Oac Southern Medical Professional Corporation
NPI 1164777090 · Sports Medicine (Physical Medicine & Rehabilitation) Physician · Newport Beach, CA
Oac Southern Medical Professional Corporation is a Sports Medicine (Physical Medicine & Rehabilitation) Physician organization in Newport Beach, CA (NPI 1164777090).
Provider details
- NPI number
- 1164777090
- Entity type
- Organization
- Primary specialty
- Sports Medicine (Physical Medicine & Rehabilitation) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Maryam Rahimi, President(310) 634-1146
- License
- 20A10143 (CA)
Specialties & taxonomies
- Sports Medicine (Physical Medicine & Rehabilitation) PhysicianPrimary2081S0010XLicense 20A10143 (CA)
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2012-07-17
- Last updated
- 2012-07-17
Frequently asked questions
- What is Oac Southern Medical Professional Corporation's NPI number?
- Oac Southern Medical Professional Corporation's National Provider Identifier (NPI) is 1164777090, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Oac Southern Medical Professional Corporation?
- Oac Southern Medical Professional Corporation is classified in the NPPES registry as Sports Medicine (Physical Medicine & Rehabilitation) Physician (Allopathic & Osteopathic Physicians).
- Where is Oac Southern Medical Professional Corporation located?
- Oac Southern Medical Professional Corporation's practice location on file with NPPES is 3300 W Coast Hwy, Newport Beach, CA 92663-4007.
- What is Oac Southern Medical Professional Corporation's phone number?
- The practice phone number listed in the NPPES registry for Oac Southern Medical Professional Corporation is (949) 209-0220.
- Who is the authorized official for Oac Southern Medical Professional Corporation?
- The authorized official listed on Oac Southern Medical Professional Corporation's NPPES record is Maryam Rahimi, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Oac Southern Medical Professional Corporation's NPI active?
- Yes — Oac Southern Medical Professional Corporation's NPI (1164777090) is active in the NPPES registry as of the last update on 2012-07-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.