NPIMap

Organization Active NPI

Center for Rheumatology Medical Corporation

  • Rheumatology Physician
  • Los Angeles, CA
National Provider Identifier
1982911160
Registry record updated Oct 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
Legal business name
CENTER FOR RHEUMATOLOGY MEDICAL CORPORATION
Practice address
8640 W 3Rd St
Suite 300
Los Angeles, CA 90048-3384
Phone
(310) 659-7878
Fax
(310) 659-7117
NPI assigned
Sep 9, 2010
Last updated
Oct 15, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2012

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

Authorized official

Name
Dr. Arash Aaron Horizon, MDNPI 1881694131
Title
Cfo
Phone
(310) 659-7878

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
Rheumatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RR0500X Primary

Addresses

Primary practice location

8640 W 3Rd St
Suite 300
Los Angeles, CA 90048-3384

Mailing address

PO Box 5762
Beverly Hills, CA 90209-5762
Phone (310) 659-7878

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110815000305 CA Part B Supplier - Clinic/Group Practice 2769651439 Receives reassigned benefits from 10 practitioners
Practice locations: Los Angeles, CA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D1086289Center for Rheumatology8640 W 3Rd St, Ste 300, Los Angeles, CA 90048ComplianceMay 27, 2027

National Provider Directory

National Provider Directory
Tax ID family
Center for Rheumatology Med2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

8640 W 3rd St
Ste 300
Los Angeles, CA 90048
Phone (310) 659-7878

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1283990400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350259200000",
    "number": "1982911160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5762",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902095762",
            "telephone_number": "310-659-7878",
            "fax_number": "310-659-7117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8640 W 3RD ST",
            "address_2": "SUITE 300",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900483384",
            "telephone_number": "310-659-7878",
            "fax_number": "310-659-7117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR RHEUMATOLOGY MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-09",
        "last_updated": "2012-10-15",
        "status": "A",
        "authorized_official_last_name": "HORIZON",
        "authorized_official_first_name": "ARASH",
        "authorized_official_middle_name": "AARON",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "310-659-7878",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Rheumatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.