Khashayar Mohebali, MD

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

A94434 Issued in CA

Practice address

UCSF Department of Surgery
513 Parnassus Ave, Room S321
San Francisco, CA 94143-0001

Phone

(415) 476-1239

NPI assigned

Dec 3, 2007

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

Plastic and Reconstructive Surgery

Education

Ohio State University College of Medicine, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Khashayar Mohebali MD a Medical CorporationGroup PAC ID 6800037334, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Marinhealth Medical Center Hospital, Greenbrae, CA, CCN 050360

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• Khashayar Mohebali MD a Medical Corporation

  • Plastic Surgery Physician
  • Corte Madera, CA
  • NPI 1881030484
  Medicare reassignment Care Compare group NPD Authorized official
• Plastic Surgery Specialists, Inc

  • Ambulatory Surgical Clinic/Center
  • Greenbrae, CA
  • NPI 1184801854
  NPD (past)

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

• Marin General Hospital

  • General Acute Care Hospital
  • Greenbrae, CA
  • NPI 1396725677
  Care Compare affiliation

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

{
    "created_epoch": "1196640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196640000000",
    "number": "1437331360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "UCSF DEPARTMENT OF SURGERY",
            "address_2": "513 PARNASSUS AVE, ROOM S321",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941430001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "UCSF DEPARTMENT OF SURGERY",
            "address_2": "513 PARNASSUS AVE, ROOM S321",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941430001",
            "telephone_number": "415-476-1239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOHEBALI",
        "first_name": "KHASHAYAR",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-12-03",
        "last_updated": "2007-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "CA",
            "license": "A94434",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anitha Nisha Mohan, LCSW
• Hemica Mohan
• Katherine Mohan
• Alexander Mohapatra, M.D., PH.D.
• Sebastian Mohar
• Farnaz Kazi Mohiuddin
• Alisha Lynn Mohler, LVN
• Roger Lee Mohr Jr.
• Mohsen M Ansari, DMD Inc
• Rania Mohsin

• Plastic Surgery Physician in San Francisco, CA
• Providers in San Francisco, CA by specialty
• Plastic Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2007; 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.