Individual provider Active NPI

Hamza Rahimi

  • Diagnostic Radiology Physician
  • Boston, MA
National Provider Identifier
1912439068
Registry record updated Jul 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
275270 Issued in MA
Practice address
75 Francis St
Boston, MA 02115-6110
Phone
(617) 732-5500
NPI assigned
Mar 29, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 275270 MA Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

75 Francis St
Boston, MA 02115-6110

Mailing address

75 Francis St
Boston, MA 02115-6110
Phone (617) 732-5500

Other practice location 1

2001 Kingsley Ave Fl 32073
Orange Park, FL 32073-5148
Phone (904) 639-2015

Other practice location 2

820 Harrison Ave FGH Building 3rd Floor
Boston, MA 02118
Phone (617) 638-6610

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
I20230816003711 CA Practitioner - Diagnostic Radiology 3274884507 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
George Washington University School of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

101 E Valencia Mesa Dr
Fullerton, CA 92835-3809
Phone 71499230001805

2141 N Harbor Blvd
Suite 16000
Fullerton, CA 92835-3828
Phone 71499230001805

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
St Jude Radiology Medical Group Inc Diagnostic Radiology CurrentSince Sep 1, 2023 Accepting new patients
North Oc Imaging JV, LLC CurrentSince Sep 1, 2023 Accepting new patients
St Jude Hospital Inc Past Accepting new patients

Locations

5630 E Santa Ana Canyon Rd
Anaheim, CA 92807
Phone (714) 257-6170

8078 E Santa Ana Canyon Rd
Anaheim, CA 92808
Phone (714) 974-2900

955 W Imperial Hwy
Brea, CA 92821
Phone (714) 449-6900

1514 Valley Vista Dr
Diamond Bar, CA 91765
Phone (909) 560-1144

2151 N Harbor Blvd
Ste 1400
Fullerton, CA 92835
Phone (417) 446-5600

2151 N Harbor Blvd
Ste 2100
Fullerton, CA 92835
Phone (714) 446-7181

2151 N Harbor Blvd
Ste 3100
Fullerton, CA 92835
Phone (530) 999-2533

101 E Valencia Mesa Dr
Fullerton, CA 92835
Phone (714) 446-7505

1835 Sunny Crest Dr
Fullerton, CA 92835
Phone (714) 446-5101

2141 N Harbor Blvd
Ste 16000
Fullerton, CA 92835
Phone (714) 446-5600

100 E Valencia Mesa Dr
Ste 108
Fullerton, CA 92835

2251 N Harbor Blvd
Fullerton, CA 92835
Phone (714) 449-6230

731 N Beach Blvd
Ste 175
La Habra, CA 90631
Phone (562) 697-6030

4300 Rose Dr
Yorba Linda, CA 92886
Phone (714) 528-4211

Interoperability endpoints

  • Direct secure messaging: hamza.rahimi@hca5.eclinicaldirectplus.com

Organizations & group practices 3

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.

Hospital & facility affiliations 2

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": "1490745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657238400000",
    "number": "1912439068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 FRANCIS ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021156110",
            "telephone_number": "617-732-5500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 FRANCIS ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021156110",
            "telephone_number": "617-732-5500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2001 Kingsley Ave Fl 32073",
            "address_purpose": "LOCATION",
            "city": "Orange Park",
            "state": "FL",
            "postal_code": "320735148",
            "country_code": "US",
            "telephone_number": "904-639-2015",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "820 Harrison Ave FGH Building 3rd Floor",
            "address_purpose": "LOCATION",
            "city": "Boston",
            "state": "MA",
            "postal_code": "02118",
            "country_code": "US",
            "telephone_number": "617-638-6610",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAHIMI",
        "first_name": "HAMZA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-03-29",
        "last_updated": "2022-07-08",
        "certification_date": "2022-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MA",
            "license": "275270",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.