Active NPI
Morteza Dowlatshahi M D Inc
- Specialist
- San Jose, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- Legal business name
- MORTEZA DOWLATSHAHI M D INC
- Practice address
- 200 Jose Figueres Ave
Suite 199
San Jose, CA 95116-1500 - Phone
- (408) 729-4673
- Fax
- (408) 729-9943
- NPI assigned
- Feb 12, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Morteza Dowlatshahi, M.D.
- Title
- President
- Phone
- (408) 729-4673
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | Primary |
Addresses
Primary practice location
200 Jose Figueres Ave
Suite 199
San Jose, CA 95116-1500
Mailing address
PO Box 743095
Los Angeles, CA 90074-3095
Phone (408) 729-4673
Other practice location 1
18511 Mission View Dr Ste 140
Morgan Hill, CA 95037-2975
Phone (408) 779-1400
Other names 1
- Cancer Care Institute
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
725 E Santa Clara St
Ste 103
San Jose, CA 95112
Phone (408) 457-7100
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Radiation Oncology Physician
- San Jose, CA
- NPI 1437112158
-
- Radiation Oncology Physician
- San Jose, CA
- NPI 1376706929
-
- General Practice Physician
- San Jose, CA
- NPI 1598795114
-
- Radiation Oncology Physician
- San Jose, CA
- NPI 1184719668
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171238400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1719878400000",
"number": "1972644797",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 743095",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900743095",
"telephone_number": "408-729-4673",
"fax_number": "408-729-9943"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 JOSE FIGUERES AVE",
"address_2": "SUITE 199",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951161500",
"telephone_number": "408-729-4673",
"fax_number": "408-729-9943"
}
],
"practiceLocations": [
{
"address_1": "18511 Mission View Dr Ste 140",
"address_purpose": "LOCATION",
"city": "Morgan Hill",
"state": "CA",
"postal_code": "950372975",
"country_code": "US",
"telephone_number": "408-779-1400",
"fax_number": "408-779-1422",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "MORTEZA DOWLATSHAHI M D INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-12",
"last_updated": "2024-07-02",
"certification_date": "2024-07-02",
"status": "A",
"authorized_official_last_name": "DOWLATSHAHI",
"authorized_official_first_name": "MORTEZA",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "408-729-4673",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Cancer Care Institute",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in San Jose, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.