Mohammad Jamshidi-Nezhad, DO F.A.C.S.

Primary specialty

Vascular Surgery PhysicianTaxonomy code 2086S0129X

License

20A 10547 Issued in CA

Practice address

3998 Vista Way
Suite 200
Oceanside, CA 92056-4500

Phone

(760) 724-5352

Fax

(760) 724-5447

NPI assigned

Jun 1, 2005

Last updated

Nov 12, 2013By 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

Other identifiers 3

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

Specialty

Vascular Surgery

Education

Des Moines University of Osteopathic Medicine and Health Sciences, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Tri-City Medical Center Hospital, Oceanside, CA, CCN 050128

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy, Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

• Direct secure messaging: mjamshidi43212@scrippshlth.medalliesdirect.net
• Direct secure messaging: mohammad.jamshidi.p2@direct.csmgvmed.nextgenshare.com

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.

• Coastal Surgical Physician-Assistant Partners

  • Vascular Surgery Physician
  • Carlsbad, CA
  • NPI 1548635915
  Medicare reassignment NPD
• Expert Surgeons of California Inc

  • Surgery Physician
  • Oceanside, CA
  • NPI 1992934970
  Medicare reassignment NPD
• Advanced Surgical Associates, PC

  • Vascular Surgery Physician
  • Oklahoma City, OK
  • NPI 1386753200
  NPD (past) Authorized official
• M Jamshidi DO PLLC

  • Vascular Surgery Physician
  • Houston, TX
  • NPI 1073758116
  NPD (past) Authorized official
• Scripps Health

  dba Scripps Hospital Medical Services

  • General Acute Care Hospital
  • San Diego, CA
  • NPI 1487928891
  NPD
• Scripps Health

  • Clinical Medical Laboratory
  • La Jolla, CA
  • NPI 1427034990
  NPD (past)
• Tri-City Hospital

  dba Tri-City Medical Center

  • General Acute Care Hospital
  • Oceanside, CA
  • NPI 1801861190
  NPD (past)
• Capitol Cardiovascular Inc PC

  • Cardiovascular Disease Physician
  • Oklahoma City, OK
  • NPI 1154366771
  NPD (past)
• Millenniacare Clinic, PLLC

  • Sleep Medicine (Internal Medicine) Physician
  • Houston, TX
  • NPI 1003021528

  Vascular Surgery

  NPD (past)
• Vein and Circulation Center of Ok

  • Vascular Surgery Physician
  • Oklahoma City, OK
  • NPI 1295851756
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Tri-City Hospital

  dba Tri-City Medical Center

  • General Acute Care Hospital
  • Oceanside, CA
  • NPI 1801861190
  Care Compare affiliation

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

{
    "created_epoch": "1117584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1384214400000",
    "number": "1891797023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3998 VISTA WAY",
            "address_2": "SUITE 200",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920564500",
            "telephone_number": "760-724-5352",
            "fax_number": "760-724-5447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3998 VISTA WAY",
            "address_2": "SUITE 200",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920564500",
            "telephone_number": "760-724-5352",
            "fax_number": "760-724-5447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAMSHIDI-NEZHAD",
        "first_name": "MOHAMMAD",
        "credential": "DO F.A.C.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-01",
        "last_updated": "2013-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "CA",
            "license": "20A 10547",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "8F6090",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "188617802",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "8AE230",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• James Han, DPM
• Hassan James, CPRP
• Melody Jane James, PMHCNS-BC, PMHNP-BC
• Miriam Gabrielle Jameson, LCSW
• Diana S Jamous, IMF
• Debbie Jang, DMD
• Robert D Jansen
• Kenton Janzen
• Amar R Jariwala, MD MSPH
• Rachael Marie Jarrell, APCC, LAADC

• Vascular Surgery Physician in Oceanside, CA
• Providers in Oceanside, CA by specialty
• Vascular Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2013; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.