Kojasteh Mahsa Ghaziaskar, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

34309 Issued in AZ

Practice address

6142 E Brown Rd
102
Mesa, AZ 85205-4962

Phone

(480) 396-2087

Fax

(480) 396-3973

NPI assigned

Mar 16, 2006

Sex

Female

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

Enrolled in AZ

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Banner Childrens Banner Health Clinic LLC

  • Primary Care Clinic/Center
  • Phoenix, AZ
  • NPI 1407191216
  Medicare reassignment NPD
• Banner Childrens Banner Health Clinic LLC

  • Primary Care Clinic/Center
  • Phoenix, AZ
  • NPI 1285278077
  NPD
• Banner Primary Care Physicians Arizona LLC

  • Primary Care Clinic/Center
  • Phoenix, AZ
  • NPI 1659640902
  NPD

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

{
    "created_epoch": "1142467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1186012800000",
    "number": "1881663441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6142 E BROWN RD",
            "address_2": "102",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852054962",
            "telephone_number": "480-396-2087",
            "fax_number": "480-396-3973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6142 E BROWN RD",
            "address_2": "102",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852054962",
            "telephone_number": "480-396-2087",
            "fax_number": "480-396-3973"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GHAZIASKAR",
        "first_name": "KOJASTEH",
        "middle_name": "MAHSA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-16",
        "last_updated": "2007-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "AZ",
            "license": "34309",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew Getz, DPT
• Gabriella Renee Geyer
• Raha Ghadamzan, DO
• Fariborz Ghafoori, PHARMD
• Ali Ghafouri, M.D.
• GHGB-I PLLC
• Deslie Annette Ghiorzi I
• Natasha Ghofrani
• Ria Ghose Kundu, M.D.
• Laurie Giacoletto, PA-C

• Pediatrics Physician in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Pediatrics Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.