Behrooz Zidehsarai, MD

Primary specialty

Medical Oncology PhysicianTaxonomy code 207RX0202X

License

A31117 Issued in CA

Practice address

2005 Court St
Suite N
Redding, CA 96001-1807

Phone

(530) 244-0720

Fax

(530) 244-0972

NPI assigned

Jul 11, 2005

Last updated

Feb 23, 2012By the provider in NPPES

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1121040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1329955200000",
    "number": "1639177975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 496084",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960496084",
            "telephone_number": "530-244-0720",
            "fax_number": "530-244-0972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2005 COURT ST",
            "address_2": "SUITE N",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960011807",
            "telephone_number": "530-244-0720",
            "fax_number": "530-244-0972"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZIDEHSARAI",
        "first_name": "BEHROOZ",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-11",
        "last_updated": "2012-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "CA",
            "license": "A31117",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A311170",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tina Zeller, CFM
• Nicholas Alexander Zepponi, LCSW
• Rikki Zepponi, FNP
• Alina Ran Zhu, MD
• Ziad a. Niazi, M.D. Inc
• Janice Zikan, LMFT
• Rodney Wayne Zikan, MFT
• Pamela Zimmer
• Matthew Zimmermann, PA-C
• Robert John Ziola, NP-C

• Medical Oncology Physician in Redding, CA
• Providers in Redding, CA by specialty
• Medical Oncology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2012; 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.