Organization Active NPI

Suraiya Rahman Medical Corporation

  • Medical Specialty Clinic/Center
  • Pasadena, CA
National Provider Identifier
1912761503
Registry record updated Feb 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
Legal business name
SURAIYA RAHMAN MEDICAL CORPORATION
Practice address
959 E Walnut St Ste 214
Pasadena, CA 91106-5361
Phone
(626) 808-4080
Fax
(626) 669-4080
NPI assigned
Feb 13, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2024

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

Authorized official

Name
Dr. Suraiya Simi Rahman, MDNPI 1871559898
Title
Owner
Phone
(626) 808-4080

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)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X Primary

Addresses

Primary practice location

959 E Walnut St Ste 214
Pasadena, CA 91106-5361

Mailing address

243 Wallis St Unit 4
Pasadena, CA 91106-5419
Phone (626) 278-8727

Other names 2

  • Pala Medicine Doing business as
  • Suraiya Rahman PC; DBA Pala Medicine Doing business as

National Provider Directory

National Provider Directory

Locations

959 E Walnut St
Ste 214
Pasadena, CA 91106
Phone (626) 808-4080

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1707782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707782400000",
    "number": "1912761503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "243 WALLIS ST UNIT 4",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911065419",
            "telephone_number": "626-278-8727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "959 E WALNUT ST STE 214",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911065361",
            "telephone_number": "626-808-4080",
            "fax_number": "626-669-4080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURAIYA RAHMAN MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-13",
        "last_updated": "2024-02-13",
        "certification_date": "2024-02-13",
        "status": "A",
        "authorized_official_last_name": "RAHMAN",
        "authorized_official_first_name": "SURAIYA",
        "authorized_official_middle_name": "SIMI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "626-808-4080",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pala Medicine",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Suraiya Rahman PC; DBA Pala Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pasadena, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.