Mobin Ghavami MD

Primary specialty

Emergency Care Clinic/CenterTaxonomy code 261QE0002X

Legal business name

MOBIN GHAVAMI MD

Practice address

900 S Fairmont Ave Ste a
Lodi, CA 95240-5143

Phone

(209) 333-2500

NPI assigned

Jul 14, 2021

Organization subpart

No

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

Authorized official

Name

Mobin Ghavami, MDNPI 1447239744

Title

MD Owner

Phone

(209) 333-2500

Specialties & licenses 2

Addresses

Other identifiers 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mobin P Ghavami, M.D.

  • Internal Medicine Physician
  • Lodi, CA
  • NPI 1447239744
  NPD Authorized official
• Zabihullah Shirzoi Wardak, M.D.

  • General Practice Physician
  • Lincoln, CA
  • NPI 1811249790
  NPD (past)

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

{
    "created_epoch": "1626220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626220800000",
    "number": "1225600653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 331",
            "city": "WOODBRIDGE",
            "state": "CA",
            "postal_code": "952580331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 S FAIRMONT AVE STE A",
            "city": "LODI",
            "state": "CA",
            "postal_code": "952405143",
            "telephone_number": "209-333-2500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOBIN GHAVAMI MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-14",
        "last_updated": "2021-07-14",
        "certification_date": "2021-07-14",
        "status": "A",
        "authorized_official_last_name": "GHAVAMI",
        "authorized_official_first_name": "MOBIN",
        "authorized_official_title_or_position": "MD OWNER",
        "authorized_official_telephone_number": "209-333-2500",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Emergency Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QE0002X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Emergency Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CA LICENSE",
            "identifier": "A54317",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jacqualin Miller, D.O.
• Tatiana Mims, PPS
• Vijay Mirmira, M.D
• Awnee Mitchell
• George D Mitchell, MD
• Vernice Sally Mohr, PSY TECH
• Mary J Molini, LMFT
• Lisa Monk
• George Moody
• Melanie Anne Mook, O.D.

• Emergency Care Clinic/Center in Lodi, CA
• Providers in Lodi, CA by specialty
• Emergency Care Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2021; 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.