CALIFORNIA CENTER FOR CARDIOTHORACIC SURGERY (NPI# 1316976327) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1316976327 |
Entity Type | Organization |
Organization Name | CALIFORNIA CENTER FOR CARDIOTHORACIC SURGERY |
Practice Address |
2100 Lynn Rd Suite 100 Thousand Oaks CA 91360 |
Mailing Address |
2190 Lynn Rd Suite 220 Thousand Oaks CA 91360 |
Practice Telephone | 8053799456 |
Practice Fax Number | 8054944330 |
Mailing Telephone | 8054958050 |
Mailing Fax Number | 8054962160 |
Enumeration Date | 2006-07-02 |
Last Update Date | 2020-08-22 |
Authorized Official Name | GHOLAM R MOHAMMADZADEH (PARTNER PHYSICIAN) |
Authorized Official Telephone | 8053799456 |
Authorized Official Credential | MD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2086S0129X |
Surgery Specialization: Vascular Surgery |
Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
BLUE SHIELD | ZZZ23109Z | 01 | |
RAILROAD MEDICARE | CK7028 | 01 | |
CA | GR0083753 | 05 |
Street Address |
2100 LYNN RD SUITE 100 |
City | THOUSAND OAKS |
State | CA |
Zip Code | 91360 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1841262193 | Lorne Sheldon Label | Psychiatry & Neurology | 2100 Lynn Rd, Ste 230, Thousand Oaks, CA 91360 | 2006-02-02 |
1609301167 | Jennifer S. Liu | Physician Assistant | 2100 Lynn Rd, #120, Thousand Oaks, CA 91360-1935 | 2017-04-21 |
1912439894 | California Cerebrovascular Institute Inc | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 2100 Lynn Rd, Suite 120, Thousand Oaks, CA 91360-1935 | 2017-03-30 |
1972957363 | Neurovascular Institute of Thousand Oaks Inc | Radiology | 2100 Lynn Rd, Suite 120, Thousand Oaks, CA 91360-8033 | 2016-04-21 |
1457733701 | Edmund Choi, M.d. Inc. | Orthopaedic Surgery | 2100 Lynn Rd, Suite 115, Thousand Oaks, CA 91360-1935 | 2015-06-23 |
1811320724 | Gholam R Mohammadzadeh Md Inc A Medical Corporation | Surgery | 2100 Lynn Rd, Ste 100, Thousand Oaks, CA 91360-1935 | 2013-08-14 |
1669757548 | Pei-ran Ho | Orthopaedic Surgery | 2100 Lynn Rd, Suite 115, Thousand Oaks, CA 91360-1935 | 2011-10-11 |
1114212388 | Shahriar Ghodsian Md Inc | Internal Medicine | 2100 Lynn Rd, Suite 115, Thousand Oaks, CA 91360-1935 | 2011-06-15 |
1376835330 | Gregory H Tchejeyan Md Inc | Specialist | 2100 Lynn Rd, Suite 115, Thousand Oaks, CA 91360-1935 | 2011-05-10 |
1730498957 | Thousand Oaks Heart Center | Clinic/Center | 2100 Lynn Rd, 205, Thousand Oaks, CA 91360-1935 | 2010-10-05 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124633953 | Rhandi Walters | Marriage & Family Therapist | 208 E Thousand Oaks Blvd, Suite D, Thousand Oaks, CA 91360 | 2020-09-09 |
1942709837 | Stephanie Renee Neri | Behavior Technician | 325 E Hillcrest Dr Suite 140, Thousand Oaks, CA 91360 | 2018-02-06 |
1104340652 | Fernando Antonio Castaneda | Student in an Organized Health Care Education/Training Program | 325 E Hillcrest Dr Ste 140, Thousand Oaks, CA 91360 | 2017-07-26 |
1023548989 | Anna Garduno | Specialist/Technologist | 3680 Campus Drive, Thousand Oaks, CA 91360 | 2017-06-14 |
