assigned
Aug 30, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A89780 CA Primary
Geriatric Medicine (Family Medicine) Physician 207QG0300X A 89780 CA

Addresses

Primary practice location

1499 W 1St St
San Pedro, CA 90732-3255

Mailing address

PO Box 35380
Las Vegas, NV 89133-5380
Phone (702) 579-3203

Other practice location 1

10 Woodland Rd
ICU Room 500
Saint Helena, CA 94574-9554
Phone (707) 963-6445

Other names 1

  • Mostafa S Rahimi Professional name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050525000634 CA Practitioner - Family PracticePractitioner - Internal Medicine 6901848449 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

31236 Palos Verdes Dr W
Rancho Palos Verdes, CA 90275-5361
Phone (310) 544-2121

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal of nail tissue1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A89780CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Healthcare Partners Affiliates Medical Group CurrentSince Aug 4, 2013 Accepting new patients
Mayers Memorial Hospital District CurrentSince Oct 9, 2025 Accepting new patients
Ocean Front Urgent Care P.C Geriatric Medicine CurrentSince May 1, 2012 Accepting new patients
Healthcare Partners Affiliates Medical Group Family Medicine Current Accepting new patients
Healthcare Partners Affiliates Medical Group CurrentSince Aug 4, 2013 Accepting new patients
M4Llc Family Medicine Current Accepting new patients
Harvey D. Cohen M.D., Inc. Past Accepting new patients
Uni Care Home Health Inc. PastSince Apr 30, 2003 Accepting new patients
Level Home Health Inc. PastSince Feb 24, 2008 Accepting new patients
California Care Level Management Direct Medical Group, Inc PastSince Jun 26, 2006 Accepting new patients
Housecall Doctors Medical Group Inc Geriatric Medicine Past Accepting new patients
Harvey D. Cohen, M.D., Inc. Past Accepting new patients

Locations

20647 Commerce Way
Burney, CA 96013
Phone (530) 335-5457

824 E Carson St
Ste 104
Carson, CA 90745
Phone (310) 830-9706

43563 State Highway 299 E
Fl River Mls, CA 96028
Phone (530) 336-5511

2801 Atlantic Ave
Long Beach, CA 90806
Phone (310) 933-2000

1010 N Sepulveda Blvd
Manhattan Beach, CA 90266
Phone (310) 322-9700

31236 Palos Verdes Dr W
Rch Palos Vrd, CA 90275
Phone (310) 544-2121

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Matrix Hospice, Inc.Encino, CA, CCN 921550 Hospice Corporate Officer
W-2 Managing Employee		 May 19, 2014
May 19, 2014

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 12

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 6

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": "1125360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780272000000",
    "number": "1881687309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 35380",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891335380",
            "telephone_number": "702-579-3203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1499 W 1ST ST",
            "city": "SAN PEDRO",
            "state": "CA",
            "postal_code": "907323255",
            "telephone_number": "310-241-2590"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10 Woodland Rd",
            "address_2": "ICU Room 500",
            "address_purpose": "LOCATION",
            "city": "Saint Helena",
            "state": "CA",
            "postal_code": "945749554",
            "country_code": "US",
            "telephone_number": "707-963-6445",
            "fax_number": "707-967-5656",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAHIMI",
        "first_name": "MOSTAFA",
        "middle_name": "S",
        "name_prefix": "Mr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-30",
        "last_updated": "2026-06-01",
        "certification_date": "2026-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A89780",
            "primary": true
        },
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "CA",
            "license": "A 89780",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MOSTAFA",
            "last_name": "RAHIMI",
            "middle_name": "S",
            "credential": "M.D",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in San Pedro, CA

Sources for this page

Verify at the official NPI Registry.