Arsalan Pourteymour, M.D.

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

A52564 Issued in CA

Practice address

724 E Foothill Blvd
Rialto, CA 92376-5265

Phone

(909) 875-8651

Fax

(909) 875-8709

NPI assigned

Feb 23, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/JCBCBD

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.

• Arsalan Pourteymour MD Inc

  • Health Service Clinic/Center
  • Rialto, CA
  • NPI 1134434111
  NPD (past) Authorized official
• Elite Family Medicine

  • Family Medicine Physician
  • Rialto, CA
  • NPI 1053003087
  NPD (past)

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

{
    "created_epoch": "1172188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1891821187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "724 E FOOTHILL BLVD",
            "city": "RIALTO",
            "state": "CA",
            "postal_code": "923765265",
            "telephone_number": "909-875-8651",
            "fax_number": "909-875-8709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "724 E FOOTHILL BLVD",
            "city": "RIALTO",
            "state": "CA",
            "postal_code": "923765265",
            "telephone_number": "909-875-8651",
            "fax_number": "909-875-8709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POURTEYMOUR",
        "first_name": "ARSALAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "CA",
            "license": "A52564",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A525640",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Vickye Lynn Poindexter-Wilson
• Patricia A Pompa, D.D.S.
• Mickoyan Nakita Poole, PA-C
• Liliana Popova, DDS
• Melanie Lee Porges
• Elizabeth Concepcion Powell
• Prabhjot Singh Ahuja
• Prabhjot Singh Ahuja
• Katherine Elizabeth Prill, M.A.
• Jaclyn Puga

• Primary Care Clinic/Center in Rialto, CA
• Providers in Rialto, CA by specialty
• Primary Care Clinic/Center in California

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.