Individual provider Active NPI

Mazyar E Ahmadi, M.D.

  • Vascular & Interventional Radiology Physician
  • Rancho Cordova, CA
National Provider Identifier
1609008481
Registry record updated Oct 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
License
A101569 Issued in CA
Practice address
3400 Data Dr
Rancho Cordova, CA 95670-7956
Phone
(916) 379-2871
Fax
(916) 853-4730
NPI assigned
Aug 12, 2009
Last updated
Oct 25, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X A101569 CA
Vascular & Interventional Radiology Physician 2085R0204X A101569 CA Primary

Addresses

Primary practice location

3400 Data Dr
Rancho Cordova, CA 95670-7956

Mailing address

3400 Data Dr
Rancho Cordova, CA 95670-7956

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
I20110812000057 CA Practitioner - Interventional Radiology 4880863679 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional Radiology
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Dignity Health Medical FoundationGroup PAC ID 7810800661, 1,211 clinicians

Practice addresses (Care Compare)

1050 Iron Point Rd
Folsom, CA 95630-8013
Phone (916) 986-5230

107 Margaret LN
Grass Valley, CA 95945-5211
Phone (530) 247-9623

155 Glasson Way
Suite L 10
Grass Valley, CA 95945-5723
Phone (530) 274-6677

1635 Creekside Dr
Suite 100
Folsom, CA 95630-3830
Phone (916) 986-5200

1650 Creekside Dr
Folsom, CA 95630-3400
Phone (916) 983-7476

1700 Prairie City Rd
Folsom, CA 95630-9594
Phone (916) 351-4800

1730 Prairie City Rd
Suite 120
Folsom, CA 95630-9594
Phone (916) 351-4800

2110 Professional Dr
Roseville, CA 95661-3779

2528 Sister Mary Columba Dr
Red Bluff, CA 96080-4327
Phone (530) 528-6100

2580 Sister Mary Columba Dr
Suite 200
Red Bluff, CA 96080-4327
Phone (530) 528-6150

3000 Q St
Sacramento, CA 95816-7058
Phone (916) 560-0319

3301 C St
Suite 500
Sacramento, CA 95816-3372
Phone (916) 556-3300

4001 J St
Sacramento, CA 95819-3626
Phone (916) 453-4414

6305 Coyle Ave
Carmichael, CA 95608-0438
Phone (916) 535-2000

632 W Gibson Rd
Woodland, CA 95695-5169
Phone (530) 668-2600

6501 Coyle Ave
Carmichael, CA 95608-0306
Phone (916) 537-5190

6511 Coyle Ave
Carmichael, CA 95608-0306
Phone (916) 556-3300

6555 Coyle Ave
Carmichael, CA 95608-0302

7500 Hospital Dr
Sacramento, CA 95823-5403
Phone (916) 423-6176

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
99.64 of 100Reported as apm
Quality
86.27
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
101569CAMDClinical Social Worker
A101569CAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dignity Health Medical Foundation Current Accepting new patients
Dignity Health Medical Foundation CurrentSince Nov 1, 2011 Accepting new patients
Dignity Health Medical Foundation CurrentSince Nov 1, 2011 Accepting new patients
Catholic Healthcare West Past Accepting new patients
St. Joseph's Hospital, Yonkers Past Accepting new patients
Dignity Health Past Accepting new patients
Sierra Nevada Memorial-Miners Hospital Past Accepting new patients
Dignity Community Care Past Accepting new patients

Locations (25 of 26)

3581 Palmer Dr
Ste 401
Cameron Park, CA 95682
Phone (530) 676-4122

6305 Coyle Ave
Carmichael, CA 95608
Phone (916) 961-6920

6403 Coyle Ave
Ste 250
Carmichael, CA 95608
Phone (916) 961-2820

6555 Coyle Ave
Carmichael, CA 95608
Phone (916) 536-2500

6555 Coyle Ave
Ste 180
Carmichael, CA 95608
Phone (916) 536-2408

6660 Coyle Ave
Ste 360
Carmichael, CA 95608
Phone (916) 536-3060

8001 Madison Ave
Citrus Hts, CA 95610
Phone (916) 536-2420

7911 Laguna Blvd
Elk Grove, CA 95758
Phone (916) 683-3950

1625 Creekside Dr
Ste 101
Folsom, CA 95630
Phone (916) 984-1866

2020 Court St
Redding, CA 96001
Phone (530) 243-1236

2380 Bechelli Ln
Redding, CA 96002
Phone (530) 226-1800

2510 Airpark Dr
Ste 301
Redding, CA 96001
Phone (530) 242-3500

3400 Data Dr
Rncho Cordova, CA 95670
Phone (916) 379-2726

1380 Lead Hill Blvd
#100
Roseville, CA 95661

1380 Lead Hill Blvd
Ste 100
Roseville, CA 95661
Phone (916) 535-2030

2110 Professional Dr
Ste 120
Roseville, CA 95661
Phone (916) 536-2500

2110 Professional Dr
Ste 190
Roseville, CA 95661
Phone (916) 787-0404

3000 Q St
Sacramento, CA 95816
Phone (916) 733-5701

3301 C St
Ste 500
Sacramento, CA 95816
Phone (916) 556-3300

3939 J St
Ste 250
Sacramento, CA 95819
Phone (916) 733-6901

3941 J St
Sacramento, CA 95819
Phone (916) 453-4458

4400 Duckhorn Dr
Ste 100
Sacramento, CA 95834
Phone (916) 575-8000

7500 Hospital Dr
Sacramento, CA 95823
Phone (916) 423-3000

8120 Timberlake Way
Ste 109
Sacramento, CA 95823
Phone (916) 681-6000

1595 Soquel Dr
Ste 400
Santa Cruz, CA 95065
Phone (831) 475-1111

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1250035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477353600000",
    "number": "1609008481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 DATA DR",
            "city": "RANCHO CORDOVA",
            "state": "CA",
            "postal_code": "956707956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 DATA DR",
            "city": "RANCHO CORDOVA",
            "state": "CA",
            "postal_code": "956707956",
            "telephone_number": "916-379-2871",
            "fax_number": "916-853-4730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AHMADI",
        "first_name": "MAZYAR",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-08-12",
        "last_updated": "2016-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "A101569",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "CA",
            "license": "A101569",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rancho Cordova, CA

Sources for this page

Verify at the official NPI Registry.