Organization Active NPI

Expert Surgeons of California Inc

  • Surgery Physician
  • Oceanside, CA
National Provider Identifier
1992934970
Registry record updated Jul 10, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
20A 10547 Issued in CA
Legal business name
EXPERT SURGEONS OF CALIFORNIA INC
Practice address
3998 Vista Way
Suite 200
Oceanside, CA 92056-4500
Phone
(760) 724-5352
Fax
(760) 724-5447
NPI assigned
Jul 10, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2009

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

Authorized official

Name
Mohammed Jamshidi-Nezhad, DO
Title
President
Phone
(760) 724-5352

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X 20A 10547 CA Primary

Addresses

Primary practice location

3998 Vista Way
Suite 200
Oceanside, CA 92056-4500

Mailing address

3998 Vista Way
Suite 200
Oceanside, CA 92056-4500
Phone (760) 724-5352

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20091008000542 CA Part B Supplier - Clinic/Group Practice 3375689193 Receives reassigned benefits from 1 practitioner
Practice locations: Oceanside, CA; San Marcos, CA

National Provider Directory

National Provider Directory

Locations

365 S Rancho Santa Fe Rd
Ste 300
San Marcos, CA 92078
Phone (760) 203-3583

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1247184000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1247184000000",
    "number": "1992934970",
    "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": {
        "organization_name": "EXPERT SURGEONS OF CALIFORNIA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-10",
        "last_updated": "2009-07-10",
        "status": "A",
        "authorized_official_last_name": "JAMSHIDI-NEZHAD",
        "authorized_official_first_name": "MOHAMMED",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "760-724-5352",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "CA",
            "license": "20A 10547",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oceanside, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2009; 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.

Verify at the official NPI Registry.