Active NPI
Mehran Mirkazemi, DO, PC
Doing business as Golden oak Surgical Associates
- Surgery Physician
- Thousand Oaks, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 5101013208
- Legal business name
- MEHRAN MIRKAZEMI, DO, PC
- Doing business as
- Golden oak Surgical Associates
- Practice address
- 455 E Thousand Oaks Blvd Ste 106
Thousand Oaks, CA 91360-5877 - Phone
- (805) 908-6552
- Fax
- (805) 365-4115
- NPI assigned
- Dec 3, 2007
- Last updated
- Jan 12, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Mehran Mirkazemi, D.O.
- Title
- General Surgeon
- Phone
- (313) 580-4244
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 5101013208 | MI | Primary |
Addresses
Primary practice location
455 E Thousand Oaks Blvd Ste 106
Thousand Oaks, CA 91360-5877
Mailing address
455 E Thousand Oaks Blvd Ste 106
Thousand Oaks, CA 91360-5877
Phone (805) 908-6552
Other practice location 1
455 E Thousand Oaks Blvd Ste 106
Thousand Oaks, CA 91360-5877
Phone (805) 908-6552
Other names 1
- Golden oak Surgical Associates
National Provider Directory
National Provider DirectoryLocations
455 E Thousand Oaks Blvd
Ste 106
Thousand Oaks, CA 91360
Phone (805) 908-6552
22190 Garrison St
Ste 301
Dearborn, MI 48124
Phone (313) 277-0500
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Surgery Physician
- Thousand Oaks, CA
- NPI 1811967268
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1196640000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1768176000000",
"number": "1245412170",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "455 E THOUSAND OAKS BLVD STE 106",
"city": "THOUSAND OAKS",
"state": "CA",
"postal_code": "913605877",
"telephone_number": "805-908-6552",
"fax_number": "805-365-4115"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "455 E THOUSAND OAKS BLVD STE 106",
"city": "THOUSAND OAKS",
"state": "CA",
"postal_code": "913605877",
"telephone_number": "805-908-6552",
"fax_number": "805-365-4115"
}
],
"practiceLocations": [
{
"address_1": "455 E Thousand Oaks Blvd Ste 106",
"address_purpose": "LOCATION",
"city": "Thousand Oaks",
"state": "CA",
"postal_code": "913605877",
"country_code": "US",
"telephone_number": "805-908-6552",
"fax_number": "805-365-4115",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "MEHRAN MIRKAZEMI, DO, PC",
"organizational_subpart": "NO",
"enumeration_date": "2007-12-03",
"last_updated": "2026-01-12",
"certification_date": "2026-01-12",
"status": "A",
"authorized_official_last_name": "MIRKAZEMI",
"authorized_official_first_name": "MEHRAN",
"authorized_official_title_or_position": "GENERAL SURGEON",
"authorized_official_telephone_number": "313-580-4244",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.O."
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "MI",
"license": "5101013208",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Golden oak Surgical Associates",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Thousand Oaks, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.