Individual provider Active NPI

Noman Ghiasi, MD

  • Family Medicine Physician
  • Roseville, CA
National Provider Identifier
1083242960
Registry record updated Jan 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A204094 Issued in CA
Practice address
568 N Sunrise Ave Ste 250
Roseville, CA 95661-3097
Phone
(916) 865-1140
Fax
(916) 865-1145
NPI assigned
Mar 27, 2020
Last updated
Jan 12, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 84017 SC
Family Medicine Physician 207Q00000X A204094 CA Primary

Addresses

Primary practice location

568 N Sunrise Ave Ste 250
Roseville, CA 95661-3097

Mailing address

PO Box 255228
Sacramento, CA 95865-5228
Phone (800) 470-0071

Other names 1

  • Noman Zamanudin Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, CA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20231002003675 SC Practitioner - Family Practice 5991122822 Reassigns benefits to 6 organizations
I20251224000472 CA Practitioner - Family Practice 5991122822 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Family Healthcare NetworkGroup PAC ID 6305756339, shared by 34 NPIs, 91 clinicians
Sutter Valley Medical FoundationGroup PAC ID 9830094515, 2,473 clinicians

Practice addresses (Care Compare)

1062 S K St
Tulare, CA 93274-6422
Phone (877) 960-3426

2 Medical Plaza Dr
Roseville, CA 95661-3042

201 E Lakeview Ave
Woodlake, CA 93286-1301
Phone (559) 564-0100

250 W Main St
Woodland, CA 95695-3652
Phone (916) 668-6100

2800 L St
Sacramento, CA 95816-5616

568 N Sunrise Ave
Roseville, CA 95661-3097

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
83.98 of 100Reported as group
Quality
73.31
Promoting interoperability
100
Improvement activities
40
Cost
73.29

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A204094CAMDFamily Medicine Physician
84017SCMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Little River Medical Center, Inc. Family Medicine CurrentSince Feb 3, 2025 Accepting new patients
Little River Medical Center, Inc. Family Medicine CurrentSince Feb 3, 2025 Accepting new patients
Little River Medical Center, Inc CurrentSince Feb 3, 2025 Accepting new patients
Little River Medical Center, Inc. Family Medicine CurrentSince Feb 3, 2025 Accepting new patients
Little River Medical Center, Inc. Family Medicine CurrentSince Feb 3, 2025 Accepting new patients
Little River Medical Center Inc Family Medicine CurrentSince Feb 3, 2025 Accepting new patients
Little River Medical Center, Inc. Family Medicine CurrentSince Feb 3, 2025 Accepting new patients
Sutter Valley Medical Foundation Family Medicine CurrentSince Jan 5, 2026 Accepting new patients
Sutter Valley Medical Foundation CurrentSince Jan 5, 2026 Accepting new patients
Prisma Health Urgent Care of South Carolina, PC CurrentSince Sep 16, 2024 Accepting new patients
Sutter Regional Medical Foundation Family Medicine Past Accepting new patients

Locations

2720 Low Ct
Fairfield, CA 94534
Phone (707) 428-2731

815 Court St
Ste 7
Jackson, CA 95642
Phone (209) 257-5900

685 Twelve Bridges Dr
Ste B
Lincoln, CA 95648
Phone (916) 408-5915

600 Coffee Rd
Modesto, CA 95355
Phone (209) 550-4755

2261 Douglas Blvd
Roseville, CA 95661
Phone (916) 783-1044

3100 Douglas Blvd
Roseville, CA 95661
Phone (916) 774-8300

568 N Sunrise Ave
Ste 250
Roseville, CA 95661
Phone (916) 865-1140

2800 L St
Ste 500
Sacramento, CA 95816
Phone (916) 454-6850

250 W Main St
Woodland, CA 95695
Phone (916) 668-6100

7613 Garners Ferry Rd
Columbia, SC 29209
Phone (839) 600-9190

1305 S Suber Rd
Greer, SC 29650
Phone (864) 989-4609

4303 Live Oak Dr
Little River, SC 29566
Phone (803) 839-3939

3817 Main St
Loris, SC 29569
Phone (843) 663-8297

3236 Holmestown Rd
Unit E1
Myrtle Beach, SC 29588

3515 Caduceus Dr
Ste B
Myrtle Beach, SC 29588
Phone (843) 651-5689

4220 Carolina Exchange Dr
Myrtle Beach, SC 29579
Phone (843) 663-8013

7724 N Kings Hwy
Myrtle Beach, SC 29572
Phone (843) 839-3939

Interoperability endpoints

  • Direct secure messaging: nghiasi766159@hisp.ehr.sutterhealth.org
  • Direct secure messaging: nghiasi811121@direct.ghs.myhfn.org
  • Direct secure messaging: nghiasi83647@directmcleodehealth.org

Organizations & group practices 11

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 2

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": "1585267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768176000000",
    "number": "1083242960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 255228",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958655228",
            "telephone_number": "800-470-0071",
            "fax_number": "916-854-6769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "568 N SUNRISE AVE STE 250",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956613097",
            "telephone_number": "916-865-1140",
            "fax_number": "916-865-1145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GHIASI",
        "first_name": "NOMAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-03-27",
        "last_updated": "2026-01-12",
        "certification_date": "2026-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "84017",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A204094",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NOMAN",
            "last_name": "ZAMANUDIN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Roseville, CA

Sources for this page

Verify at the official NPI Registry.