Active NPI
Mehdi Doroodgar MD Inc
- Internal Medicine Physician
- San Jose, CA
National Provider Identifier
1497879522
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- A30972
- Legal business name
- MEHDI DOROODGAR MD INC
- Practice address
- 25 N 14TH St
Suite 840
San Jose, CA 95112-6204 - Phone
- (408) 297-8422
- Fax
- (408) 297-8622
- NPI assigned
- Mar 16, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Mehdi Doroodgar, MD
- Title
- Owner
- Phone
- (408) 297-8422
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | A30972 | CA | Primary |
Addresses
Primary practice location
25 N 14TH St
Suite 840
San Jose, CA 95112-6204
Mailing address
25 N 14TH St
Suite 840
San Jose, CA 95112-6204
Phone (408) 297-8422
Other names 1
- Mehdi Doroodgar MD Inc
National Provider Directory
National Provider DirectoryLocations
25 N 14th St
Ste 840
San Jose, CA 95112
Phone (408) 292-1722
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174003200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1497879522",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25 N 14TH ST",
"address_2": "SUITE 840",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951126204",
"telephone_number": "408-297-8422",
"fax_number": "408-297-8622"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25 N 14TH ST",
"address_2": "SUITE 840",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951126204",
"telephone_number": "408-297-8422",
"fax_number": "408-297-8622"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MEHDI DOROODGAR MD INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-16",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "DOROODGAR",
"authorized_official_first_name": "MEHDI",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "408-297-8422",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "CA",
"license": "A30972",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Mehdi Doroodgar MD Inc",
"code": "3",
"type": "Doing Business As"
}
]
}
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 Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.