Ocotillo Medical Group LLC
NPI 1538692470ActiveOrganization· General Practice· Chandler, AZ
General Practice in Chandler, Arizona, registered in NPPES in April 2017. The authorized official on file is Radman Rahiminejad, Owner. Enrolled in Medicare as dme supplier - medical supply company and part b supplier - clinic/group practice.
Overview
| NPI | 1538692470 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 7, 2017 |
| Last updated in NPPES | Oct 11, 2023 |
| Certified by provider | Oct 11, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| General Practice Primary | 208D00000X | — | — |
| Chiropractor | 111N00000X | — | — |
| Physical Medicine & Rehabilitation | 208100000X | — | — |
| Physical Therapist | 225100000X | — | — |
| Physician Assistant | 363A00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled DME Supplier - Medical Supply Company (AZ); Part B Supplier - Clinic/Group Practice (AZ) |
|---|
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