CMS-1500 Box 24J / 33a • NPI
1063894350
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
208VP0014X (CMS 09)
Licensed & Credentialed Allopathic & Osteopathic Physicians — Pain Medicine, Interventional Pain Medicine
Box 32 Service Location & ZIP+4
1127 WILSHIRE BLVD, SUITE 800, LOS ANGELES, CA, 90017-3909
✓ 9-Digit EDI 837 ZIP+4 (90017-3909)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1063894350 (RAWAN FAHAD M ALOSAIMI) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).
CMS Medicare Order & Referring PECOS Eligibility
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1063894350 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | RAWAN FAHAD M ALOSAIMI |
| Plain-English Specialty | Licensed & Credentialed Allopathic & Osteopathic Physicians — Pain Medicine, Interventional Pain Medicine NUCC Code: 208VP0014X (Pain Medicine, Interventional Pain Medicine) |
| Certifying / Licensing Body | State Medical / Healthcare Licensing Board & National Specialty Board |
| Practice Location Address | 1127 WILSHIRE BLVD, SUITE 800, LOS ANGELES, CA, 90017-3909 |
| Practice Telephone / Fax | Tel: (213) 839-1119 | Fax: (213) 839-1120 |
| Administrative Mailing Address | 10565 CIVIC CENTER DRIVE, RANCHO CUCAMONGA, CA, 91730-3854 |
| Enumeration & Last Sync | Enumerated: 2015-06-23 | CMS Record Updated: 2026-10-28 |
Clinic Location, Accessibility & Directions
📍 Practice Location & Patient Access
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Plain-English Taxonomy & CMS Crosswalk (208VP0014X)
What Does Taxonomy Code 208VP0014X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 208VP0014X translates to:
"Licensed & Credentialed Allopathic & Osteopathic Physicians — Pain Medicine, Interventional Pain Medicine"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (RAWAN FAHAD M ALOSAIMI)
Typical CPT / Diagnostic Procedures:- Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
- Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
- Preventive Screening, Patient Counseling & Multidisciplinary Referral
- Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)
All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State License & Primary Status |
|---|---|
207P00000X — Emergency MedicinePlain English: Board-Certified Emergency Medicine Physician (ER / Trauma Doctor) | State: CA | License: A202154 | Primary: Secondary |
208VP0014X — Pain Medicine, Interventional Pain MedicinePlain English: Licensed & Credentialed Allopathic & Osteopathic Physicians — Pain Medicine, Interventional Pain Medicine | State: CA | License: A202154 | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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