Ehsan Ghods, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

20A10162 Issued in CA

Practice address

4520 Business Center Drive
Suite 200
Fairfield, CA 94534

Phone

(707) 646-3500

Fax

(707) 646-3501

NPI assigned

Jul 19, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Family Practice

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Northbay Physicians Surgery Center, LLCGroup PAC ID 0042122244, 336 clinicians

Northbay Health Medical FoundationGroup PAC ID 3274010871, 207 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Healthflex Home Health Services Home health agency, Oakland, CA, CCN 059551
• Ascension Healthcare Services Home health agency, Campbell, CA, CCN 059765
• Angelcare Home Health Services, LLC Home health agency, Milpitas, CA, CCN 053162
• Accentcare Home Health of California, Inc Home health agency, San Ramon, CA, CCN 057517
• Athome Healthcare Team, LLC Home health agency, American Canyon, CA, CCN 059644
• Northbay Medical Center Hospital, Fairfield, CA, CCN 050367

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

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.

• Northbay Health Medical Foundation

  • Internal Medicine Physician
  • Fairfield, CA
  • NPI 1760283527

  Family Medicine

  Medicare reassignment Care Compare group NPD
• Northbay Healthcare Group

  • General Acute Care Hospital
  • Fairfield, CA
  • NPI 1821147786
  Medicare reassignment Care Compare group NPD
• Northbay Healthcare Group

  • Multi-Specialty Clinic/Center
  • Vacaville, CA
  • NPI 1760534713
  NPD
• Northbay Healthcare Group

  • Addiction Medicine (Psychiatry & Neurology) Physician
  • Fairfield, CA
  • NPI 1780736736
  NPD
• Osf Healthcare System

  • General Acute Care Hospital
  • Danville, IL
  • NPI 1699288449
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Accentcare Home Health of California, Inc.

  • Home Health Agency
  • San Ramon, CA
  • NPI 1972559961
  Care Compare affiliation
• Amlife Home Health Services, LLC

  • Home Health Agency
  • Campbell, CA
  • NPI 1295127256
  Care Compare affiliation
• Angelcare Home Health Services LLC

  • Home Health Agency
  • Fremont, CA
  • NPI 1558727776
  Care Compare affiliation
• Athome Healthcare Team, LLC

  • Home Health Agency
  • American Canyon, CA
  • NPI 1285043141
  Care Compare affiliation
• Healthflex Home Health Services

  • Home Health Agency
  • Oakland, CA
  • NPI 1326399296
  Care Compare affiliation
• Northbay Healthcare Group

  • General Acute Care Hospital
  • Fairfield, CA
  • NPI 1821147786
  Care Compare affiliation

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447027200000",
    "number": "1386663508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4520 BUSINESS CENTER DRIVE",
            "address_2": "SUITE 200",
            "city": "FAIRFIELD",
            "state": "CA",
            "postal_code": "94534",
            "telephone_number": "707-646-3500",
            "fax_number": "707-646-3501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4520 BUSINESS CENTER DRIVE",
            "address_2": "SUITE 200",
            "city": "FAIRFIELD",
            "state": "CA",
            "postal_code": "94534",
            "telephone_number": "707-646-3500",
            "fax_number": "707-646-3501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GHODS",
        "first_name": "EHSAN",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-19",
        "last_updated": "2015-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "20A10162",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nuray Gercek, FNP
• Susan Gerdtz, LCSW
• Eloise Gerken
• Michelle Gerson, MFT
• Danielle Geter
• Alia Ghoneum, MD/PHD
• Sarbjot K Ghuman, M.D.
• Vivian Giang
• Nina Giannini
• Brooke Gibbins

• Family Medicine Physician in Fairfield, CA
• Providers in Fairfield, 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 Nov 9, 2015; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.