Mazyar E Ahmadi, M.D.
Individual provider Active NPI Vascular & Interventional Radiology Physician · Rancho Cordova, CA
NPI 1609008481 · NPPES record last updated Oct 25, 2016
Key facts
- NPI
- 1609008481
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Vascular & Interventional Radiology Physician 2085R0204X
- License
- A101569 (CA)
- Practice address
- 3400 Data Dr
Rancho Cordova, CA 95670-7956 - Phone
- (916) 379-2871
- Fax
- (916) 853-4730
- NPI assigned
- Aug 12, 2009
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 9
Hospital & facility affiliations 5
Medicare Care Compare profile
- 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 Foundation
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
- Mercy San Juan Medical Center
- Mercy General Hospital
- Mercy Medical Center Redding
- Mercy Hospital of Folsom
- Methodist Hospital of Sacramento
Merit-based Incentive Payment System (MIPS)
- Final score
- 99.64 of 100
- Quality
- 86.27
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Varicose vein removal | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110812000057 | CA | Practitioner - Interventional Radiology | 4880863679 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 101569 | CA | MD | Clinical Social Worker |
| A101569 | CA | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dignity Health Medical Foundation | Current |
Accepting new patients | |
| Dignity Health Medical Foundation | Current | Accepting new patients | |
| Dignity Health Medical Foundation | Current |
Accepting new patients | |
| Dignity Health Medical Foundation | Past | Accepting new patients | |
| Dignity Health | Past | Accepting new patients | |
| St. Joseph'S Hospital, Yonkers | Past | Accepting new patients | |
| Dignity Community Care | Past | Accepting new patients | |
| Catholic Healthcare West | Past | Accepting new patients | |
| Sierra Nevada Memorial-Miners Hospital | 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
2510 Airpark Dr
Ste 301
Redding, CA 96001
Phone (530) 242-3500
2380 Bechelli Ln
Redding, CA 96002
Phone (530) 226-1800
2020 Court St
Redding, CA 96001
Phone (530) 243-1236
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
8120 Timberlake Way
Ste 109
Sacramento, CA 95823
Phone (916) 681-6000
3941 J St
Sacramento, CA 95819
Phone (916) 453-4458
4400 Duckhorn Dr
Ste 100
Sacramento, CA 95834
Phone (916) 575-8000
3301 C St
Ste 500
Sacramento, CA 95816
Phone (916) 556-3300
7500 Hospital Dr
Sacramento, CA 95823
Phone (916) 423-3000
3939 J St
Ste 250
Sacramento, CA 95819
Phone (916) 733-6901
3000 Q St
Sacramento, CA 95816
Phone (916) 733-5701
1595 Soquel Dr
Ste 400
Santa Cruz, CA 95065
Phone (831) 475-1111
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | A101569 | CA | |
| Vascular & Interventional Radiology Physician | 2085R0204X | A101569 | CA | Yes |
Addresses
Primary practice location
3400 Data Dr
Rancho Cordova, CA 95670-7956
Mailing address
3400 Data Dr
Rancho Cordova, CA 95670-7956
Other providers in Rancho Cordova, CA
- Jeanette Adams
- Adonai Medical LLC
- Advanced Health Care Solutions
- Dalia Aguilar-Rodriguez
- Mya Aguilar
- Maqbool Ahmed
- Lisa Ahn
- Olivia Ajeakwa
- Akua Behavioral Health, Inc
- Amera Al-Faleh
All providers in Rancho Cordova, CA · Vascular & Interventional Radiology Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 25, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.