Nourollah B. Ghorbani, M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

A40690 Issued in CA

Practice address

130 La Casa Via Ste 102
Walnut Creek, CA 94598-3025

Phone

(925) 946-9004

Fax

(925) 946-9319

NPI assigned

Aug 18, 2006

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

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

Other, 1974

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

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.

• Nourollah B. Ghorbani,M.D.Inc.

  • Medical Specialty Clinic/Center
  • Walnut Creek, CA
  • NPI 1346542743

  CA

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1155859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1428969600000",
    "number": "1508970682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 LA CASA VIA STE 102",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945983025",
            "telephone_number": "925-946-9004",
            "fax_number": "925-946-9319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 LA CASA VIA STE 102",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945983025",
            "telephone_number": "925-946-9004",
            "fax_number": "925-946-9319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GHORBANI",
        "first_name": "NOUROLLAH",
        "middle_name": "B.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-18",
        "last_updated": "2015-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "A40690",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• GHC of Walnut Creek, LLC
• Kamal S Ghei, M.D.
• Darcie Lynn Ghigiarelli, FNP
• Julianne Marie Ghiglieri-Cole, IBCLC, MA, CCC-SLP
• Mirette Samir Ramzi Ghobrial
• Shireen Ghorbani, M.D.
• Laiba Ghufran
• Apar Singh Ghuman, D.O., M.PH.
• Pamela Susan Giacalone, MD
• Patti Giallanzo

• All providers in Walnut Creek, CA
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2015; 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.