Maziar Ghodsian, D.O.

Primary specialty

Colon & Rectal Surgery PhysicianTaxonomy code 208C00000X

License

20A9722 Issued in CA

Practice address

300 S Beverly Dr
Suite 105
Beverly Hills, CA 90212-4808

Phone

(800) 280-6384

Fax

(949) 666-6555

NPI assigned

May 24, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Dec 16, 2019 through Dec 16, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: drmaz@direct.meditouchehr.com

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.

• Maziar Ghodsian DO PC

  • Colon & Rectal Surgery Physician
  • Beverly Hills, CA
  • NPI 1073813598
  NPD (past) Authorized official

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

{
    "created_epoch": "1179964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1441238400000",
    "number": "1063622181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 S BEVERLY DR",
            "address_2": "SUITE 105",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902124808",
            "telephone_number": "800-280-6384",
            "fax_number": "949-666-6555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 S BEVERLY DR",
            "address_2": "SUITE 105",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902124808",
            "telephone_number": "800-280-6384",
            "fax_number": "949-666-6555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GHODSIAN",
        "first_name": "MAZIAR",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-24",
        "last_updated": "2015-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208C00000X",
            "taxonomy_group": "",
            "desc": "Colon & Rectal Surgery",
            "state": "CA",
            "license": "20A9722",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Neil S. Ghodadra, MD
• Shahrzad Ghodsian, PA-C
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• Yael Gidanian, OTR/L
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• Colon & Rectal Surgery Physician in Beverly Hills, CA
• Providers in Beverly Hills, CA by specialty
• Colon & Rectal Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.