Active NPI
Frank Nezhadian, MD
- Psychiatry Physician
- San Diego, CA
National Provider Identifier
1316030323
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- A50614
- Practice address
- 5538 University Ave
San Diego, CA 92105-2307 - Phone
- (619) 961-4583
- Fax
- (619) 229-4219
- NPI assigned
- Oct 2, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | A50614 | CA | Primary |
Addresses
Primary practice location
5538 University Ave
San Diego, CA 92105-2307
Mailing address
5163-B Renaissance Ave.
San Diego, CA 92122
Phone (619) 409-1680
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 50614 | CA | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159747200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1314835200000",
"number": "1316030323",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5163-B RENAISSANCE AVE.",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "92122",
"telephone_number": "619-409-1680",
"fax_number": "619-409-1683"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5538 UNIVERSITY AVE",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921052307",
"telephone_number": "619-961-4583",
"fax_number": "619-229-4219"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEZHADIAN",
"first_name": "FRANK",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-02",
"last_updated": "2011-09-01",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CA",
"license": "A50614",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.