Individual provider Active NPI

Omid Saeed Tehrani, M.D., PH.D,

  • Hematology & Oncology Physician
  • Fresno, CA
National Provider Identifier
1659508281
Registry record updated Jul 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
A132635 Issued in CA
Practice address
2335 E Kashian LN
Suite 301
Fresno, CA 93701-2230
Phone
(559) 256-9680
Fax
(559) 256-9681
NPI assigned
Jun 22, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X A132635 CA Primary
Internal Medicine Physician 207R00000X A132635 CA

Addresses

Primary practice location

2335 E Kashian LN
Suite 301
Fresno, CA 93701-2230

Mailing address

2625 E Divisadero St
Fresno, CA 93721-1431
Phone (559) 443-2682

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
I20150730011115 CA Practitioner - Hematology/OncologyPractitioner - HematologyPractitioner - Medical OncologyPractitioner - Internal Medicine 8729392188 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Hematology/OncologyAlso: Internal Medicine, Medical Oncology
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1805 E Fir Ave
Suite 102
Fresno, CA 93720-3859
Phone (559) 515-5333

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A132635CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Community Foundation Medical Group CurrentSince Jan 1, 2016 Accepting new patients
Community Foundation Medical Group Internal Medicine CurrentSince Jan 1, 2016 Accepting new patients
Serenity Cancer Center Inc Hematology CurrentSince Dec 1, 2020 Accepting new patients
Lucile Salter Packard Children'S Hospital at Stanford Past Accepting new patients
University Faculty Associates, Inc. Past Accepting new patients
Stanford Hospital and Clinics Past Accepting new patients
Fresno Community Hospital and Medical Center Past Accepting new patients
El Camino Hospital Past Accepting new patients
Good Samaritan Hospital, L.P. Past Accepting new patients
Sanford Bismarck Past Accepting new patients

Locations

290 N Wayte Ln
Fresno, CA 93701
Phone (559) 459-4101

1099 E Champlain Dr
Ste A144
Fresno, CA 93720

2335 E Kashian Ln
Ste 301
Fresno, CA 93701
Phone (559) 224-5864

2625 E Divisadero St
Fresno, CA 93721
Phone (559) 453-5200

2335 E Kashian Ln
Ste 270
Fresno, CA 93701
Phone (559) 445-1251

1805 E Fir Ave
Ste 102
Fresno, CA 93720
Phone (559) 325-3070

Interoperability endpoints

  • Direct secure messaging: omid.saeed-tehrani@serenity.ikm.direct-ci.com
  • Direct secure messaging: osaeedtehrani125983@santaclaravalley.direct-ci.net

Organizations & group practices 10

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

Hospital & facility affiliations 3

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": "1245628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1437004800000",
    "number": "1659508281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2625 E DIVISADERO ST",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937211431",
            "telephone_number": "559-443-2682",
            "fax_number": "559-443-2681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2335 E KASHIAN LN",
            "address_2": "SUITE 301",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937012230",
            "telephone_number": "559-256-9680",
            "fax_number": "559-256-9681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAEED TEHRANI",
        "first_name": "OMID",
        "credential": "M.D., PH.D,",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-22",
        "last_updated": "2015-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "CA",
            "license": "A132635",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A132635",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

Verify at the official NPI Registry.