Thomas Mirzai, D.O.

Primary specialty

Allergy & Immunology PhysicianTaxonomy code 207K00000X

License

20A6865 Issued in CA

Practice address

3815 E Bell Rd
4400
Phoenix, AZ 85032-2122

Phone

(602) 788-7211

Fax

(602) 788-1890

NPI assigned

Aug 30, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

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 and National Provider Directory roles.

• Desert Center for Allergy and Chest Diseases

  • Pulmonary Disease Physician
  • Phoenix, AZ
  • NPI 1003991753
  NPD (past)

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

{
    "created_epoch": "1125360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1469577600000",
    "number": "1447243886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3815 E BELL RD",
            "address_2": "4400",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850322122",
            "telephone_number": "602-788-7211",
            "fax_number": "602-788-1890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3815 E BELL RD",
            "address_2": "4400",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850322122",
            "telephone_number": "602-788-7211",
            "fax_number": "602-788-1890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIRZAI",
        "first_name": "THOMAS",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-30",
        "last_updated": "2016-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "CA",
            "license": "20A6865",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "892598",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kayla Lauren Miro, LPC
• Joshua Mirrer, MD
• Mirror Image Dental LLC
• Zaman Zacharya Mirzadeh, MD, PHD
• Annasharena Mirzaee
• Maryann Mirzakandov
• Nicole C Mis, FNP
• Larry L Mischke, RN
• Jamie Lee Misencik, DNP, CPNP-AC
• Lisa Miserendino, MOTR/L

• Allergy & Immunology Physician in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Allergy & Immunology Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.