California Center for Cardiothoracic Surgery

Primary specialty

Vascular Surgery PhysicianTaxonomy code 2086S0129X

Legal business name

CALIFORNIA CENTER FOR CARDIOTHORACIC SURGERY

Practice address

2100 Lynn Rd
Suite 100
Thousand Oaks, CA 91360

Phone

(805) 379-9456

Fax

(805) 494-4330

NPI assigned

Jul 2, 2006

Organization subpart

No

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

Authorized official

Name

Gholam R Mohammadzadeh, MD

Title

Partner Physician

Phone

(805) 379-9456

Specialties & licenses 1

Addresses

Other identifiers 3

Practitioners 1

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

• Mohammad Ali Gharavi, MD

  • Vascular Surgery Physician
  • Encino, CA
  • NPI 1285602698
  NPD (past)

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

{
    "created_epoch": "1151798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1316976327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2190 LYNN RD",
            "address_2": "SUITE 220",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "91360",
            "telephone_number": "805-495-8050",
            "fax_number": "805-496-2160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 LYNN RD",
            "address_2": "SUITE 100",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "91360",
            "telephone_number": "805-379-9456",
            "fax_number": "805-494-4330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALIFORNIA CENTER FOR CARDIOTHORACIC SURGERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MOHAMMADZADEH",
        "authorized_official_first_name": "GHOLAM",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PARTNER  PHYSICIAN",
        "authorized_official_telephone_number": "805-379-9456",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CK7028",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0083753",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "ZZZ23109Z",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christine Marie Caldwell, PA
• Michelle Caldwell
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• California Care Management, Inc.
• California Cerebrovascular Institute Inc
• California Dermatology Institute PC
• California Hand and Physical Therapy Inc
• California Hand and Physical Therapy Inc
• California Hand and Physical Therapy Inc

• Vascular Surgery Physician in Thousand Oaks, CA
• Providers in Thousand Oaks, CA by specialty
• Vascular Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.