MR. RASOUL MONTAZERI (NPI# 1992068191) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992068191 |
| Entity Type | Individual |
| Full Name | MR. RASOUL MONTAZERI |
| Credential | D.O. |
| Practice Address |
125 South 5th Street Brawley CA 92227 |
| Mailing Address |
516 West Aten Road Suite 2 Imperial CA 92251 |
| Practice Telephone | 7603448100 |
| Practice Fax Number | 7605450243 |
| Mailing Telephone | (760) 355-7730 |
| Enumeration Date | 2012-06-21 |
| Last Update Date | 2017-08-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | 20A13353 | CA | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
125 SOUTH 5TH STREET |
| City | BRAWLEY |
| State | CA |
| Zip Code | 92227 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619935137 | Lorenzo H Suarez | Family Medicine | 125 South 5th Street, Brawley, CA 92227 | 2006-05-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548755283 | Imperial Valleyrespite, Inc. | Behavioral Analyst | 630 S. Imperial Ave., Ste. 2, Brawley, CA 92227 | 2018-06-26 |
| 1013424704 | Denise Vizcarra | Behavior Technician | 630 S Brawley Ave Ste 2, Brawley, CA 92227 | 2018-01-04 |
| 1831465178 | Marylou Cayetano Thelmo | Obstetrics & Gynecology | 1166 K Street, Brawley, CA 92227 | 2012-03-30 |
| 1396046983 | Dominga Marquez De Vera | Pharmacist | 475 West Main Street, Vons Pharmacy, Brawley, CA 92227 | 2010-11-12 |
| 1033441795 | Marshall Ray Debruler | Physician Assistant | 207 W. Legion Rd, Brawley, CA 92227 | 2010-02-05 |
| 1073758280 | Brawley Physical Therapy | Clinic/Center | 529 E Street, Brawley, CA 92227 | 2008-12-03 |
| 1609058924 | Leticia Bustamante | Nurse Practitioner | 751 West Legion Road, Suite 102, Brawley, CA 92227 | 2007-11-28 |
| 1073701504 | Imperial County Behavioral Health Services | Clinic/Center | 385 D St Rm 30, Brawley, CA 92227 | 2007-10-10 |
| 1013118801 | Joseph Kurt Bivens | Plastic Surgery | 751 W Legion Rd Ste 300, Brawley, CA 92227 | 2007-05-30 |
| 1083771489 | Yong Tan | Family Medicine | 751 West Legion Road, Suite 102, Brawley, CA 92227 | 2007-01-03 |
| Find all providers in zip 92227 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659707586 | Helen Pensanti | General Practice | 608 G Street, Suite 1a, Brawley, CA 92227 | 2013-09-24 |
| 1902150675 | Virgilio C. Almaden, M.d., A.m.c. | General Practice | 751 W Legion Rd, Suite 205, Brawley, CA 92227-7732 | 2012-11-02 |
| 1558627174 | Ashu Garg | General Practice | 900 Main St, Brawley, CA 92227-2630 | 2012-04-09 |
| 1114137270 | Mark Whyte Md A Professional Medical Corporation | General Practice | 608 G St, Suite 2-b, Brawley, CA 92227-2568 | 2007-05-23 |
| 1790891968 | Theodore Louis Schlater IIi | General Practice | 126 Main St, Brawley, CA 92227-2349 | 2006-08-21 |
| 1831156116 | Virgilio C Almaden | General Practice | 751 W Legion Rd, Suite 205, Brawley, CA 92227-7732 | 2006-04-28 |
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| Find all providers with the same taxonomy | ||||
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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.