Active NPI
Shirzadi, M.D. Inc
- Physical Medicine & Rehabilitation Physician
- San Jose, CA
National Provider Identifier
1689922726
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- A123593
- Legal business name
- SHIRZADI, M.D. INC
- Practice address
- 2425 Samaritan Dr
San Jose, CA 95124 - Phone
- (209) 661-4403
- NPI assigned
- Aug 21, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Neda Nicole Shirzadi, MD
- Title
- Physician/Owner
- Phone
- (408) 500-9597
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | A123593 | CA | Primary |
Addresses
Primary practice location
2425 Samaritan Dr
San Jose, CA 95124
Mailing address
220 Standiford Ave Ste F
Modesto, CA 95350-1159
Phone (209) 579-5628
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1345507200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1589155200000",
"number": "1689922726",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "220 STANDIFORD AVE STE F",
"city": "MODESTO",
"state": "CA",
"postal_code": "953501159",
"telephone_number": "209-579-5628",
"fax_number": "209-579-5637"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2425 SAMARITAN DR",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "95124",
"telephone_number": "209-661-4403"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SHIRZADI, M.D. INC",
"organizational_subpart": "NO",
"enumeration_date": "2012-08-21",
"last_updated": "2020-05-11",
"certification_date": "2020-05-11",
"status": "A",
"authorized_official_last_name": "SHIRZADI",
"authorized_official_first_name": "NEDA",
"authorized_official_middle_name": "NICOLE",
"authorized_official_title_or_position": "PHYSICIAN/OWNER",
"authorized_official_telephone_number": "408-500-9597",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Medicine & Rehabilitation",
"state": "CA",
"license": "A123593",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Jose, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.