Individual provider Active NPI

Neda Heidari, MD

  • Behavioral Neurology & Neuropsychiatry Physician
  • Oxnard, CA
National Provider Identifier
1003028556
Registry record updated Mar 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavioral Neurology & Neuropsychiatry PhysicianTaxonomy code 2084B0040X
License
A102340 Issued in CA
Practice address
1801 Solar Dr Ste 165
Oxnard, CA 93030-8228
Phone
(805) 744-2141
Fax
(805) 744-2151
NPI assigned
May 4, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 29, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X A102340 CA
Behavioral Neurology & Neuropsychiatry Physician 2084B0040X A102340 CA Primary

Addresses

Primary practice location

1801 Solar Dr Ste 165
Oxnard, CA 93030-8228

Mailing address

1801 Solar Dr Ste 165
Oxnard, CA 93030-8228
Phone (805) 861-4356

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101015001282 CA Practitioner - Neurology 1557554078 Reassigns benefits to 1 organization
Practice locations: Oxnard, CA

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1801 Solar Dr
Suite 145
Oxnard, CA 93030-0146
Phone (805) 744-2141

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A102340CAMDBehavioral Neurology & Neuropsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Neda Heidari M.D. Inc Behavioral Neurology & Neuropsychiatry CurrentSince Dec 13, 2022 Accepting new patients
Community Memorial Health System Past Accepting new patients
Community Memorial Health System Past Accepting new patients
Community Memorial Health System Past Accepting new patients

Locations

2390 Las Posas Rd
Ste C
Camarillo, CA 93010
Phone (805) 341-6731

2390 Las Posas Rd
Ste C419
Camarillo, CA 93010

1801 Solar Dr
Ste 145
Oxnard, CA 93030
Phone (805) 744-2141

1801 Solar Dr
Ste 165
Oxnard, CA 93030
Phone (805) 744-2141

Interoperability endpoints

  • Direct secure messaging: nedaheidari@heid.allscriptsdirect.net
  • FHIR API: https://fhir-myrecord.cerner.com/r4/dc5473f2-b01f-4963-a3d8-5474b2d33b20/

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 16

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 16

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1178236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648512000000",
    "number": "1003028556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 SOLAR DR STE 165",
            "city": "OXNARD",
            "state": "CA",
            "postal_code": "930308228",
            "telephone_number": "805-861-4356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 SOLAR DR STE 165",
            "city": "OXNARD",
            "state": "CA",
            "postal_code": "930308228",
            "telephone_number": "805-744-2141",
            "fax_number": "805-744-2151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEIDARI",
        "first_name": "NEDA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-04",
        "last_updated": "2022-03-29",
        "certification_date": "2022-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "CA",
            "license": "A102340",
            "primary": false
        },
        {
            "code": "2084B0040X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Behavioral Neurology & Neuropsychiatry",
            "state": "CA",
            "license": "A102340",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oxnard, CA

Sources for this page

Verify at the official NPI Registry.