Individual provider Active NPI

Farhad Rezvani, MD

  • Internal Medicine Physician
  • Covina, CA
National Provider Identifier
1982796207
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A74244 Issued in CA
Practice address
158 W College St
Covina, CA 91723
Phone
(626) 331-0175
Fax
(626) 967-3849
NPI assigned
Sep 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A74244 CA Primary
Nephrology Physician 207RN0300X A74244 CA

Addresses

Primary practice location

158 W College St
Covina, CA 91723

Mailing address

158 W College St
Covina, CA 91723
Phone (626) 331-0175

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
I20090608000004 CA Practitioner - Internal MedicinePractitioner - Nephrology 9739239187 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Nephrology
Education
New York Medical College, 2001
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Krishna J Mohan M D IncGroup PAC ID 9830184217, 4 clinicians
Southern California Hospitalist Network Medical Group IncGroup PAC ID 8921990110, 76 clinicians

Practice addresses (Care Compare)

171 W Cottage Dr
Covina, CA 91723-2010
Phone (626) 331-0175

625 The City Dr S
Suite 320
Orange, CA 92868-4978
Phone (714) 202-2330

Hospital & facility affiliations

  • Emanate Health Foothill Presbyterian Hospital Hospital, Glendora, CA, CCN 050597
  • Emanate Health Inter-Community Hospital Hospital, Covina, CA, CCN 050382
  • San Dimas Community Hospital Hospital, San Dimas, CA, CCN 050588

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Quality
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A74244CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Krishna J Mohan M D Inc Internal Medicine CurrentSince Jul 7, 2003 Accepting new patients
Southern California Hospitalist Network Medical Group Inc Internal Medicine CurrentSince Oct 10, 2010 Accepting new patients
Emanate Health Medical Center Past Accepting new patients
Emanate Health Foothill Presbyterian Hospital Past Accepting new patients
San Dimas Community Hospital, Inc. Past Accepting new patients

Locations

171 W Cottage Dr
Covina, CA 91723
Phone (626) 331-0175

210 W San Bernardino Rd
Covina, CA 91723
Phone (626) 858-8580

158 W College St
Covina, CA 91723
Phone (626) 331-0175

250 S Grand Ave
Glendora, CA 91741
Phone (626) 857-3118

638 S Glendora Ave
Glendora, CA 91740
Phone (626) 914-5553

625 The City Dr S
Ste 320
Orange, CA 92868
Phone (714) 202-2330

1350 W Covina Blvd
San Dimas, CA 91773
Phone (909) 394-2745

1115 S Sunset Ave
West Covina, CA 91790
Phone (626) 814-2434

845 N Lark Ellen Ave
West Covina, CA 91791
Phone (626) 339-5451

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 5

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 5

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": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1982796207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "158 W COLLEGE ST",
            "city": "COVINA",
            "state": "CA",
            "postal_code": "91723",
            "telephone_number": "626-331-0175",
            "fax_number": "626-967-3849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "158 W COLLEGE ST",
            "city": "COVINA",
            "state": "CA",
            "postal_code": "91723",
            "telephone_number": "626-331-0175",
            "fax_number": "626-967-3849"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REZVANI",
        "first_name": "FARHAD",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-28",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A74244",
            "primary": true
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "CA",
            "license": "A74244",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Covina, CA

Sources for this page

Verify at the official NPI Registry.