Active NPI
Noushin Haddad-Tehrani, MD
- Internal Medicine Physician
- Walnut Creek, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- A69067
- Practice address
- 2621 Shadelands Dr
Walnut Creek, CA 94598-2512 - Phone
- (925) 947-0417
- NPI assigned
- May 16, 2006
- Last updated
- Mar 25, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 049032 | CT | |
| Internal Medicine Physician | 207R00000X | A69067 | CA | Primary |
Addresses
Primary practice location
2621 Shadelands Dr
Walnut Creek, CA 94598-2512
Mailing address
1450 Treat Blvd # 300
Walnut Creek, CA 94597-2168
Phone (925) 952-2828
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 008023135 | Medicaid | CT |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
2621 Shadelands Dr
Walnut Creek, CA 94598-2512
Phone (925) 947-0417
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A69067 | CA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Permanente Medical Group Inc | Internal Medicine | Current | Accepting new patients |
| Permanente Medical Group, Inc | Current | Accepting new patients | |
| John Muir Physician Network | Current | Accepting new patients | |
| Middlesex Hospital | Internal Medicine | Current | Accepting new patients |
| Middlesex Hospital | Past | Accepting new patients | |
| John Muir Health | Past | Accepting new patients |
Locations
2400 Balfour Rd
Ste 120
Brentwood, CA 94513
Phone (925) 308-8112
380 Civic Dr
Ste 100
Pleasant Hill, CA 94523
Phone (925) 284-3840
1150 Veterans Blvd
Redwood City, CA 94063
Phone (650) 299-2015
901 Nevin Ave
Richmond, CA 94801
Phone (510) 307-1500
2200 Ofarrell St
San Francisco, CA 94115
Phone (415) 202-2000
710 Lawrence Expy
Santa Clara, CA 95051
Phone (408) 236-6400
7373 West Ln
Stockton, CA 95210
Phone (209) 476-2000
975 Sereno Dr
Vallejo, CA 94589
Phone (707) 651-1000
2621 Shadelands Dr
Walnut Creek, CA 94598
Phone (925) 947-0417
28 Crescent St
Middletown, CT 06457
Phone (860) 358-6000
80 S Main St
Ste 102
Middletown, CT 06457
Phone (860) 358-6878
Interoperability endpoints
- nhaddadtehrani133219@ehr.johnmuirhealth.com
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- General Practice Physician
- Walnut Creek, CA
- NPI 1841407665
-
- Internal Medicine Physician
- Santa Clara, CA
- NPI 1073606299
-
- Clinical Medical Laboratory
- San Jose, CA
- NPI 1497971584
-
dba Middlesex Hospital dba Middlesex Hospital Physician Services
- Family Nurse Practitioner
- Middletown, CT
- NPI 1972563138
Internal Medicine
-
- Rehabilitation Hospital Unit
- Walnut Creek, CA
- NPI 1447269303
-
dba Middlesex Hospital Homecare and Hospice
- Community Based Hospice Care Agency
- Middletown, CT
- NPI 1003873233
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba John Muir Health, Walnut Creek Medical Center
- General Acute Care Hospital
- Walnut Creek, CA
- NPI 1740215219
-
dba John Muir Health Medical Center, Concord Campus
- General Acute Care Hospital
- Concord, CA
- NPI 1801821376
-
dba One Health Hospice & Home Health
- Home Health Agency
- Livermore, CA
- NPI 1730616624
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147737600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1585094400000",
"number": "1215988878",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1450 TREAT BLVD # 300",
"city": "WALNUT CREEK",
"state": "CA",
"postal_code": "945972168",
"telephone_number": "925-952-2828"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2621 SHADELANDS DR",
"city": "WALNUT CREEK",
"state": "CA",
"postal_code": "945982512",
"telephone_number": "925-947-0417"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HADDAD-TEHRANI",
"first_name": "NOUSHIN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-16",
"last_updated": "2020-03-25",
"certification_date": "2020-03-25",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CT",
"license": "049032",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "A69067",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "008023135",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Walnut Creek, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2020; 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.