REZA VAEZAZIZI (NPI# 1922042092) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922042092 |
| Entity Type | Individual |
| Full Name | REZA VAEZAZIZI |
| Credential | M.D. |
| Practice Address |
36485 Inland Valley Drive Wildomar CA 92595 |
| Mailing Address |
2100 Powell Street Suite 900 Emeryville CA 94608-1803 |
| Practice Telephone | 9516779712 |
| Mailing Telephone | 5103502600 |
| Enumeration Date | 2006-06-16 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | A66886 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
36485 INLAND VALLEY DRIVE |
| City | WILDOMAR |
| State | CA |
| Zip Code | 92595 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417163841 | Diane Christine Senior | Physical Therapist | 36485 Inland Valley Drive, Wildomar, CA 92595 | 2007-05-15 |
| 1710057708 | Bradley B Bailey Md Inc | Emergency Medicine | 36485 Inland Valley Drive, Wildomar, CA 90595 | 2006-11-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184190845 | Amber Nicole Salgado | Licensed Vocational Nurse | 33685 Harvest Way East, Wildomar, CA 92595 | 2018-10-22 |
| 1417448168 | Inland Valley Trauma and Acute Care Surgery Apc Inc | Surgery | 36320 Inland Valley Dr Ste 101a, Wildomar, CA 92595 | 2018-05-29 |
| 1033636311 | Omar H Nael | Behavioral Analyst | 35925 Susan Dr, Wildomar, CA 92595 | 2017-08-27 |
| 1023535820 | Dennis Bonavilla | Specialist/Technologist, Other | 34859 Frederick Street, Suite 112, Wildomar, CA 92595 | 2017-08-23 |
| 1578965901 | Purnima K Patel M.d Inc | Internal Medicine | 32423 Inland Valley Dr. Ste 160, Wildomar, CA 92595 | 2014-09-17 |
| 1740523133 | Jerry Zhong Yu | Internal Medicine | 36320 Inland Valley Dr Ste 308, Wildomar, CA 92595 | 2013-04-03 |
| 1871859553 | Norman Orr | Internal Medicine | 36485 Valley Medical Center, Wildomar, CA 92595 | 2012-04-06 |
| 1902190226 | Brian Patrick Tiu | Surgery | 36320 Inland Valley Dr Ste 101, Wildomar, CA 92595 | 2011-06-03 |
| 1508013897 | Lifecare Solutions Inc | Durable Medical Equipment & Medical Supplies | 24335 Prielipp Rd Bldg A, Ste 116, Wildomar, CA 92595 | 2008-08-19 |
| 1760604383 | Nasko Lubenov Atanassov | Physical Therapist | 36485 Inland Valey Drive, Wildomar, CA 92595 | 2007-05-03 |
| Find all providers in zip 92595 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790140309 | Riverside County Medical Services A Medical Corporation | Emergency Medicine | 36485 Inland Valley Dr, Wildomar, CA 92595-9681 | 2015-12-24 |
| 1881867125 | Zeke Foster | Emergency Medicine | 36485 Inland Valley Dr, Wildomar, CA 92595 | 2008-04-08 |
| 1902013576 | Edwin F Lopez | Emergency Medicine | 36485 Inland Valley Dr, Wildomar, CA 92595-9681 | 2007-05-16 |
| 1104976661 | Stephen Homan | Emergency Medicine | 36485 Inland Valley Dr, Wildomar, CA 92595-9681 | 2007-01-10 |
| 1710057708 | Bradley B Bailey Md Inc | Emergency Medicine | 36485 Inland Valley Drive, Wildomar, CA 90595 | 2006-11-08 |
| 1790890465 | Brent Jacobsen | Emergency Medicine | 36485 Inland Valley Dr, Wildomar, CA 92595-9681 | 2006-08-20 |
| 1861507626 | Bret E Ginther | Emergency Medicine | 36485 Inland Valley Dr, Wildomar, CA 92595-9681 | 2006-08-20 |
| 1134234818 | Steven S Kim | Emergency Medicine | 36485 Inland Valley Dr, Wildomar, CA 92595-9681 | 2006-08-20 |
| 1912012600 | Jennine Marie White Borchert | Emergency Medicine | 36485 Inland Valley Dr, Wildomar, CA 92595-9681 | 2006-08-20 |
| 1508808544 | A Alex Davila | Emergency Medicine | 36485 Inland Valley Dr, Wildomar, CA 92595-9681 | 2006-06-12 |
| Find all providers in WILDOMAR | ||||
Please comment or provide details below to improve the information on REZA VAEZAZIZI.
| 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.