HAMID RAHMAN MD MEDICAL CORPORATION (NPI# 1104021104) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104021104 |
| Entity Type | Organization |
| Organization Name | HAMID RAHMAN MD MEDICAL CORPORATION |
| Other Organization Name | ORTHOPEDIC SPINE & SPORTS MEDICAL GROUP |
| Practice Address |
330 E 7th St 2nd Floor Upland CA 91786-6740 |
| Practice Telephone | 9099313800 |
| Practice Fax Number | 9099313815 |
| Mailing Telephone | 9099313800 |
| Mailing Fax Number | 9099313815 |
| Enumeration Date | 2007-06-19 |
| Last Update Date | 2014-03-12 |
| Authorized Official Name | MR. HAMID U RAHMAN (PRESIDENT) |
| Authorized Official Telephone | 9099313800 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | A36842 | CA | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | MEDICAL LICENSE | A36842 | 01 |
| CA | DEA | AR1119595 | 01 |
| Other Name | Type Code |
|---|---|
| Orthopedic Spine & Sports Medical Group | Doing Business As Name - Organization |
| Street Address |
330 E 7TH ST 2ND FLOOR |
| City | UPLAND |
| State | CA |
| Zip Code | 91786-6740 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407213580 | Iftikhar Ahmad | Internal Medicine | 330 E 7th St, Upland, CA 91786-6740 | 2016-01-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366093254 | California Clinics, Inc | Physical Medicine & Rehabilitation | 818 N Mountain Ave Ste 102, Upland, CA 91786 | 2019-09-23 |
| 1699231621 | Lynn Keitz | Nurse Practitioner | 360 East 7th Street, Suite D, Upland, CA 91786 | 2019-02-14 |
| 1003386608 | Devin A Lockett | Counselor | 916 N, Mountain Ave. Suite D-1, Upland, CA 91786 | 2018-11-27 |
| 1265900096 | Right Ride | Driver | 1023 West Arrow Hwy Apt A, Upland, CA 91786 | 2018-11-09 |
| 1689142069 | Mike Sedat Safi | Driver | 1023 W Arrow Hwy, Apt A, Upland, CA 91786 | 2018-11-05 |
| 1902373640 | Barsoum Dental | Dentist | 258 E. 9th Street, Upland, CA 91786 | 2018-10-31 |
| 1346736600 | Jennifer Lynn Henshaw | Counselor | Rosewood Counseling Center, 288 W 9th Street, Upland, CA 91786 | 2018-07-10 |
| 1972099521 | Sadeg Aldolaim | Nurse Practitioner | 2086 W Arrow Route, Apt 824, Upland, CA 91786 | 2018-07-06 |
| 1831607332 | Sandra Sun | Pharmacist | 1445 E. Foothill Blvd., Upland, CA 91786 | 2018-01-18 |
| 1841713625 | Dynamic Performance Physical Therapy Inc | Clinic/Center | 2377 W. Foothill Blvd, Ste 20, Upland, CA 91786 | 2017-07-24 |
| Find all providers in zip 91786 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710509146 | Divine Electrolysis LLC | Specialist | 111 N Benson Ave, Upland, CA 91786-5677 | 2020-05-07 |
| 1558981332 | Araceli Gadea | Specialist | 111 N Benson Ave Ste A, Upland, CA 91786-5677 | 2020-04-21 |
| 1376999177 | Matthew Callan | Specialist | 818 N Mountain Ave Ste 207, Upland, CA 91786-4165 | 2016-05-11 |
| 1922466929 | Neuro Medical Services, Inc. | Specialist | 154-a W. Foothill Blvd, Suite 406, Upland, CA 91786 | 2016-02-04 |
| 1760817670 | Advantage Vaccination Services | Specialist | 270 E 7th St Ste 2c, Upland, CA 91786 | 2013-09-10 |
| 1114201126 | Arturo Chu Uy Jr. | Specialist | 170 W. 24th Street, Upland, CA 91784-1162 | 2011-10-10 |
| 1962721662 | Vincent Joseph Carollo | Specialist | 1643 N 1st Ave, Upland, CA 91784-2006 | 2010-05-20 |
| 1760716278 | Sun Coast West Medical Clinic, Inc. | Specialist | 1045 W Foothill Blvd, Upland, CA 91786-3731 | 2009-09-30 |
| 1730324443 | Edward H. Park Md., A Medical Corporation | Specialist | 1330 San Bernardino Rd Ste C, Upland, CA 91786-4980 | 2008-12-09 |
| 1245418896 | Renee Denise Flanagan | Specialist | 400 N Mountain Ave Ste 222, Upland, CA 91786-5191 | 2008-02-06 |
| Find all providers in UPLAND | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.