Individual provider Active NPI

Behrooz Tohidi, M.D.

  • Orthopaedic Surgery Physician
  • Lawton, OK
National Provider Identifier
1700853801
Registry record updated Nov 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
021288 Issued in GA
Practice address
5604 SW Lee Blvd
Suite 210
Lawton, OK 73505-9663
Phone
(580) 531-6476
Fax
(580) 531-6491
NPI assigned
Mar 7, 2006
Last updated
Nov 7, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 021288 GA Primary

Addresses

Primary practice location

5604 SW Lee Blvd
Suite 210
Lawton, OK 73505-9663

Mailing address

5606 SW Lee Blvd
Suite 205
Lawton, OK 73505-9663
Phone (580) 531-6476

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
I20221215001811 CA Practitioner - Orthopedic Surgery 8325065683 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Other, 1975
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Samaritana Medical Clinic,Inc.Group PAC ID 0749370989, 12 clinicians

Practice addresses (Care Compare)

14550 Haynes St
Van Nuys, CA 91411-1613
Phone (818) 650-6700

510 S Alvarado St
Los Angeles, CA 90057-2904
Phone (213) 483-3600

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Samaritana Medical Clinic,Inc. CurrentSince Sep 12, 2022 Accepting new patients
Southern California Medical Center, Inc. Current Accepting new patients
Southern California Medical Center, Inc. CurrentSince May 6, 2023 Accepting new patients
Horus Multispeciality Medical Group CurrentSince Jun 1, 2025 Accepting new patients
Southern California Medical Center, Inc. CurrentSince May 6, 2023 Accepting new patients

Locations

12100 Valley Blvd
Ste 109A
El Monte, CA 91732
Phone (626) 575-7500

5220 Clark Ave
Ste 200
Lakewood, CA 90712
Phone (562) 210-5141

510 S Alvarado St
Los Angeles, CA 90057
Phone (213) 483-3600

Interoperability endpoints

  • Direct secure messaging: tohidi.behrooz.007.0480017@frmcu.meditab.direct-ci.com

Organizations & group practices 5

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

NPI Registry JSON

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

{
    "created_epoch": "1141689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1226016000000",
    "number": "1700853801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5606 SW LEE BLVD",
            "address_2": "SUITE 205",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735059663",
            "telephone_number": "580-531-6476",
            "fax_number": "580-531-6491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5604 SW LEE BLVD",
            "address_2": "SUITE 210",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735059663",
            "telephone_number": "580-531-6476",
            "fax_number": "580-531-6491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOHIDI",
        "first_name": "BEHROOZ",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-07",
        "last_updated": "2008-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "GA",
            "license": "021288",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawton, OK

Sources for this page

Verify at the official NPI Registry.