Individual provider Active NPI

Marzban Rad, M.D.

  • Diagnostic Radiology Physician
  • San Diego, CA
National Provider Identifier
1063601268
Registry record updated Apr 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
A116450 Issued in CA
Practice address
150 W Washington St
San Diego, CA 92103-2005
Phone
(858) 658-6500
NPI assigned
Oct 24, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 3, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X A116450 CA Primary

Addresses

Primary practice location

150 W Washington St
San Diego, CA 92103-2005

Mailing address

975 Sereno Dr
Vallejo, CA 94589-2441
Phone (707) 651-5656

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
I20120224000255 CA Practitioner - Diagnostic Radiology 6002947249 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
New York University School of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Permanente Medical Group IncGroup PAC ID 8921910225, 10,928 clinicians
IHS Radiology Medical Group IncGroup PAC ID 1052622024, 65 clinicians

Practice addresses (Care Compare)

1 Quality Dr
Vacaville, CA 95688-9494
Phone (707) 624-4000

1275 Charbray St
Danville, CA 94506-1299
Phone (858) 658-6500

2500 Merced St
San Leandro, CA 94577-4201
Phone (510) 454-1000

39400 Paseo Padre Pkwy
Fremont, CA 94538-2310
Phone (510) 248-3000

901 Nevin Ave
Richmond, CA 94801-3143
Phone (510) 307-1500

975 Sereno Dr
Vallejo, CA 94589-2441
Phone (707) 651-1000

Hospital & facility affiliations

  • Kaiser Foundation Hospital - Vacaville Hospital, Vacaville, CA, CCN 050767
  • Kaiser Foundation Hospital and Rehab Center Hospital, Vallejo, CA, CCN 050073
  • Kaiser Foundation Hospital - Fremont Hospital, Fremont, CA, CCN 050512
  • Kaiser Foundation Hospital - San Leandro Hospital, San Leandro, CA, CCN 050777

Merit-based Incentive Payment System (MIPS)

Final score
35.17 of 100Reported as group
Quality
0
Improvement activities
20
Cost
77.33

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A116450CAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
IHS Radiology Medical Group, Inc. Diagnostic Radiology CurrentSince Jun 3, 2024 Accepting new patients
Permanente Medical Group, Inc CurrentSince Dec 19, 2011 Accepting new patients
Permanente Medical Group Inc Diagnostic Radiology CurrentSince Dec 19, 2011 Accepting new patients
Main Line Health Imaging LP Diagnostic Radiology Past Accepting new patients
Radiology Associates of the Main Line P C Diagnostic Radiology Past Accepting new patients
Physicians Radiology Medical Group, Inc. Diagnostic Radiology Past Accepting new patients

Locations

333 H St
Ste 1095
Chula Vista, CA 91910
Phone (619) 409-9119

477 N El Camino Real
Ste A102
Encinitas, CA 92024
Phone (760) 452-7150

4150 Regents Park Row
Ste 195
La Jolla, CA 92037
Phone (858) 622-6464

25150 Hancock Ave
Ste 105
Murrieta, CA 92562
Phone (951) 412-0228

2427 Transportation Ave
National City, CA 91950

3601 Vista Way
Ste 101
Oceanside, CA 92056
Phone (760) 631-7505

4002 Vista Way
Oceanside, CA 92056
Phone (760) 724-8411

1801 W Olympic Blvd
#1313
Pasadena, CA 91199

12620 Monte Vista Rd
Ste A
Poway, CA 92064
Phone (858) 487-9729

1150 Veterans Blvd
Redwood City, CA 94063
Phone (650) 299-2015

901 Nevin Ave
Richmond, CA 94801
Phone (510) 307-1500

6386 Alvarado Ct
Ste 121
San Diego, CA 92120
Phone (619) 229-2299

1809 National Ave
Ste 2104
San Diego, CA 92113

3939 Ruffin Rd
Ste 102
San Diego, CA 92123
Phone (858) 200-3300

150 W Washington St
San Diego, CA 92103
Phone (619) 295-9729

2200 Ofarrell St
San Francisco, CA 94115
Phone (415) 202-2000

710 Lawrence Expy
Santa Clara, CA 95051
Phone (408) 236-6400

7373 West Ln
Stockton, CA 95210
Phone (209) 476-2000

975 Sereno Dr
Vallejo, CA 94589
Phone (707) 651-1000

Organizations & group practices 6

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

Hospital & facility affiliations 4

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

NPI Registry JSON

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

{
    "created_epoch": "1193184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712102400000",
    "number": "1063601268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "975 SERENO DR",
            "city": "VALLEJO",
            "state": "CA",
            "postal_code": "945892441",
            "telephone_number": "707-651-5656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 W WASHINGTON ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921032005",
            "telephone_number": "858-658-6500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAD",
        "first_name": "MARZBAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-10-24",
        "last_updated": "2024-04-03",
        "certification_date": "2024-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "A116450",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.