Active NPI
Massood Molavi, MD
- Pulmonary Disease Physician
- Riverside, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- A101886
- Practice address
- 7117 Brockton Ave
Riverside, CA 92506-2658 - Phone
- (951) 782-3675
- Fax
- (951) 784-3272
- NPI assigned
- Oct 26, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | A101886 | CA | |
| Pulmonary Disease Physician | 207RP1001X | 036-138566 | IL | |
| Pulmonary Disease Physician | 207RP1001X | 24401 | NE | |
| Pulmonary Disease Physician | 207RP1001X | A101886 | CA | Primary |
Addresses
Primary practice location
7117 Brockton Ave
Riverside, CA 92506-2658
Mailing address
7117 Brockton Ave
Riverside, CA 92506-2658
Phone (951) 782-3675
Other practice location 1
611 W Francis St Ste 290
North Platte, NE 69101-0614
Phone (308) 696-8530
Other practice location 2
39000 Bob Hope Dr
Rancho Mirage, CA 92270-3221
Phone (760) 834-3564
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036-138566 | IL | MD | Pulmonary Disease Physician |
| 24401 | NE | MD | Pulmonary Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Riverside Medical Clinic, Inc | Current | Accepting new patients | |
| United Medical Group, Inc. | Current | Accepting new patients | |
| Riverside Medical Clinic, Inc | Current | Accepting new patients | |
| Fairview Heights Medical Group SC | Past | Accepting new patients | |
| North Platte Nebraska Physician Group LLC | Past | Accepting new patients | |
| Eisenhower Medical Center | Past | Accepting new patients |
Locations
41750 Rancho Las Palmas Dr
Ste M3
Rancho Mirage, CA 92270
Phone (760) 895-4292
3660 Arlington Ave
Riverside, CA 92506
Phone (951) 782-3789
7160 Brockton Ave
Fl 2
Riverside, CA 92506
Phone (951) 782-3837
Organizations & group practices 6
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.
-
dba Riverside Medical Clinic
- Dermatology Physician
- Riverside, CA
- NPI 1720183403
-
- Specialist
- Rancho Mirage, CA
- NPI 1033321542
-
dba Riverside Medical Clinic
- Internal Medicine Physician
- Riverside, CA
- NPI 1730180415
-
dba Eisenhower Health
- General Acute Care Hospital
- Rancho Mirage, CA
- NPI 1013981554
-
- Multi-Specialty Clinic/Center
- Saint Louis, MO
- NPI 1679503668
-
- Emergency Medicine Physician
- North Platte, NE
- NPI 1740465715
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1319587200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1726444800000",
"number": "1992081681",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7117 BROCKTON AVE",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925062658",
"telephone_number": "951-782-3675",
"fax_number": "951-784-3272"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7117 BROCKTON AVE",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925062658",
"telephone_number": "951-782-3675",
"fax_number": "951-784-3272"
}
],
"practiceLocations": [
{
"address_1": "611 W Francis St Ste 290",
"address_purpose": "LOCATION",
"city": "North Platte",
"state": "NE",
"postal_code": "691010614",
"country_code": "US",
"telephone_number": "308-696-8530",
"fax_number": "308-696-8539",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "39000 Bob Hope Dr",
"address_purpose": "LOCATION",
"city": "Rancho Mirage",
"state": "CA",
"postal_code": "922703221",
"country_code": "US",
"telephone_number": "760-834-3564",
"fax_number": "760-773-1605",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MOLAVI",
"first_name": "MASSOOD",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-10-26",
"last_updated": "2024-09-16",
"certification_date": "2024-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Critical Care Medicine",
"state": "CA",
"license": "A101886",
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "IL",
"license": "036-138566",
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "NE",
"license": "24401",
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "CA",
"license": "A101886",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Riverside, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2024; 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.