Individual provider Active NPI

Jonathan Nasseri, M.D.

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Thousand Oaks, CA
National Provider Identifier
1184669160
Registry record updated Dec 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospice and Palliative Medicine (Internal Medicine) PhysicianTaxonomy code 207RH0002X
License
A92026 Issued in CA
Practice address
1534 N Moorpark Rd
Ste 290
Thousand Oaks, CA 91360-5129
Phone
(805) 522-2500
NPI assigned
Jun 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2015

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 34611 AZ
Internal Medicine Physician 207R00000X A92026 CA
Hospice and Palliative Medicine (Internal Medicine) Physician 207RH0002X A92026 CA Primary

Addresses

Primary practice location

1534 N Moorpark Rd
Ste 290
Thousand Oaks, CA 91360-5129

Mailing address

1534 N Moorpark Rd
Ste 290
Thousand Oaks, CA 91360-5129
Phone (805) 522-2500

Other identifiers 2

IdentifierTypeStateIssuer
1005053MedicaidCA
005207MedicaidAZ

Other names 1

  • Rouzbeh Nasserizad Former name

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
I20070508000419 CA Practitioner - Hospice/Palliative CarePractitioner - Internal Medicine 0042225971 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Hospice/Palliative CareAlso: Internal Medicine
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2975 Sycamore Dr
Simi Valley, CA 93065-1201
Phone (805) 522-2500

Hospital & facility affiliations

  • Los Robles Hospital & Medical Center Hospital, Thousand Oaks, CA, CCN 050549
  • Adventist Health Simi Valley Hospital, Simi Valley, CA, CCN 050236
  • UCLA West Valley Medical Center Hospital, West Hills, CA, CCN 050481

Merit-based Incentive Payment System (MIPS)

Final score
59.96 of 100Reported as individual
Quality
61.67
Improvement activities
0
Cost
84.33

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
34611AZMDInternal Medicine Physician
A92026CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Jonathan Nasseri MD Corp Family Medicine CurrentSince Oct 9, 2007 Accepting new patients
Dana Landing Urgent Care LLC Past Accepting new patients
Desert Ridge Urgent Care LLC Past Accepting new patients
Glendale Urgent Care LLC Past Accepting new patients
Pinnacle Medicine Inc. Past Accepting new patients
Greenway Urgent Care LLC Past Accepting new patients
Sun City Urgent Care LLC Past Accepting new patients
Avondale Urgent Care LLC Past Accepting new patients
Shea Urgent Care LLC Past Accepting new patients
Nextcare Arizona LLC Past Accepting new patients
Nextcare Arizona I JV LLC Past Accepting new patients
Chandler Urgent Care LLC Past Accepting new patients

Locations

2975 Sycamore Dr
Simi Valley, CA 93065
Phone (805) 522-2500

1534 N Moorpark Rd
Thousand Oaks, CA 91360
Phone (805) 497-1800

215 W Janss Rd
Thousand Oaks, CA 91360
Phone (805) 379-5435

7300 Medical Ctr
West Hills, CA 91307
Phone (818) 612-8301

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Topanga Terrace Convalescent CenterCanoga Park, CA, CCN 056092 Skilled nursing facility Operational/Managerial Control
Adp of the SNF
Jan 1, 2022
Jan 1, 2022

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 3

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": "1150502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1450137600000",
    "number": "1184669160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1534 N MOORPARK RD",
            "address_2": "STE 290",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913605129",
            "telephone_number": "805-522-2500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1534 N MOORPARK RD",
            "address_2": "STE 290",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913605129",
            "telephone_number": "805-522-2500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NASSERI",
        "first_name": "JONATHAN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-17",
        "last_updated": "2015-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "34611",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A92026",
            "primary": false
        },
        {
            "code": "207RH0002X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hospice and Palliative Medicine",
            "state": "CA",
            "license": "A92026",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1005053",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "005207",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ROUZBEH",
            "last_name": "NASSERIZAD",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Thousand Oaks, CA

Sources for this page

Verify at the official NPI Registry.