Provider Demographics
NPI:1154403483
Name:ARTHRITIS AND RHEUMATOLOGY MEDICAL ASSOCIATES, INC
Entity type:Organization
Organization Name:ARTHRITIS AND RHEUMATOLOGY MEDICAL ASSOCIATES, INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:RAJIV
Authorized Official - Middle Name:KUMAR
Authorized Official - Last Name:DIXIT
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:925-210-1050
Mailing Address - Street 1:120 LA CASA VIA
Mailing Address - Street 2:SUITE 204
Mailing Address - City:WALNUT CREEK
Mailing Address - State:CA
Mailing Address - Zip Code:94598-3067
Mailing Address - Country:US
Mailing Address - Phone:925-210-1050
Mailing Address - Fax:925-210-1082
Practice Address - Street 1:120 LA CASA VIA
Practice Address - Street 2:SUITE 204
Practice Address - City:WALNUT CREEK
Practice Address - State:CA
Practice Address - Zip Code:94598-3067
Practice Address - Country:US
Practice Address - Phone:925-210-1050
Practice Address - Fax:925-210-1082
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-19
Last Update Date:2021-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAFNP25477174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA197318900OtherEEOIC
CAZZZ56871ZOtherBLUE SHIELD
CAGR0102590Medicaid