Individual provider Active NPI

Pezhman Mobasher, MD

  • Internal Medicine Physician
  • Fresno, CA
National Provider Identifier
1346829538
Registry record updated Jan 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
0101284004 Issued in VA
Practice address
1313 E Herndon Ave
Fresno, CA 93720-3306
Phone
(559) 450-7242
NPI assigned
Apr 5, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Internal Medicine Physician 207R00000X 0101284004 VA Primary

Addresses

Primary practice location

1313 E Herndon Ave
Fresno, CA 93720-3306

Mailing address

1313 E Herndon Ave
Fresno, CA 93720-3306
Phone (949) 573-4573

Other practice location 1

1313 E Herndon Ave
Fresno, CA 93720-3306
Phone (559) 450-7242

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, VA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20250225003316 DC Practitioner - Internal Medicine 0345760062 Reassigns benefits to 1 organization
I20250306003804 VA Practitioner - Internal Medicine 0345760062 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Privia Medical Group, LLCGroup PAC ID 4385682061, 1,522 clinicians

Practice addresses (Care Compare)

3535 S Ball St
Suite a
Arlington, VA 22202-4452
Phone (703) 348-9111

3535 S Ball STR a
Commonwealth Med Ctr
Arlington, VA 22202-4452
Phone (571) 366-8845

526 N Henry St
Alexandria, VA 22314-2233
Phone (703) 348-9111

9470 Annapolis Rd
Suite 309
Lanham, MD 20706-3022
Phone (202) 832-1800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Privia Medical Group, LLC Internal Medicine CurrentSince Feb 19, 2025 Accepting new patients
Privia Medical Group, LLC CurrentSince Feb 19, 2025 Accepting new patients
Accessible Physician Home Care, LLC Past Accepting new patients
Nova Physician Wellness Center PLLC Past Accepting new patients

Locations

9470 Annapolis Rd
Ste 309
Lanham, MD 20706
Phone (202) 832-1800

5876 Kingstowne Ctr
Ste 170
Alexandria, VA 22315
Phone (703) 783-3763

526 N Henry St
Alexandria, VA 22314
Phone (203) 348-8110

7609 Richmond Hwy
#B
Alexandria, VA 22306
Phone (703) 347-9440

950 N Glebe Rd
Ste 700
Arlington, VA 22203
Phone (484) 228-1065

3535 S Ball St
Ste A
Arlington, VA 22202
Phone (703) 558-4922

9801 Patriot Hwy
Fredericksburg, VA 22407

6446 Trading Sq
Haymarket, VA 20169

8644 Sudley Rd
#220
Manassas, VA 20110

13820 Smoketown Rd
Woodbridge, VA 22192
Phone (703) 897-8400

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8042/brand/1/csg/1/fhir/r4
  • Direct secure messaging: pezhman.mobasher.1@8042.direct.athenahealth.com

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1617580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737849600000",
    "number": "1346829538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1313 E HERNDON AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937203306",
            "telephone_number": "949-573-4573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1313 E HERNDON AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937203306",
            "telephone_number": "559-450-7242"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1313 E Herndon Ave",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937203306",
            "country_code": "US",
            "telephone_number": "559-450-7242",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOBASHER",
        "first_name": "PEZHMAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-04-05",
        "last_updated": "2025-01-26",
        "certification_date": "2025-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101284004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

Verify at the official NPI Registry.