Individual provider Active NPI

Iraj Dulabi Zandi, M.D.

  • Specialist
  • Fremont, CA
National Provider Identifier
1265598866
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
A025854 Issued in CA
Practice address
2557 Mowry Ave
Suite 20
Fremont, CA 94538-1603
Phone
(510) 796-9850
Fax
(510) 796-9854
NPI assigned
Dec 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X A025854 CA Primary

Addresses

Primary practice location

2557 Mowry Ave
Suite 20
Fremont, CA 94538-1603

Mailing address

2557 Mowry Ave
Suite 20
Fremont, CA 94538-1603
Phone (510) 796-9850

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A025854CAMDSpecialist

Interoperability endpoints

  • Direct secure messaging: izandi13938@direct.whhs.com

NPI Registry JSON

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

{
    "created_epoch": "1167264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1265598866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2557 MOWRY AVE",
            "address_2": "SUITE 20",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945381603",
            "telephone_number": "510-796-9850",
            "fax_number": "510-796-9854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2557 MOWRY AVE",
            "address_2": "SUITE 20",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945381603",
            "telephone_number": "510-796-9850",
            "fax_number": "510-796-9854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZANDI",
        "first_name": "IRAJ",
        "middle_name": "DULABI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "A025854",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fremont, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.