Martin Mazyar Mortazavi Shemirani, M.D.

Primary specialty

Neurological Surgery PhysicianTaxonomy code 207T00000X

License

A112672 Issued in CA

Practice address

2100 Lynn Rd Ste 120
Thousand Oaks, CA 91360-8033

Phone

(805) 795-7656

Fax

(805) 618-1501

NPI assigned

Apr 9, 2009

Sex

Male

Sole proprietor

Yes

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• California Institute of Neuroscience Inc

  • Vascular Neurology Physician
  • Thousand Oaks, CA
  • NPI 1215593652
  NPD (past)

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

{
    "created_epoch": "1239235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481846400000",
    "number": "1093958852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 LYNN RD STE 120",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913608033",
            "telephone_number": "805-795-7656",
            "fax_number": "805-618-1501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 LYNN RD STE 120",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913608033",
            "telephone_number": "805-795-7656",
            "fax_number": "805-618-1501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORTAZAVI SHEMIRANI",
        "first_name": "MARTIN",
        "middle_name": "MAZYAR",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-04-09",
        "last_updated": "2016-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "CA",
            "license": "A112672",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alyssa Morris, MOT,OTR/L
• Bryan F. Morris, M.D.
• Kisun Morris
• Mary Welby Morris
• David Alan Morrison, PSY.D
• Michael Scott Mortensen, PHYSICIAN ASSISTANT
• Rachel Patricia Mory, MD
• Irit Moryles, BPT
• Brooke Moser
• Catherine A Moses, MD

• Neurological Surgery Physician in Thousand Oaks, CA
• Providers in Thousand Oaks, CA by specialty
• Neurological Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2016; 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.