DR. AMIR H HEDAYATI-RAD (NPI# 1861410029) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861410029 |
| Entity Type | Individual |
| Full Name | DR. AMIR H HEDAYATI-RAD |
| Credential | M.D. |
| Practice Address |
706 W Broadway # 100 Glendale CA 91204-1032 |
| Practice Telephone | 8185076404 |
| Practice Fax Number | 8185076406 |
| Mailing Telephone | 8185076404 |
| Mailing Fax Number | 8185076406 |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2020-05-20 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
A60239 | CA | Allopathic & Osteopathic Physicians |
| Y | 207RC0001X |
Internal Medicine Specialization: Clinical Cardiac Electrophysiology |
A60239 | CA | Allopathic & Osteopathic Physicians |
| N | 207RI0011X |
Internal Medicine Specialization: Interventional Cardiology |
A60239 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | GROUP NPI NUMBER | 1659578110 | 01 |
| CA | 00A602390 | 05 | |
| CA | RAILROAD MEDICARE | P00319921 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 121 S 7th Ave Ste A, Barstow, CA 923113059 | 7608184228 | |
| 1245 Wilshire Blvd Ste 511, Los Angeles, CA 900174805 | 2138551640 | 5852096318 |
| 930 W Main St, Barstow, CA 923112654 | 7602561004 | 7602561055 |
| Street Address |
706 W BROADWAY # 100 |
| City | GLENDALE |
| State | CA |
| Zip Code | 91204-1032 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659578110 | Amir Hedayati-rad M D Inc | Internal Medicine | 706 W Broadway # 100, Glendale, CA 91204-1032 | 2007-06-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558997387 | Hope & Trust Trading LLC | Radiology | 318 W Colorado St #2, Glendale, CA 91204 | 2020-03-12 |
| 1972133387 | Yusuf Toliver | Counselor | 1027 S Central Ave, Suite 200, Glendale, CA 91204 | 2020-01-24 |
| 1538633136 | Pathology La Inc. | Clinical Medical Laboratory | 4634 San Fernando Rd., Same As Above, Glendale, CA 91204 | 2019-01-16 |
| 1295254050 | Glendale Back and Pain Center | Neurological Surgery | 710 S. Central Ave, Suite 240, Glendale, CA 91204 | 2017-09-13 |
| 1285163568 | Ez Trans, Inc. | Transportation Broker | 1626 S. Central Ave., Glendale, CA 91204 | 2017-06-08 |
| 1194254474 | Jenny Chung | Pharmacist | 3943 San Fernando Road, Glendale, CA 91204 | 2017-06-08 |
| 1396111886 | Fresenius Medical Care Glendale, LLC | Clinic/Center | 623 S Central Ave, Glendale, CA 91204 | 2015-08-19 |
| 1710302450 | New Age Foot and Ankle Podiatry PC | Podiatrist | 705 Ivy Street, Glendale, CA 91204 | 2014-03-04 |
| 1124454376 | Alber K. Karamanoukian Medical Clinic, Inc. | Clinic/Center | 810 S. Central Avenue, Suite 100, Glendale, CA 91204 | 2013-09-19 |
| 1548521156 | Glendale Plastic and Reconstructive Surgery Inc. | Plastic Surgery | 1500 S. Central Ave. #126, Glendale, CA 91204 | 2012-05-31 |
| Find all providers in zip 91204 | ||||
| Taxonomy Code | 207RC0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Clinical Cardiac Electrophysiology |
| A field of special interest within the subspecialty of cardiovascular disease, specialty of Internal Medicine, which involves intricate technical procedures to evaluate heart rhythms and determine appropriate treatment for them. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558447607 | Tsovinar Tekkelian | Internal Medicine | 1251 S Glendale Ave, Glendale, CA 91205-3204 | 2006-10-31 |
| 1699034835 | Kenneth Yasushi Kita | Internal Medicine | 660 W Broadway, Glendale, CA 91204-1008 | 2012-05-09 |
| 1679608095 | Phoenix Heart, Pllc | Internal Medicine | 5859 W Talavi Blvd Ste 100, Glendale, AZ 85306-1870 | 2007-02-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568027043 | Central Coast Cardiovascular Group Inc | Internal Medicine | 334 S Patterson Ave Ste 208, Santa Barbara, CA 93111-2400 | 2019-05-09 |
| 1225501133 | Mokabberi Md Inc | Internal Medicine | 1200 N Tustin Ave Ste 260, Santa Ana, CA 92705-3534 | 2019-01-03 |
| 1548780497 | Advanced Cardiology & Vascular Specialists | Internal Medicine | 51 N 5th Ave Ste 303, Arcadia, CA 91006-3711 | 2017-06-22 |
| 1407376304 | Christen A Hyde-treuhaft | Internal Medicine | 1526 Edgemont St., Icd Clinic, 2nd Floor Cardiology, Los Angeles, CA 90027 | 2017-06-21 |
| 1174956270 | Ravindra Prabhu Md A Medical Corporation | Internal Medicine | 754 Medical Center Ct., Suite 206, Chula Vista, CA 91911-6656 | 2013-08-13 |
| 1194022996 | David W. Orias, M.d. Inc. | Internal Medicine | 1700 N. Rose Avenue, Suite 420, Oxnard, CA 93030 | 2011-02-15 |
| 1750613329 | Desert Heart Rhythm Consultants Inc | Internal Medicine | 1100 North Palm Canyon Drive, 206, Palm Springs, CA 92262-4426 | 2010-02-08 |
| 1285968909 | Ccoc, Inc. | Internal Medicine | 333 Corporate Dr Ste 102, Ladera Ranch, CA 92694-2113 | 2009-09-28 |
| 1588890743 | Ruchir Sehra | Internal Medicine | Sandiego Va Hospital 3350 La Jolla Village Dr, Cardiology 111, San Diego, CA 92161-0001 | 2009-06-02 |
| 1154567394 | Ronald Carlish Medical Corporation | Internal Medicine | 135 E Live Oak Ave, Ste 205, Arcadia, CA 91006-5281 | 2008-12-17 |
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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.