MR. ALI REZA RAFATJOO (NPI# 1154341907) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154341907 |
| Entity Type | Individual |
| Full Name | MR. ALI REZA RAFATJOO |
| Credential | M.D. |
| Practice Address |
719 Thompson Ln Ste 30330 Nashville TN 37204-4701 |
| Mailing Address |
360 San Miguel Dr Suite 206 Newport Beach CA 92660-7853 |
| Practice Telephone | 6153223000 |
| Mailing Telephone | 9496404455 |
| Mailing Fax Number | 9496404456 |
| Enumeration Date | 2006-07-21 |
| Last Update Date | 2019-03-19 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 58566 | TN | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | A54980 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | MEDICAL LICENSE | A054980 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 360 San Miguel Dr, Suite 206, Newport Beach, CA 926607853 | 9496404455 | 9496404456 |
| Street Address |
719 THOMPSON LN STE 30330 |
| City | NASHVILLE |
| State | TN |
| Zip Code | 37204-4701 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922048321 | Wendi R. Mason | Nurse Practitioner | 719 Thompson Ln Ste 30330, Nashville, TN 37204-4701 | 2006-06-07 |
| 1134766975 | Charina J Pelayo | Nurse Anesthetist, Certified Registered | 719 Thompson Ln Ste 30330, Nashville, TN 37204-4701 | 2019-11-27 |
| 1265085237 | Stacey Moore | Social Worker | 719 Thompson Ln Ste 30330, Nashville, TN 37204-4701 | 2019-07-18 |
| 1205344009 | Redor Nuri Abdullah | Nurse Practitioner | 719 Thompson Ln Ste 30330, Nashville, TN 37204 | 2018-01-14 |
| 1316454820 | Shelby Sanford Woltjen | Nurse Anesthetist, Certified Registered | 719 Thompson Ln Ste 30330, Nashville, TN 37204-4701 | 2018-01-05 |
| 1265954911 | Mary Elizabeth Wood | Psychologist | 719 Thompson Ln Ste 30330, Nashville, TN 37204-4701 | 2017-07-14 |
| 1902255367 | Alexander H De Castro-abeger | Internal Medicine | 719 Thompson Ln Ste 30330, Nashville, TN 37204-4701 | 2016-06-07 |
| 1639527559 | Sylvia C Hagberg-fitch | Nurse Practitioner | 719 Thompson Ln Ste 30330, Nashville, TN 37204-4701 | 2016-06-01 |
| 1285019091 | Carlos Alberto Plancarte | Pediatrics | 719 Thompson Ln Ste 30330, Nashville, TN 37204-4701 | 2015-07-22 |
| 1750761516 | Stuart Abel | Surgery | 719 Thompson Ln Ste 30330, Nashville, TN 37204-4701 | 2015-06-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992304893 | Results-ast Jv, LLC | Physical Therapist | 2659 8th Avenue South, Nashville, TN 37204 | 2020-10-21 |
| 1811516933 | Kinsley Ojukwu | Student in an Organized Health Care Education/Training Program | Oho Primary Care North, 719 Thompson Ln Suite 20400, Nashville, TN 37204 | 2020-04-09 |
| 1649777350 | Ian Bentley | Student in an Organized Health Care Education/Training Program | 719 Thompson Lane, Pod B, Nashville, TN 37204 | 2018-04-09 |
| 1134622160 | Joshua Shane Carty | Student in an Organized Health Care Education/Training Program | 719 Thompson Ln Pod A, Nashville, TN 37204 | 2018-03-15 |
| 1205340197 | Cam LLC | Chiropractor | 2694 Fessey Ct., Nashville, TN 37204 | 2017-11-30 |
| 1679097141 | Lacey Cross | Nurse Practitioner | 2694 Fessey Court, Nashville, TN 37204 | 2017-07-27 |
| 1346763042 | Lucy Elaine Davidson | Counselor | 416 East Iris Dr., Nashville, TN 37204 | 2017-07-25 |
| 1316468358 | Jasmine Kennedy Jester | Counselor | 717 Hart Lane, Nashville, TN 37204 | 2017-06-29 |
| 1447789649 | Jessica Ramey | Counselor | 4623 Trousdale Drive, Nashville, TN 37204 | 2017-06-09 |
| 1023555893 | Anna Claire Lowder | Marriage & Family Therapist | 701 Bradford Avenue, Nashville, TN 37204 | 2017-01-31 |
| Find all providers in zip 37204 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528671294 | Sarah Willms | Family Medicine | 2309 Crestmoor Rd Ste 200, Nashville, TN 37215-2043 | 2020-08-24 |
| 1346861309 | Rx Clinic LLC | Family Medicine | 1046 Mcgavock Pike Ste A, Nashville, TN 37217 | 2020-04-30 |
| 1831728054 | Sanitas Medical Center of Tennessee PC | Family Medicine | 2700 Gallatin Pike Ste A, Nashville, TN 37216-3702 | 2020-04-08 |
| 1851923817 | Tabitha Monique Ford | Family Medicine | 3926 Cross Creek Rd, Nashville, TN 37215-2403 | 2020-02-07 |
| 1235634023 | Jackson Primary Care | Family Medicine | 2010 Church St Ste 526, Nashville, TN 37203 | 2018-03-26 |
| 1942667761 | Harpeth Valley Health Center Pllc | Family Medicine | 213 Old Hickory Blvd, Nashville, TN 37221-1301 | 2016-01-25 |
| 1083001747 | Oyedotun Oyewole | Family Medicine | 1005 Dr D.b. Todd Jr Blvd, Nashville, TN 37208 | 2015-04-21 |
| 1922493576 | Monica A Stout | Family Medicine | 1500 21st Ave S Ste 3000, Nashville, TN 37212-3139 | 2015-03-31 |
| 1700213584 | Music City Medical Pllc | Family Medicine | 417 Welshwood Dr Ste 112, Nashville, TN 37211-4225 | 2013-10-11 |
| 1265869853 | Willie James Myers Jr. | Family Medicine | 2720 Clarksville Pike, Nashville, TN 37208-1259 | 2013-09-27 |
| Find all providers in NASHVILLE | ||||
Please comment or provide details below to improve the information on MR. ALI REZA RAFATJOO.
| 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.