Masoud Gholamizadeh

Primary specialty

PharmacistTaxonomy code 183500000X

License

70862 Issued in CA

Practice address

1707 Grant Ave
Novato, CA 94945-2229

Phone

(415) 897-4171

Fax

(415) 897-3077

NPI assigned

May 2, 2019

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Longs Drug Stores California LLC

  • Pharmacy
  • Novato, CA
  • NPI 1427090240
  NPD (past)
• Longs Drug Store California LLC

  • Pharmacy
  • Kapolei, HI
  • NPI 1700565793
  NPD (past)

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

{
    "created_epoch": "1556755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556755200000",
    "number": "1770148926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2821",
            "city": "NOVATO",
            "state": "CA",
            "postal_code": "949482821",
            "telephone_number": "817-533-0221",
            "fax_number": "415-897-3077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1707 GRANT AVE",
            "city": "NOVATO",
            "state": "CA",
            "postal_code": "949452229",
            "telephone_number": "415-897-4171",
            "fax_number": "415-897-3077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GHOLAMIZADEH",
        "first_name": "MASOUD",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-05-02",
        "last_updated": "2019-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "70862",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Roshni Gehlot, DDS
• Hana Rachel Gelman, PHARMD
• Gerihealthsolutions, Inc.
• Donna Germano, MFT
• Michelle Lynn Ghiglieri, DPT
• Asghar Ghorbani, ETC
• Randall P Gibson, LAC
• Christy Marie Gill
• Lara Danielle Giusti
• Patricia Glatt, MD

• Pharmacist in Novato, CA
• Providers in Novato, CA by specialty
• Pharmacist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2019; 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.