Provider Demographics
NPI:1528018785
Name:RAHIMIFAR, MAJID (MD)
Entity Type:Individual
Prefix:
First Name:MAJID
Middle Name:
Last Name:RAHIMIFAR
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2601 OSWELL ST
Mailing Address - Street 2:STE 101
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93306-3156
Mailing Address - Country:US
Mailing Address - Phone:661-872-9999
Mailing Address - Fax:661-872-1915
Practice Address - Street 1:2601 OSWELL ST
Practice Address - Street 2:STE 101
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93306-3156
Practice Address - Country:US
Practice Address - Phone:661-872-9999
Practice Address - Fax:661-872-1915
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA41492174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAGR0100380Medicaid
CAGR0100380Medicaid
CAC35528Medicare UPIN