Active NPI
Paymon Rahgozar, M.D.
- Plastic and Reconstructive Surgery Physician
- Thousand Oaks, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic and Reconstructive Surgery Physician
- License
- A107647
- Practice address
- 455 E Thousand Oaks Blvd Ste 106
Thousand Oaks, CA 91360-5877 - Phone
- (818) 900-4532
- NPI assigned
- Aug 6, 2008
- Sex
- Male
- Sole proprietor
- Yes
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 | 4301109368 | MI | |
| Plastic and Reconstructive Surgery Physician | 2086S0122X | A107647 | CA | Primary |
Addresses
Primary practice location
455 E Thousand Oaks Blvd Ste 106
Thousand Oaks, CA 91360-5877
Mailing address
30700 Russell Ranch Rd Ste 250
Westlake Village, CA 91362-9507
Other practice location 1
2200 Park Bend Dr Ste 200
Austin, TX 78758-5387
Phone (818) 900-4532
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
- Plastic and Reconstructive Surgery
- Education
- Washington University School of Medicine, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
415 Rolling Oaks Dr
Suite 220
Thousand Oaks, CA 91361-1046
Phone (818) 900-4532
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Mastectomy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A107647 | CA | MD | Plastic and Reconstructive Surgery Physician |
| 4301109368 | MI | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of California SFGH Medical Group | Current | Accepting new patients | |
| University of California SFGH Medical Group | Current | Accepting new patients | |
| Plastikos Inc. | Current | Accepting new patients | |
| University of California SFGH Medical Group | Current | Accepting new patients | |
| Regents of the University of California | Current | Accepting new patients |
Locations
400 Parnassus Ave
#300
San Francisco, CA 94143
Phone (415) 476-2163
2330 Post St
San Francisco, CA 94115
Phone (415) 502-4444
505 Parnassus Ave
San Francisco, CA 94143
Phone (415) 476-9058
400 Parnassus Ave
San Francisco, CA 94143
Phone (415) 353-2000
505 Parnassus Ave
#M593
San Francisco, CA 94143
Phone (415) 353-4285
1001 Potrero Ave
San Francisco, CA 94110
Phone (415) 206-2305
1001 Potrero Ave
Rm 3A
San Francisco, CA 94110
Phone (415) 206-4632
400 Parnassus Ave
#A632
San Francisco, CA 94143
Phone (415) 473-1000
455 E Thousand Oaks Blvd
Ste 106
Thousand Oaks, CA 91360
Phone (805) 800-8040
415 Rolling Oaks Dr
Ste 220
Thousand Oaks, CA 91361
Phone (805) 379-9696
30700 Russell Ranch Rd
Ste 250
Westlake Village, CA 91362
Phone (800) 764-8981
Organizations & group practices 5
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.
-
- Health Service Clinic/Center
- Westlake Village, CA
- NPI 1457019572
-
- Internal Medicine Physician
- San Francisco, CA
- NPI 1760552343
-
- Surgery Physician
- San Francisco, CA
- NPI 1477528503
-
- Vascular Surgery Physician
- San Francisco, CA
- NPI 1033913959
-
- Surgical Critical Care Physician
- San Francisco, CA
- NPI 1306282975
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1217980800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784505600000",
"number": "1447416771",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30700 RUSSELL RANCH RD STE 250",
"city": "WESTLAKE VILLAGE",
"state": "CA",
"postal_code": "913629507"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "455 E THOUSAND OAKS BLVD STE 106",
"city": "THOUSAND OAKS",
"state": "CA",
"postal_code": "913605877",
"telephone_number": "818-900-4532"
}
],
"practiceLocations": [
{
"address_1": "2200 Park Bend Dr Ste 200",
"address_purpose": "LOCATION",
"city": "Austin",
"state": "TX",
"postal_code": "787585387",
"country_code": "US",
"telephone_number": "818-900-4532",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RAHGOZAR",
"first_name": "PAYMON",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-08-06",
"last_updated": "2026-07-20",
"certification_date": "2026-07-20",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "MI",
"license": "4301109368",
"primary": false
},
{
"code": "2086S0122X",
"taxonomy_group": "",
"desc": "Surgery, Plastic and Reconstructive Surgery",
"state": "CA",
"license": "A107647",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Thousand Oaks, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2026; 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.