Dr Alireza Pessaran MD Inc

Primary specialty

Legal MedicineTaxonomy code 173000000X

License

GNB32009-43470 Issued in CA

Legal business name

DR ALIREZA PESSARAN MD INC

Doing business as

CAPITAL MEDICAL CLINIC

Practice address

6437 Fair Oaks Blvd
Carmichael, CA 95608-4021

Phone

(916) 489-3641

Fax

(916) 489-2770

NPI assigned

Jan 18, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Alireza Pessaran, M.D.

Title

Owner

Phone

(916) 489-3641

Specialties & licenses 1

Addresses

Other names 1

• CAPITAL MEDICAL CLINIC Doing business as

Locations

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

{
    "created_epoch": "1326844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1411084800000",
    "number": "1073884474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6437 FAIR OAKS BLVD",
            "city": "CARMICHAEL",
            "state": "CA",
            "postal_code": "956084021",
            "telephone_number": "916-489-3641",
            "fax_number": "916-489-2770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6437 FAIR OAKS BLVD",
            "city": "CARMICHAEL",
            "state": "CA",
            "postal_code": "956084021",
            "telephone_number": "916-489-3641",
            "fax_number": "916-489-2770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR ALIREZA PESSARAN MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-18",
        "last_updated": "2014-09-19",
        "status": "A",
        "authorized_official_last_name": "PESSARAN",
        "authorized_official_first_name": "ALIREZA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "916-489-3641",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "173000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Legal Medicine",
            "state": "CA",
            "license": "GNB32009-43470",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CAPITAL MEDICAL CLINIC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Legal Medicine in Carmichael, CA
• Providers in Carmichael, CA by specialty
• Legal Medicine in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2014; 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.