Active NPI
Kiumars Ghahremani Ghadjar, M.D.
- Anesthesiology Physician
- San Jose, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- A133673
- Practice address
- 751 S Bascom Ave
San Jose, CA 95128-2604 - Phone
- (408) 885-5110
- Fax
- (408) 885-6317
- NPI assigned
- Mar 26, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Anesthesiology Physician | 207L00000X | A133673 | CA | Primary |
Addresses
Primary practice location
751 S Bascom Ave
San Jose, CA 95128-2604
Mailing address
751 S Bascom Ave
San Jose, CA 95128-2604
Phone (408) 885-5110
Other names 1
- Dr. Kiu Ghadjar
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- State University of New York at Buffalo School of Medicine, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
23845 McBean Pkwy
Valencia, CA 91355-2001
Phone (661) 200-1705
25751 McBean Pkwy
Suite 105
Valencia, CA 91355-3701
Phone (661) 200-1315
26357 McBean Pkwy
Suite 100
Santa Clarita, CA 91355-4489
Phone (661) 799-8300
2801 Atlantic Ave
Long Beach, CA 90806-1701
Phone (562) 933-5437
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A133673 | CA | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cep America - Anesthesia, PC | Anesthesiology | Current | Accepting new patients |
| Cep America - Anesthesia PC | Anesthesiology | Current | Accepting new patients |
| Relevo Health PC | Anesthesiology | Current | Accepting new patients |
| Cep America - Anesthesia PC | Anesthesiology | Current | Accepting new patients |
| Relevo Health PC | Anesthesiology | Current | Accepting new patients |
| Henry Mayo Newhall Memorial Hospital | Past | Accepting new patients | |
| Cep America - Anesthesia PC | Anesthesiology | Past | Accepting new patients |
Locations
2100 Powell St
Ste 400
Emeryville, CA 94608
Phone (510) 350-2638
1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423
2105 Forest Ave
San Jose, CA 95128
Phone (408) 947-2500
25751 McBean Pkwy
Ste 105
Valencia, CA 91355
Phone (661) 200-1315
25751 McBean Pkwy
Valencia, CA 91355
Phone (661) 200-1315
26357 McBean Pkwy
Ste 100
Valencia, CA 91355
Phone (661) 799-8300
23845 McBean Pkwy
Valencia, CA 91355
Phone (661) 200-2000
Organizations & group practices 7
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.
-
- Anesthesiology Physician
- Walnut Creek, CA
- NPI 1790401438
-
- Anesthesiology Physician
- Valencia, CA
- NPI 1003598475
-
- Anesthesiology Physician
- San Jose, CA
- NPI 1972951275
-
- Anesthesiology Physician
- Santa Clarita, CA
- NPI 1326802679
-
- Anesthesiology Physician
- Langhorne, PA
- NPI 1093678229
-
- Anesthesiology Physician
- Santa Clarita, CA
- NPI 1205693058
-
- General Acute Care Hospital
- Valencia, CA
- NPI 1780668434
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Valencia, CA
- NPI 1780668434
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1364256000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1695600000000",
"number": "1417299595",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "751 S BASCOM AVE",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951282604",
"telephone_number": "408-885-5110",
"fax_number": "408-885-6317"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "751 S BASCOM AVE",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951282604",
"telephone_number": "408-885-5110",
"fax_number": "408-885-6317"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GHADJAR",
"first_name": "KIUMARS",
"middle_name": "GHAHREMANI",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-03-26",
"last_updated": "2023-09-25",
"certification_date": "2023-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "CA",
"license": "A133673",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KIU",
"last_name": "GHADJAR",
"prefix": "DR.",
"credential": "M.D.",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in San Jose, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 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.
- 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.