Reza Vafadouste MD a Medical Corporation

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

A79905 Issued in CA

Legal business name

REZA VAFADOUSTE MD A MEDICAL CORPORATION

Practice address

2141 Colorado Ave
Turlock, CA 95382-2011

Phone

(209) 634-2600

Fax

(209) 575-4598

NPI assigned

Feb 6, 2007

Last updated

Apr 16, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Reza Vafadouste, MD

Title

President

Phone

(209) 575-4575

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPDPlans: Blue Shield 65 Plus (HMO) (H0504-015-000, H0504); Blue Shield 65 Plus (HMO) (H0504-039-000, H0504); Blue Shield 65 Plus Plan 2 (HMO) (H0504-021-000, H0504); Blue Shield Inspire (HMO) (H0504-041-000, H0504); Blue Shield 65 Plus (HMO) (H0504-038-000, H0504); Blue Shield Inspire (HMO) (H0504-047-000, H0504); Blue Shield 65 Plus (HMO) (H0504-026-000, H0504); Blue Shield Advantage (HMO) (H0504-050-000, H0504); Blue Shield AdvantageOptimum Plan (HMO) (H5928-004-000, H5928); Blue Shield Inspire (HMO) (H0504-043-000, H0504)…

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Raman Moradkhan, MD

  • Clinical Cardiac Electrophysiology Physician
  • Modesto, CA
  • NPI 1427025766

  Cardiovascular Disease

  NPD
• Vance S Angeles, PA

  • Physician Assistant
  • Los Banos, CA
  • NPI 1952347502
  NPD (past)
• Rim Atoui, MD

  • Critical Care Medicine (Internal Medicine) Physician
  • Modesto, CA
  • NPI 1750587101

  Pulmonary Disease

  NPD (past)
• Oussama I Dagher, MD

  • Cardiovascular Disease Physician
  • Turlock, CA
  • NPI 1710183165
  NPD (past)
• Yohannes Abraham Gebreegziabher, M.D.

  • Cardiovascular Disease Physician
  • Turlock, CA
  • NPI 1700032216
  NPD (past)
• Reza Nazari, MD

  • Cardiovascular Disease Physician
  • Turlock, CA
  • NPI 1215195557
  NPD (past)
• John Adan, MD

  • Interventional Cardiology Physician
  • El Paso, TX
  • NPI 1295709665
  NPD (past)

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

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1271376000000",
    "number": "1194864769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4398",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953524398",
            "telephone_number": "209-575-4575",
            "fax_number": "209-575-4598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2141 COLORADO AVE",
            "city": "TURLOCK",
            "state": "CA",
            "postal_code": "953822011",
            "telephone_number": "209-634-2600",
            "fax_number": "209-575-4598"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REZA VAFADOUSTE MD A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-06",
        "last_updated": "2010-04-16",
        "status": "A",
        "authorized_official_last_name": "VAFADOUSTE",
        "authorized_official_first_name": "REZA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "209-575-4575",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "A79905",
            "primary": true
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "CA",
            "license": "A79905",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A799050",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Melvyn Scott Renshaw, DDS
• Beatrice Renteria
• Heriberto Revuelta
• Nia Hellen Reyes
• Randi Mary Reyes
• Reza Vafadouste MD a Medical Corporation
• Ali H Reza, MD
• David Joseph Ricci, PHARMD
• Rice Professional Dental Corportion (Turlock Family Dentistry)
• Jeffrey Scott Rice, D.D.S

• Cardiovascular Disease Physician in Turlock, CA
• Providers in Turlock, CA by specialty
• Cardiovascular Disease Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2010; 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.