A. M. Memar-Zia MD Inc.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

A33418 Issued in CA

Legal business name

A. M. MEMAR-ZIA MD INC.

Practice address

1687 Erringer Rd
Suite 205
Simi Valley, CA 93065-6508

Phone

(805) 527-6666

Fax

(805) 527-2212

NPI assigned

Oct 23, 2012

Last updated

Nov 1, 2012By 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

Dr. Abdol Memar-Zia, M.D.,NPI 1639122112

Title

Owner

Phone

(805) 527-6666

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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.

• Abdol Memar-Zia, MD

  • Internal Medicine Physician
  • Simi Valley, CA
  • NPI 1639122112
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1350950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1351728000000",
    "number": "1912250358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1687 ERRINGER RD",
            "address_2": "SUITE 205",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930656508",
            "telephone_number": "805-527-6666",
            "fax_number": "805-527-2212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1687 ERRINGER RD",
            "address_2": "SUITE 205",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930656508",
            "telephone_number": "805-527-6666",
            "fax_number": "805-527-2212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A. M. MEMAR-ZIA MD INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-23",
        "last_updated": "2012-11-01",
        "status": "A",
        "authorized_official_last_name": "MEMAR-ZIA",
        "authorized_official_first_name": "ABDOL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "805-527-6666",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D.,"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A33418",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Simi Valley, CA
• Providers in Simi Valley, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.