Asghar Ghorbani, ETC

Primary specialty

Radiologic TechnologistTaxonomy code 247100000X

License

RHF00110912 Issued in CA

Practice address

34 Holliday Dr
Novato, CA 94949-6270

Phone

(916) 586-0279

NPI assigned

Jan 29, 2025

Sex

Male

Sole proprietor

Yes

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1738108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738108800000",
    "number": "1942013404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34 HOLLIDAY DR",
            "city": "NOVATO",
            "state": "CA",
            "postal_code": "949496270",
            "telephone_number": "916-586-0279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34 HOLLIDAY DR",
            "city": "NOVATO",
            "state": "CA",
            "postal_code": "949496270",
            "telephone_number": "916-586-0279"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6100 Redwood Blvd",
            "address_purpose": "LOCATION",
            "city": "Novato",
            "state": "CA",
            "postal_code": "949454501",
            "country_code": "US",
            "telephone_number": "916-586-0278",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GHORBANI",
        "first_name": "ASGHAR",
        "credential": "ETC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-01-29",
        "last_updated": "2025-01-29",
        "certification_date": "2025-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "247100000X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist",
            "state": "CA",
            "license": "RHF00110912",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hana Rachel Gelman, PHARMD
• Gerihealthsolutions, Inc.
• Donna Germano, MFT
• Michelle Lynn Ghiglieri, DPT
• Masoud Gholamizadeh
• Randall P Gibson, LAC
• Christy Marie Gill
• Lara Danielle Giusti
• Patricia Glatt, MD
• Glutality Provider Group of California PC

• Radiologic Technologist in Novato, CA
• Providers in Novato, CA by specialty
• Radiologic Technologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2025; 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.