Mohammad Reza Sheikholeslami, M.D.

Primary specialty

Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X

License

A82641 Issued in CA

Practice address

27321 Calle de la Rosa
San Juan Capistrano, CA 92675-1875

Phone

(949) 728-4841

NPI assigned

Nov 12, 2008

Sex

Male

Sole proprietor

No

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)

Not 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.

• St. Anthony'S Hospital Association

  • Critical Access Hospital
  • Morrilton, AR
  • NPI 1023160314
  NPD (past)
• St. Anthony'S Hospital Association

  • Critical Access Hospital
  • Morrilton, AR
  • NPI 1386796670
  NPD (past)

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

{
    "created_epoch": "1226448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1226448000000",
    "number": "1205080587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27321 CALLE DE LA ROSA",
            "city": "SAN JUAN CAPISTRANO",
            "state": "CA",
            "postal_code": "926751875",
            "telephone_number": "949-728-4841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27321 CALLE DE LA ROSA",
            "city": "SAN JUAN CAPISTRANO",
            "state": "CA",
            "postal_code": "926751875",
            "telephone_number": "949-728-4841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEIKHOLESLAMI",
        "first_name": "MOHAMMAD",
        "middle_name": "REZA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-11-12",
        "last_updated": "2008-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "CA",
            "license": "A82641",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rosa Serrano
• Shaini Shah DDS Dental Group Inc
• Zeina Shanata
• Sheer Recovery LLC
• Sheer Recovery LLC
• Elizabeth Sholly
• Alina Shrestha
• Donovan Shreve
• Lori Sibbers, L.AC.
• Ruth Naomi Silva

• Anatomic Pathology & Clinical Pathology Physician in San Juan Capistrano, CA
• Providers in San Juan Capistrano, CA by specialty
• Anatomic Pathology & Clinical Pathology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2008; 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.