Azadeh Nezhat, M.D.

Primary specialty

Gynecology PhysicianTaxonomy code 207VG0400X

License

C54221 Issued in CA

Practice address

1775 Woodside Rd Ste 202
Woodside, CA 94061-3454

Phone

(650) 327-8778

Fax

(650) 327-2794

NPI assigned

Aug 18, 2005

Last updated

Jul 22, 2023By 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 2

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Center for Special Minimally Invasive Surgery

  • Specialist
  • Palo Alto, CA
  • NPI 1861542755
  NPD (past)
• Endoscopy Surgical Assistants

  • Gynecology Physician
  • Palo Alto, CA
  • NPI 1245564939
  NPD (past)
• Northern California Surgical Endoscopy, Inc.

  • Specialist
  • Woodside, CA
  • NPI 1235591496
  NPD (past)
• San Francisco Bay Area Surgeons PC

  • Surgery Physician
  • Woodside, CA
  • NPI 1528997582
  NPD (past)
• Atlanta Women's Health Group, P.C.

  • Obstetrics & Gynecology Physician
  • Sandy Springs, GA
  • NPI 1013971753
  NPD (past)
• Northside Surgical Professional Services LLC

  • Surgery Physician
  • Atlanta, GA
  • NPI 1356630990
  NPD (past)

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

{
    "created_epoch": "1124323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689984000000",
    "number": "1396737003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1775 WOODSIDE RD STE 202",
            "city": "WOODSIDE",
            "state": "CA",
            "postal_code": "940613454",
            "telephone_number": "650-327-8778",
            "fax_number": "650-327-2794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1775 WOODSIDE RD STE 202",
            "city": "WOODSIDE",
            "state": "CA",
            "postal_code": "940613454",
            "telephone_number": "650-327-8778",
            "fax_number": "650-327-2794"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEZHAT",
        "first_name": "AZADEH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-18",
        "last_updated": "2023-07-22",
        "certification_date": "2023-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "GA",
            "license": "047630",
            "primary": false
        },
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "CA",
            "license": "C54221",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maia Alexandra Mosse
• Courtney Lockwood Murphy, PH.D.
• National Center for Equine Facilitated Therapy
• Navvisa, Inc.
• Lisa Renae Nelson, LMFT
• Northern California Surgical Endoscopy, Inc.
• Rodney Perkins, M.D.
• William Perrine, MD
• Jacqueline M Phillips, MD
• Bonnie Sabrina Pospisil, MFT

• Gynecology Physician in Woodside, CA
• Providers in Woodside, CA by specialty
• Gynecology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2023; 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.