Gholamreza Borazjani

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

A46397 Issued in CA

Practice address

3551 Daffodil Circle
Seal Beach, CA 90740-2842

Phone

(562) 430-8419

Fax

(562) 430-8419

NPI assigned

Jul 20, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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)

Enrolled

Credentials

Doctor of Medicine

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Dignity Health

  dba St. Mary Medical Center

  • General Acute Care Hospital
  • Long Beach, CA
  • NPI 1194840421
  NPD (past)
• Long Beach Memorial Medical

  • Rehabilitation Hospital Unit
  • Long Beach, CA
  • NPI 1396791414
  NPD (past)
• University of California Irvine

  dba UCI Health Lakewood

  • General Acute Care Hospital
  • Lakewood, CA
  • NPI 1184655581
  NPD (past)
• Memorial Medical Group Inc

  • Durable Medical Equipment & Medical Supplies
  • Phoenix, AZ
  • NPI 1255523643
  NPD (past)

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1770503286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3551 DAFFODIL CIRCLE",
            "city": "SEAL BEACH",
            "state": "CA",
            "postal_code": "907402842",
            "telephone_number": "562-430-8419",
            "fax_number": "562-430-8419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3551 DAFFODIL CIRCLE",
            "city": "SEAL BEACH",
            "state": "CA",
            "postal_code": "907402842",
            "telephone_number": "562-430-8419",
            "fax_number": "562-430-8419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORAZJANI",
        "first_name": "GHOLAMREZA",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "A46397",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alice F Billman, MT
• Hannah Elizabeth Blackmore, APCC
• Claudine Uwimpaye Blaise, FNP-BC
• Amanda Bliss
• Amy Bonadurer, BCBA
• Maralee Cartner Bowers, M.D.
• Pamela Boysen, LCSW
• Loralei Bradford
• Braithwaite Chiropractic, Inc.
• Sean Martin Braithwaite, D.C.

• Obstetrics & Gynecology Physician in Seal Beach, CA
• Providers in Seal Beach, CA by specialty
• Obstetrics & Gynecology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.