Gholam R Mohammadzadeh MD Inc a Medical Corporation

Primary specialty

Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X

Legal business name

GHOLAM R MOHAMMADZADEH MD INC A MEDICAL CORPORATION

Practice address

77 Rolling Oaks Dr Ste 202
Thousand Oaks, CA 91361-1018

Phone

(805) 379-6717

Fax

(805) 379-6719

NPI assigned

Aug 14, 2013

Last updated

Jun 25, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Gholam R Mohammadzadeh, M.D.NPI 1699743625

Title

Owner

Phone

(805) 379-6717

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Gholam Reza Mohammadzadeh, MD

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Thousand Oaks, CA
  • NPI 1699743625
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1376438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719273600000",
    "number": "1811320724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 ROLLING OAKS DR STE 202",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913611018",
            "telephone_number": "805-379-6717",
            "fax_number": "805-379-6719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 ROLLING OAKS DR STE 202",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913611018",
            "telephone_number": "805-379-6717",
            "fax_number": "805-379-6719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GHOLAM R MOHAMMADZADEH MD INC A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-14",
        "last_updated": "2024-06-25",
        "certification_date": "2024-06-25",
        "status": "A",
        "authorized_official_last_name": "MOHAMMADZADEH",
        "authorized_official_first_name": "GHOLAM",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "805-379-6717",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Ghaussy, M.D.
• Roya Gheissari
• Jigar Popatlal Ghelani, MD
• Juliana Jamira Gheorghiu, RPH
• Shahriar Ghodsian, MD
• Tiffany L Giacomozzi, FNP
• Ruby S Gibson, BCBA
• Gil Kryger MD
• Natalie N Gilbert
• Gille Caluim Anesthesia PC

• Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in Thousand Oaks, CA
• Providers in Thousand Oaks, CA by specialty
• Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.