Organization Active NPI

Neda Heidari M.D. Inc

  • Behavioral Neurology & Neuropsychiatry Physician
  • Oxnard, CA
National Provider Identifier
1578212874
Registry record updated Mar 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavioral Neurology & Neuropsychiatry PhysicianTaxonomy code 2084B0040X
Legal business name
NEDA HEIDARI M.D. INC
Practice address
1801 Solar Dr Ste 165
Oxnard, CA 93030-8228
Phone
(805) 744-2141
Fax
(805) 744-2151
NPI assigned
Mar 22, 2022
Last updated
Mar 22, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2022

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

Authorized official

Name
Neda Heidari, MDNPI 1003028556
Title
Ceo
Phone
(805) 744-2141

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavioral Neurology & Neuropsychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084B0040X Primary

Addresses

Primary practice location

1801 Solar Dr Ste 165
Oxnard, CA 93030-8228

Mailing address

2390 Las Posas Rd
Camarillo, CA 93010-3479

Other practice location 1

1801 Solar Dr Ste 165
Oxnard, CA 93030-8228
Phone (805) 744-2141

Other practice location 2

1801 Solar Dr Ste 165
Oxnard, CA 93030-8228
Phone (805) 744-2141

Other practice location 3

168 N Brent St Ste 403
Ventura, CA 93003-2824
Phone (805) 744-2141

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230509002892 CA Part B Supplier - Clinic/Group Practice 2264898683 Receives reassigned benefits from 2 practitioners
Practice locations: Oxnard, CA

National Provider Directory

National Provider Directory

Locations

2390 Las Posas Rd
Camarillo, CA 93010

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1647907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647907200000",
    "number": "1578212874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2390 LAS POSAS RD",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930103479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 SOLAR DR STE 165",
            "city": "OXNARD",
            "state": "CA",
            "postal_code": "930308228",
            "telephone_number": "805-744-2141",
            "fax_number": "805-744-2151"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1801 Solar Dr Ste 165",
            "address_purpose": "LOCATION",
            "city": "Oxnard",
            "state": "CA",
            "postal_code": "930308228",
            "country_code": "US",
            "telephone_number": "805-744-2141",
            "fax_number": "805-744-2151",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1801 Solar Dr Ste 165",
            "address_purpose": "LOCATION",
            "city": "Oxnard",
            "state": "CA",
            "postal_code": "930308228",
            "country_code": "US",
            "telephone_number": "805-744-2141",
            "fax_number": "805-744-2151",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "168 N Brent St Ste 403",
            "address_purpose": "LOCATION",
            "city": "Ventura",
            "state": "CA",
            "postal_code": "930032824",
            "country_code": "US",
            "telephone_number": "805-744-2141",
            "fax_number": "805-744-4151",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NEDA HEIDARI M.D. INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-22",
        "last_updated": "2022-03-22",
        "certification_date": "2022-03-22",
        "status": "A",
        "authorized_official_last_name": "HEIDARI",
        "authorized_official_first_name": "NEDA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "805-744-2141",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084B0040X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Behavioral Neurology & Neuropsychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oxnard, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.