Individual provider Active NPI

Paymon Rahgozar, M.D.

  • Plastic and Reconstructive Surgery Physician
  • Thousand Oaks, CA
National Provider Identifier
1447416771
Registry record updated Jul 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X
License
A107647 Issued in CA
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

Updated by the provider on Jul 20, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100310000201 CA Practitioner - Plastic and Reconstructive SurgeryPractitioner - Hand SurgeryPractitioner - General Surgery 4789729146 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive SurgeryAlso: Hand 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

ProcedureNumber of procedures
Mastectomy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A107647CAMDPlastic and Reconstructive Surgery Physician
4301109368MIMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
University of California SFGH Medical Group Current Accepting new patients
University of California SFGH Medical Group CurrentSince Sep 1, 2017 Accepting new patients
Plastikos Inc. CurrentSince Feb 1, 2022 Accepting new patients
University of California SFGH Medical Group CurrentSince Sep 1, 2017 Accepting new patients
Regents of the University of California CurrentSince Sep 1, 2017 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.

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

Verify at the official NPI Registry.