1467996306 | Ava Shokoufi | Marriage & Family Therapist | 280 E Thousand Oaks Blvd Suite D, Thousand Oaks, CA 91360 | 2016-12-12 |
1649621517 | Sandy Lynn Mcglynn | Social Worker | 460 East Gainsborough Road, Thousand Oaks, CA 91360 | 2016-06-22 |
1316363476 | Lorraine Jordan | Family Medicine | 1331 Witherspoon Dr, Thousand Oaks, CA 91360 | 2014-03-13 |
1841612033 | Katherine Snyder | Counselor | 280 East Thousand Oaks Blvd. Suite D, Thousand Oaks, CA 91360 | 2014-01-08 |
1235567397 | Christine Maria Katzenmaier | Speech-Language Pathologist | 223 E. Thousand Oaks Blvd, Thousand Oaks, CA 91360 | 2013-10-28 |
1912335233 | Lena Ameripour | Behavioral Analyst | 315 E. Hillcrest Dr., Thousand Oaks, CA 91360 | 2013-10-23 |
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Taxonomy Code | 2086S0129X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Surgery |
Specialization | Vascular Surgery |
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437638517 | Thousand Oaks Vein Clinic PC | Surgery | 225 N Moorpark Rd Ste C, Thousand Oaks, CA 91360-4320 | 2018-08-09 |
1649611807 | Carney Chan | Surgery | 2220 Lynn Rd Ste 102, Thousand Oaks, CA 91360-8017 | 2013-07-16 |
1699743625 | Gholam Reza Mohammadzadeh | Surgery | 77 Rolling Oaks Dr Ste 202, Thousand Oaks, CA 91361-1018 | 2006-03-08 |
1811320724 | Gholam R Mohammadzadeh Md Inc A Medical Corporation | Surgery | 2100 Lynn Rd, Ste 100, Thousand Oaks, CA 91360-1935 | 2013-08-14 |
1396773115 | David J Newman | Surgery | 227 W Janss Rd, Ste 135, Thousand Oaks, CA 91362-6622 | 2006-06-29 |
1396786497 | Alan C Mintz | Surgery | 2220 Lynn Rd, 102, Thousand Oaks, CA 91360-1904 | 2006-06-09 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1881213817 | Robert Morton Carroll X | Surgery | 2241 Century Hl, Los Angeles, CA 90067-3506 | 2020-04-09 |
1992341895 | Surgicalist of Ca PC | Surgery | 3300 E South St Ste 301a, Lakewood, CA 90805-4549 | 2019-11-26 |
1528600558 | Kevin M Casey Md Apmc | Surgery | 1919 State St # 204-206, Santa Barbara, CA 93101-2430 | 2019-10-10 |
1487117594 | John Nastasi | Surgery | 100 W Valencia Mesa Dr # 211, Fullerton, CA 92835-3768 | 2019-04-08 |
1225508385 | Jay Labourene | Surgery | 1550 G Tiburon Blvd, Tiburon, CA 94920-2531 | 2018-12-03 |
1467922120 | Paul Bressman Md Inc | Surgery | 1493 S Crest Dr, Los Angeles, CA 90035-3339 | 2018-11-26 |
1881186377 | Lavs Access Center Inc. | Surgery | 620 W Beverly Blvd Ste B, Montebello, CA 90640-3624 | 2018-05-31 |
1841789328 | Sunil Rayan, M.d., Inc. | Surgery | 320 Santa Fe Dr Ste 212, Encinitas, CA 92024-5139 | 2018-05-09 |
1245739820 | Northridge Vascular Center A Professional Medical Corporation | Surgery | 19331 Business Center Dr Ste 102, Northridge, CA 91324-3533 | 2018-02-08 |
1740788744 | Adventist Health Physicians Network | Surgery | 414 G St Ste 112, Marysville, CA 95901-5669 | 2018-01-25 |
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City | THOUSAND OAKS |
Zip Code | 91360 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.