Tahereh Kazemi Naderi, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

A157814 Issued in CA

Practice address

2950 International Blvd
Oakland, CA 94601-2228

Phone

(510) 485-5906

NPI assigned

Mar 24, 2017

Last updated

Jul 21, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Mrs. Tahereh Mirzakazemi Other name

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/18041/brand/1/csg/1/fhir/r4
• FHIR API: https://fhir4.healow.com/fhir/r4/BAGADD
• Direct secure messaging: tnaderi355384@direct.ochin.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Native American Health Center, Inc

  dba Native American Health Center

  • Federally Qualified Health Center (FQHC)
  • San Francisco, CA
  • NPI 1669642914
  Medicare reassignment NPD
• Native American Health Center, Inc

  dba Native American Health Center

  • Federally Qualified Health Center (FQHC)
  • Oakland, CA
  • NPI 1477250504
  NPD
• Native American Health Center, Inc

  dba Native American Health Center

  • Federally Qualified Health Center (FQHC)
  • Oakland, CA
  • NPI 1619147030
  NPD
• Sutter West Bay Medical Foundation

  dba Sutter Pacific Medical Foundation

  • Family Medicine Physician
  • San Francisco, CA
  • NPI 1104852789
  NPD (past)
• Anwan Wellness Medical Center PC

  • Specialist
  • Hapeville, GA
  • NPI 1497842777
  NPD (past)

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

{
    "created_epoch": "1490313600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626825600000",
    "number": "1326579947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2950 INTERNATIONAL BLVD",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946012228",
            "telephone_number": "510-485-5906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2950 INTERNATIONAL BLVD",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946012228",
            "telephone_number": "510-485-5906"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3569 Round Barn Cir Ste 200",
            "address_purpose": "LOCATION",
            "city": "Santa Rosa",
            "state": "CA",
            "postal_code": "954035781",
            "country_code": "US",
            "telephone_number": "707-583-8800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NADERI",
        "first_name": "TAHEREH",
        "middle_name": "KAZEMI",
        "name_prefix": "Ms.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-24",
        "last_updated": "2021-07-21",
        "certification_date": "2021-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A157814",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TAHEREH",
            "last_name": "MIRZAKAZEMI",
            "prefix": "MRS.",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Unes Nabipour, DDS
• Nancy Jane Nachtwey
• Nacila, LLC (Nacila Senior Living)
• Momina Nadeem
• Michel Wong Nadel, OD
• Zahra Naderi
• Albert Nadjarian, MD, MPH
• Laily Zahra Nadjem, LMFT 121081
• Mahan Sepehr Naeim
• Kyle Naganuma

• Family Medicine Physician in Oakland, CA
• Providers in Oakland, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.