Rasoul M. Montazeri, D.O.

Primary specialty

Occupational Medicine PhysicianTaxonomy code 2083X0100X

License

20A13353 Issued in CA

Practice address

22 Odyssey Ste 240
Irvine, CA 92618-7700

Phone

(949) 408-1000

NPI assigned

Jun 21, 2012

Sex

Male

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

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.

• Healthon Inc.

  • Multi-Specialty Clinic/Center
  • Irvine, CA
  • NPI 1306607239
  NPD Authorized official
• Premium Health Medical Group

  • Occupational Medicine Physician
  • Santa Ana, CA
  • NPI 1720725583
  NPD

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

{
    "created_epoch": "1340236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656547200000",
    "number": "1992068191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 ODYSSEY STE 240",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926187700",
            "telephone_number": "949-408-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 ODYSSEY STE 240",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926187700",
            "telephone_number": "949-408-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTAZERI",
        "first_name": "RASOUL",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-06-21",
        "last_updated": "2022-06-30",
        "certification_date": "2022-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083B0002X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Obesity Medicine",
            "state": "CA",
            "license": "20A13353",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": "20A13353",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2083X0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": "CA",
            "license": "20A13353",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Monroe Outpatient Telehealth Services LLC
• Erin Lynn Monroe, OT
• Alyssa Emily Monsod
• Kelly Montague, M.S, BCBA
• Ariana Marie Montanchez
• Bliss Montemayor
• Steven Montenegro, PA-C
• Angelinne Montero, M.A.
• Kimberly Yadira Montero
• Tiffany Montes, OTR/L

• Occupational Medicine Physician in Irvine, CA
• Providers in Irvine, CA by specialty
• Occupational Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2022; 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.