ROSHAN RAZAVI DO
NPI 1891140265
General Practice in Hemet, CA

Active since May 04, 2016PECOS Enrolled
1117 DEVONSHIRE AVE, ATTN: CAROL WOOD, GME OFFICE, HEMET VALLEY MEDICAL CENT, HEMET, CA 92543(760) 975-1239 Get Directions Write a Review

NPPES record last updated: September 6, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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

NPI1891140265
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameROSHAN RAZAVICredential: DO
Location Address1117 DEVONSHIRE AVE, ATTN: CAROL WOOD, GME OFFICE, HEMET VALLEY MEDICAL CENTHemet, CA 92543
Mailing Address200 Hawkins Dr., Dept Of Family MedicineIowa City, IA 52242-1009 · (760) 975-1239
Sole ProprietorYes
Enumeration DateMay 4, 2016
Last NPPES UpdateSeptember 6, 2017
NPI 1891140265 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License Licensed in CA · B5147164
Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

Also ListedFamily MedicineTaxonomy 207Q00000X · License R-11066 (IA)
1117 DEVONSHIRE AVE, Hemet, CA 92543

Other Names 1

Other Name (5)Roashan Razavi Do

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Roshan Razavi Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

When was this NPI record last updated?

The NPPES record for Roshan Razavi was last updated on September 6, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.