DR. AMIR HOSSEIN MORTAZAVIENTESAB (NPI# 1073052791) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073052791 |
| Entity Type | Individual |
| Full Name | DR. AMIR HOSSEIN MORTAZAVIENTESAB |
| Other Name | DR. AMIR MORTAZAVI |
| Credential | M.D. |
| Practice Address |
78120 Wildcat Dr Palm Desert CA 92211-1140 |
| Practice Telephone | 7603402682 |
| Practice Fax Number | 7607739695 |
| Mailing Telephone | 7603402682 |
| Mailing Fax Number | 7607739695 |
| Enumeration Date | 2017-02-14 |
| Last Update Date | 2020-07-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | A166476 | CA | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
78120 WILDCAT DR |
| City | PALM DESERT |
| State | CA |
| Zip Code | 92211-1140 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265430144 | Daniel Lopez | Family Medicine | 78120 Wildcat Dr, Palm Desert, CA 92211-1140 | 2005-07-13 |
| 1891221073 | Ramanpreet Brar | Family Medicine | 78120 Wildcat Dr, Palm Desert, CA 92211-1140 | 2017-05-05 |
| 1215339676 | Tiffany Bell Davlantes | Nurse Practitioner | 78120 Wildcat Dr, Palm Desert, CA 92211-1140 | 2014-09-17 |
| 1750713145 | Mark Morton Minot | Family Medicine | 78120 Wildcat Dr, Palm Desert, CA 92211-1140 | 2013-08-07 |
| 1639453905 | Reham Attia | Family Medicine | 78120 Wildcat Dr, Palm Desert, CA 92211-1140 | 2011-10-05 |
| 1902015498 | Stephen R Steele Do Inc | Family Medicine | 78120 Wildcat Dr, Palm Desert, CA 92211-1140 | 2007-05-21 |
| 1053435032 | Aurora L Benson | Family Medicine | 78120 Wildcat Dr, Palm Desert, CA 92211-1140 | 2007-03-16 |
| 1760506745 | Mark Benson | Family Medicine | 78120 Wildcat Dr, Palm Desert, CA 92211-1140 | 2007-03-16 |
| 1932266103 | Mark Tolentino Dela Cruz | Family Medicine | 78120 Wildcat Dr, Palm Desert, CA 92211-1140 | 2007-01-03 |
| 1487674701 | Clement C. Au | Family Medicine | 78120 Wildcat Dr, Palm Desert, CA 92211-1140 | 2006-07-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780293936 | Childnet Youth and Family Services, Inc. | Community/Behavioral Health | 42-600 Cook Street, Suite 100, Palm Desert, CA 92211 | 2020-07-23 |
| 1003457607 | Catherine Krumplitsch | Technician | 41430 Kansas Street, Palm Desert, CA 92211 | 2019-10-04 |
| 1942702055 | Executive Recovery Group, Inc | Clinic/Center | 77725 Enfield Ln # 100-200, Palm Desert, CA 92211 | 2018-03-05 |
| 1992248918 | West Coast Surgery Inc | Orthopaedic Surgery | 36915 Cook Street, Suite 103 B, Palm Desert, CA 92211 | 2016-11-22 |
| 1063963098 | Therese Tudor | Physical Therapist | 77-682 Country Club Drive, Suite G, Palm Desert, CA 92211 | 2016-10-14 |
| 1609249663 | John D Rasmussen | Anesthesiology | 160 Running Spring Drive, Palm Desert, CA 92211 | 2015-11-12 |
| 1033580113 | Executive Recovery Group, Inc | Substance Abuse Rehabilitation Facility | 35450 Pegasus Ct, Palm Desert, CA 92211 | 2015-10-14 |
| 1861862146 | Artur Sarkisyan | Dentist | 34-460 Monterey Ave Ste 100, Palm Desert, CA 92211 | 2015-09-30 |
| 1649686833 | Annamaria Valenzuela | Licensed Vocational Nurse | 77-777 Country Club Drive, Apt 235, Palm Desert, CA 92211 | 2014-07-08 |
| 1265876759 | Guardian Angel Home Care, Inc. | Home Health | 41865 Boardwalk, Suite 215, Palm Desert, CA 92211 | 2013-04-26 |
| Find all providers in zip 92211 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| 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 |
|---|---|---|---|---|
| 1538700026 | Indeemand Hospitalist Md LLC | Internal Medicine | 40743 Diamondback, Palm Desert, CA 92260-2392 | 2019-10-05 |
| 1366885501 | Brent Wagner | Internal Medicine | 72605 Highway 111, Palm Desert, CA 92260-3392 | 2013-04-08 |
| 1134465529 | Melvin Manuel Harter | Internal Medicine | 40660 Terraza Dr, Palm Desert, CA 92260-2356 | 2012-12-12 |
| 1043539810 | Asma Kazi | Internal Medicine | 41990 Cook St Bldg F, Palm Desert, CA 92211-6100 | 2010-05-19 |
| 1699090639 | Alfonso Corral Roger | Internal Medicine | 326 Sundance Cir, Palm Desert, CA 92211-3218 | 2010-04-01 |
| 1912179060 | Robert F Steinberg, M.d. A Medical Corporation | Internal Medicine | 41865 Boardwalk Ste 103, Palm Desert, CA 92211-9031 | 2008-03-28 |
| 1023287364 | Vickie Yvonne Mabry-height | Internal Medicine | 73241 Highway 111 Ste 3d, Palm Desert, CA 92260 | 2008-02-20 |
| 1053500926 | Jitka Civrna | Internal Medicine | 74000 Country Club Dr Ste G2, Palm Desert, CA 92260 | 2007-10-17 |
| 1538356902 | Talene Mary Churukian | Internal Medicine | 41990 Cook St Ste 102, Palm Desert, CA 92211-6101 | 2007-10-01 |
| 1881722718 | Rita Jeanne Stec | Internal Medicine | 43585 Monterey Ave Ste 3, Palm Desert, CA 92260-9398 | 2007-03-01 |
| Find all providers in PALM DESERT | ||||
| City | PALM DESERT |
| Zip Code | 92211 |
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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.