Navid Ezra, M.D.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

A135378 Issued in CA

Practice address

3095 Old Conejo Rd
Suite 200
Thousand Oaks, CA 91320-2130

Phone

(805) 222-5803

NPI assigned

Jun 8, 2011

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in CA, AZ2 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

Specialty

Rheumatology

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

California Dermatology Institute PCGroup PAC ID 6800177460, 25 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations (25 of 43)

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

• FHIR API: https://app.meldrx.com/api/fhir/ez_00038

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 Dermatology Institute PC

  • Dermatology Physician
  • Thousand Oaks, CA
  • NPI 1235671389

  AZ

  Medicare reassignment Care Compare group NPD Authorized official
• California Dermatology Institute PC

  • Non-Pharmacy Dispensing Site
  • El Centro, CA
  • NPI 1033051925

  Dermatology

  NPD (past) Authorized official
• California Dermatology Institute PC

  • Non-Pharmacy Dispensing Site
  • Santa Ana, CA
  • NPI 1134813348

  Dermatology

  NPD (past) Authorized official
• California Dermatology Institute PC

  • Non-Pharmacy Dispensing Site
  • Ventura, CA
  • NPI 1154155901

  Dermatology

  NPD (past) Authorized official
• California Dermatology Institute PC

  • Non-Pharmacy Dispensing Site
  • Palmdale, CA
  • NPI 1164100848

  Dermatology

  NPD (past) Authorized official
• California Dermatology Institute PC

  • Non-Pharmacy Dispensing Site
  • Santa Barbara, CA
  • NPI 1225887623
  NPD (past) Authorized official
• California Dermatology Institute PC

  • Non-Pharmacy Dispensing Site
  • San Bernardino, CA
  • NPI 1245064013
  NPD (past) Authorized official
• California Dermatology Institute PC

  • Non-Pharmacy Dispensing Site
  • Murrieta, CA
  • NPI 1245195510
  NPD (past) Authorized official
• California Dermatology Institute PC

  • Non-Pharmacy Dispensing Site
  • San Luis Obispo, CA
  • NPI 1265397574
  NPD (past) Authorized official
• California Dermatology Institute PC

  • Non-Pharmacy Dispensing Site
  • Northridge, CA
  • NPI 1316650047

  Dermatology

  NPD (past) Authorized official
• California Dermatology Institute PC

  • Non-Pharmacy Dispensing Site
  • Santa Clarita, CA
  • NPI 1427759869

  Dermatology

  NPD (past) Authorized official
• California Dermatology Institute PC

  • Non-Pharmacy Dispensing Site
  • Chino, CA
  • NPI 1528923836
  NPD (past) Authorized official

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

{
    "created_epoch": "1307491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713744000000",
    "number": "1104110071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3095 OLD CONEJO RD",
            "address_2": "SUITE 200",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913202130",
            "telephone_number": "805-222-5803",
            "fax_number": "805-222-0323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3095 OLD CONEJO RD",
            "address_2": "SUITE 200",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913202130",
            "telephone_number": "805-222-5803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EZRA",
        "first_name": "NAVID",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-08",
        "last_updated": "2024-04-22",
        "certification_date": "2024-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "CA",
            "license": "A135378",
            "primary": false
        },
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "CA",
            "license": "A135378",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CA",
            "license": "A135378",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "na",
            "affiliation": "N",
            "endpointDescription": "na",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "na",
            "address_1": "3095 Old Conejo Rd",
            "address_2": "Suite 200",
            "city": "Thousand Oaks",
            "state": "CA",
            "country_code": "US",
            "postal_code": "913202130",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Expert Imaging Inc
• Benica Eyvazzadeh, O.D.
• Ez Sleep Technologies
• Ez Sleep, LLC
• Manijeh Ezatvar, RPT
• F Esfandiari Dental Corporation
• F Frey Azizi MD Inc
• F Sabzevar MD Inc
• Fahad Warriach DDS Inc
• Maya Fahimipour, FNP

• Dermatology Physician in Thousand Oaks, CA
• Providers in Thousand Oaks, CA by specialty
• Dermatology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2024; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.