Maziar Ghodsian DO PC

Primary specialty

Colon & Rectal Surgery PhysicianTaxonomy code 208C00000X

License

20A9722 Issued in CA

Legal business name

MAZIAR GHODSIAN DO PC

Doing business as

Proctology Institute

Practice address

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

Phone

(800) 280-6384

NPI assigned

Nov 1, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Maziar Ghodsian, D.O.NPI 1063622181

Title

President

Phone

(800) 280-6384

Specialties & licenses 1

Addresses

Other names 1

• Proctology Institute Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Maziar Ghodsian, D.O.

  • Colon & Rectal Surgery Physician
  • Beverly Hills, CA
  • NPI 1063622181
  NPD (past) Authorized official
• Paula Kim

  • Physician Assistant
  • Beverly Hills, CA
  • NPI 1538938279
  NPD (past)

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

{
    "created_epoch": "1288569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442275200000",
    "number": "1073813598",
    "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"
        },
        {
            "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"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAZIAR GHODSIAN DO PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-01",
        "last_updated": "2015-09-15",
        "status": "A",
        "authorized_official_last_name": "GHODSIAN",
        "authorized_official_first_name": "MAZIAR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "800-280-6384",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "208C00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Colon & Rectal Surgery",
            "state": "CA",
            "license": "20A9722",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Proctology Institute",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• David Robert May, AMFT
• John Eugene May, O.D.
• Toby Gerald Mayer, MD
• Sadaf Mayet, MA, MFT
• Shaghayegh Mazaherian
• Hoda Mazloum, PA-C
• Philomena F. McAndrew, M.D.
• Anne McArthur, PT
• Sharon McBeth, M.D.
• Julie Michael McCaig, PH.D.

• 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 15, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.