Individual provider Active NPI

Amir-Hossein Mehran, MD

  • Surgery Physician
  • Thousand Oaks, CA
National Provider Identifier
1154343242
Registry record updated Feb 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
A68045 Issued in CA
Practice address
227 W Janss Rd Ste 320
Thousand Oaks, CA 91360-1870
Phone
(805) 379-9796
Fax
(805) 379-6700
NPI assigned
Jul 24, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 18, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X A68045 CA Primary

Addresses

Primary practice location

227 W Janss Rd Ste 320
Thousand Oaks, CA 91360-1870

Mailing address

23679 Calabasas Rd # 1072
Calabasas, CA 91302-1502
Phone (805) 379-9796

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20100802000492 CA Practitioner - General Surgery 8022141712 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Duke University School of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

227 W Janss Rd
Suite 320
Thousand Oaks, CA 91360-1870
Phone (805) 379-9796

Hospital & facility affiliations

  • Los Robles Hospital & Medical Center Hospital, Thousand Oaks, CA, CCN 050549

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Removal of tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
University Bariatrics, a Professional Corporation Surgery CurrentSince Mar 10, 2013 Accepting new patients

Locations

23679 Calabasas Rd
Calabasas, CA 91302
Phone (310) 795-4488

425 Haaland Dr
Ste 203
Thousand Oaks, CA 91361
Phone (805) 381-9800

227 W Janss Rd
Ste 320
Thousand Oaks, CA 91360
Phone (805) 379-9796

Organizations & group practices 1

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.

Hospital & facility affiliations 1

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": "1153699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613606400000",
    "number": "1154343242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23679 CALABASAS RD # 1072",
            "city": "CALABASAS",
            "state": "CA",
            "postal_code": "913021502",
            "telephone_number": "805-379-9796",
            "fax_number": "805-379-6700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "227 W JANSS RD STE 320",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913601870",
            "telephone_number": "805-379-9796",
            "fax_number": "805-379-6700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEHRAN",
        "first_name": "AMIR-HOSSEIN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-24",
        "last_updated": "2021-02-18",
        "certification_date": "2021-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "A68045",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Thousand Oaks, CA

Sources for this page

Verify at the official NPI Registry.