California Center for Cardiothoracic Surgery, a Medical Group

Primary specialty

Vascular Surgery PhysicianTaxonomy code 2086S0129X

Legal business name

CALIFORNIA CENTER FOR CARDIOTHORACIC SURGERY, A MEDICAL GROUP

Practice address

16255 Ventura Blvd
Suite 910
Encino, CA 91436-2302

Phone

(818) 990-4600

Fax

(818) 990-7841

NPI assigned

May 18, 2007

Last updated

Jun 30, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Gholam R Mohammadzadeh, MD

Title

Partner Physician

Phone

(805) 379-9456

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1179446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214784000000",
    "number": "1588872907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2190 LYNN RD",
            "address_2": "SUITE 220",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913601980",
            "telephone_number": "805-495-8050",
            "fax_number": "805-496-2160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16255 VENTURA BLVD",
            "address_2": "SUITE 910",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914362302",
            "telephone_number": "818-990-4600",
            "fax_number": "818-990-7841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALIFORNIA CENTER FOR CARDIOTHORACIC SURGERY, A MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-18",
        "last_updated": "2008-06-30",
        "status": "A",
        "authorized_official_last_name": "MOHAMMADZADEH",
        "authorized_official_first_name": "GHOLAM",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PARTNER PHYSICIAN",
        "authorized_official_telephone_number": "805-379-9456",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cal Star Home Health
• Belina Calderon-Nernberg
• Shawn Caley, D.C.
• California Care Home Health, Inc.
• California Care Services
• California Center for Healthy Living
• California Fertility Centers, a Medical Corporation (IVF Fertility Center)
• California Hand Center, Inc.
• California Healthcare Management Group, Inc
• California Industrial Laboraties, Inc

• Vascular Surgery Physician in Encino, CA
• Providers in Encino, CA by specialty
• Vascular Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.