M Reza Rohani MD Facs Inc

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

A108612 Issued in CA

Legal business name

M REZA ROHANI MD FACS INC

Practice address

2505 Samaritan Drive
Ste 504
San Jose, CA 95124-4014

Phone

(408) 356-4959

Fax

(408) 358-8692

NPI assigned

Feb 13, 2014

Organization subpart

No

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

Authorized official

Name

Mohammadreza Rohaninejad, MDNPI 1912139528

Title

Provider/ Owner

Phone

(408) 356-4959

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 2

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

• Mohammadreza Rohaninejad, MD

  • Surgery Physician
  • Los Gatos, CA
  • NPI 1912139528
  Medicare reassignment Care Compare group Authorized official
• Ligia Soraya Abohande, FNP

  • Family Nurse Practitioner
  • San Jose, CA
  • NPI 1083126684
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1392249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1392249600000",
    "number": "1265856124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2505 SAMARITAN DRIVE",
            "address_2": "STE 504",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951244014",
            "telephone_number": "408-356-4959",
            "fax_number": "408-358-8692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2505 SAMARITAN DRIVE",
            "address_2": "STE 504",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951244014",
            "telephone_number": "408-356-4959",
            "fax_number": "408-358-8692"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M REZA ROHANI MD FACS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-13",
        "last_updated": "2014-02-13",
        "status": "A",
        "authorized_official_last_name": "ROHANINEJAD",
        "authorized_official_first_name": "MOHAMMADREZA",
        "authorized_official_title_or_position": "PROVIDER/ OWNER",
        "authorized_official_telephone_number": "408-356-4959",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "CA",
            "license": "A108612",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Adrian On-Ning Ma, MD
• Caitlyn Ma

• Surgery Physician in San Jose, CA
• Providers in San Jose, CA by specialty
• Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.