Individual provider Active NPI

Bijan Zardouz, M.D.

  • Neurological Surgery Physician
  • Santa Ana, CA
National Provider Identifier
1679621726
Registry record updated Dec 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
A38367 Issued in CA
Practice address
1220 Hemlock Way
Suite 108
Santa Ana, CA 92707-3650
Phone
(714) 540-2272
Fax
(714) 540-7206
NPI assigned
Jan 8, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X A38367 CA Primary

Addresses

Primary practice location

1220 Hemlock Way
Suite 108
Santa Ana, CA 92707-3650

Mailing address

PO Box 28017
Santa Ana, CA 92799-8017
Phone (714) 540-2272

Other identifiers 1

IdentifierTypeStateIssuer
00A383670MedicaidCA

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
I20031215001000 CA Practitioner - Neurology 3577460880 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
University of California, San Diego School of Medicine, 1979
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1220 Hemlock Way
Suite 108
Santa Ana, CA 92707-3652
Phone (714) 540-2272

1681 N Waterman Ave
San Bernardino, CA 92404-5112

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
South Coast Global Medical Center, Inc Past Accepting new patients

Organizations & group practices 2

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 1

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": "1168214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355961600000",
    "number": "1679621726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 28017",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927998017",
            "telephone_number": "714-540-2272",
            "fax_number": "714-540-7206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1220 HEMLOCK WAY",
            "address_2": "SUITE 108",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927073650",
            "telephone_number": "714-540-2272",
            "fax_number": "714-540-7206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZARDOUZ",
        "first_name": "BIJAN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-08",
        "last_updated": "2012-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "CA",
            "license": "A38367",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A383670",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Ana, CA

Sources for this page

Verify at the official NPI Registry.