DR. GHOLAM REZA MOHAMMADZADEH


Address: 77 Rolling Oaks Dr Ste 202, Thousand Oaks, CA 91361-1018
Phone: 8053796717

DR. GHOLAM REZA MOHAMMADZADEH (NPI# 1699743625) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1699743625
Entity Type Individual
Full Name DR. GHOLAM REZA MOHAMMADZADEH
Credential MD
Practice Address 77 Rolling Oaks Dr Ste 202
Thousand Oaks
CA 91361-1018
Mailing Address 2190 Lynn Rd
Suite 220
Thousand Oaks
CA 91360-1980
Practice Telephone 8053796717
Practice Fax Number 8053796719
Mailing Telephone 8054958050
Mailing Fax Number 8054962160
Enumeration Date 2006-03-08
Last Update Date 2019-12-26
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2086S0129X Surgery
Specialization: Vascular Surgery
G74293 CA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
CA 00G742930 05

Office Location

Street Address 77 ROLLING OAKS DR STE 202
City THOUSAND OAKS
State CA
Zip Code 91361-1018

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Taxonomy Information

Taxonomy Code 2086S0129X
Grouping Allopathic & Osteopathic Physicians
Classification Surgery
Specialization Vascular Surgery

Taxonomy Definition

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.

Providers in the same taxonomy and city

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
1811320724 Gholam R Mohammadzadeh Md Inc A Medical Corporation Surgery 2100 Lynn Rd, Ste 100, Thousand Oaks, CA 91360-1935 2013-08-14
1316976327 California Center for Cardiothoracic Surgery Surgery 2100 Lynn Rd, Suite 100, Thousand Oaks, CA 91360 2006-07-02
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

Providers in the same taxonomy and state

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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Competitor

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City THOUSAND OAKS
Zip Code 91361

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Dataset Information

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.

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