Individual provider Active NPI

Massood Molavi, MD

  • Pulmonary Disease Physician
  • Riverside, CA
National Provider Identifier
1992081681
Registry record updated Sep 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
A101886 Issued in CA
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

Updated by the provider on Sep 16, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200915002027 CA Practitioner - Pulmonary DiseasePractitioner - Critical Care (Intensivists) 0749441426 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036-138566ILMDPulmonary Disease Physician
24401NEMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Riverside Medical Clinic, Inc CurrentSince Apr 7, 2024 Accepting new patients
United Medical Group, Inc. CurrentSince May 1, 2023 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.

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

Verify at the official NPI Registry.