Individual provider Active NPI

Minoos Hosseinzadeh, MD

  • Reproductive Endocrinology Physician
  • La Jolla, CA
National Provider Identifier
1962468512
Registry record updated Feb 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Reproductive Endocrinology PhysicianTaxonomy code 207VE0102X
License
C52826 Issued in CA
Practice address
9850 Genesee Ave Ste 300
La Jolla, CA 92037-1208
Phone
(584) 572-2229
NPI assigned
Apr 24, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 28, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Reproductive Endocrinology Physician 207VE0102X C52826 CA Primary

Addresses

Primary practice location

9850 Genesee Ave Ste 300
La Jolla, CA 92037-1208

Mailing address

1245 Highland Avenue
Suite 404
Abington, PA 19001-3725
Phone (215) 887-2010

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
C52826CAMDReproductive Endocrinology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Fertility Institute of San Diego PC Reproductive Endocrinology Current Accepting new patients
University of California Irvine Past Accepting new patients
Hoag Memorial Hospital Presbyterian Past Accepting new patients

Locations

9850 Genesee Ave
Ste 300
La Jolla, CA 92037
Phone (858) 457-2229

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1145836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551312000000",
    "number": "1962468512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1245 HIGHLAND AVENUE",
            "address_2": "SUITE 404",
            "city": "ABINGTON",
            "state": "PA",
            "postal_code": "190013725",
            "telephone_number": "215-887-2010",
            "fax_number": "215-887-3291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9850 GENESEE AVE STE 300",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920371208",
            "telephone_number": "584-572-2229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOSSEINZADEH",
        "first_name": "MINOOS",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-04-24",
        "last_updated": "2019-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VE0102X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Reproductive Endocrinology",
            "state": "CA",
            "license": "C52826",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Jolla, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2019; 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.