Organization Active NPI

Mehran Mirkazemi, DO, PC

Doing business as Golden oak Surgical Associates

  • Surgery Physician
  • Thousand Oaks, CA
National Provider Identifier
1245412170
Registry record updated Jan 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
5101013208 Issued in MI
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, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2026

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

Authorized official

Name
Dr. Mehran Mirkazemi, D.O.NPI 1811967268
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)CodeLicenseStatePrimary
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 Doing business as

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.