ROSHAN RAZAVI DO
NPI 1891140265
General Practice in Hemet, CA
About Roshan Razavi Do NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ROSHAN RAZAVI DO (NPI 1891140265) is an individual general practice provider in Hemet, California, licensed in California (B5147164) and active in the NPI registry since May 2016. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Roshan Razavi Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Roshan Razavi reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Santa Clara, CA 95051
- Reassigned Medicare billing, California enrollment
- 20,078 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Roshan Razavi's NPI number?
The NPI number for Roshan Razavi is 1891140265. It was assigned to this individual provider in the NPPES registry on May 4, 2016. The provider is also known as Roashan Razavi Do.
Where is Roshan Razavi located?
Roshan Razavi practices at 1117 Devonshire Ave Attn: Carol Wood, Gme Office, Hemet Valley Medical Cent, Hemet, CA 92543. The listed phone number is (760) 975-1239.
What is Roshan Razavi's specialty?
The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.
Is Roshan Razavi enrolled in Medicare?
Yes. Roshan Razavi is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Roshan Razavi's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Roshan Razavi reassigns Medicare benefits to Permanente Medical Group Inc (Santa Clara, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Roshan Razavi's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Roshan Razavi was last updated on September 6, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Roshan Razavi, DO · NPI 1891140265
General Practice physician in Hemet, California. Individual provider, active in the CMS NPPES registry since May 4, 2016.
## Identity
- **NPI:** 1891140265 (Entity type: Individual)
- **Enumerated:** May 4, 2016
- **Primary specialty:** General Practice · taxonomy 208D00000X
- **State license:** B5147164 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1117 DEVONSHIRE AVE, ATTN: CAROL WOOD, GME OFFICE, HEMET VALLEY MEDICAL CENT, Hemet, CA 92543
- **Phone:** (760) 975-1239
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** Permanente Medical Group Inc (NPI 1073606299, Santa Clara, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 6, 2017
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Source: [NPI Profile](https://npiprofile.com/npi/1891140265) · Data from the CMS NPPES public registry.