MOHAMMAD EZZATI (NPI# 1700030418) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700030418 |
| Entity Type | Individual |
| Full Name | MOHAMMAD EZZATI |
| Credential | M.D. |
| Practice Address |
2581 Samaritan Dr Suite 308 San Jose CA 95124-4113 |
| Mailing Address |
2350 W. El Camino Real 2nd Flr Mountain View CA 94040-6203 |
| Practice Telephone | 6509437000 |
| Mailing Telephone | 6509347000 |
| Enumeration Date | 2008-11-07 |
| Last Update Date | 2015-07-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207V00000X | Obstetrics & Gynecology | P1995 | TX | Allopathic & Osteopathic Physicians |
| Y | 207VE0102X |
Obstetrics & Gynecology Specialization: Reproductive Endocrinology |
A135887 | CA | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
2581 SAMARITAN DR SUITE 308 |
| City | SAN JOSE |
| State | CA |
| Zip Code | 95124-4113 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649258005 | Kurt N Bausback | Internal Medicine | 2581 Samaritan Dr, Ste 202, San Jose, CA 95124-4113 | 2006-01-05 |
| 1043654486 | Sutter Bay Medical Foundation | Clinic/Center | 2581 Samaritan Dr, Suite 308, San Jose, CA 95124-4113 | 2013-04-27 |
| 1861755092 | Sanaz Keyhan | Obstetrics & Gynecology | 2581 Samaritan Dr, San Jose, CA 95124-4113 | 2012-06-22 |
| 1548527146 | Samaritan Surgery Center | Clinic/Center | 2581 Samaritan Dr, Suite 300, San Jose, CA 95124-4113 | 2012-04-19 |
| 1164790473 | Amy Solis | Nurse Practitioner | 2581 Samaritan Dr, Suite 302, San Jose, CA 95124-4113 | 2011-12-01 |
| 1093092686 | Fabrice J Gallez, Dds, Ms, Inc | Clinic/Center | 2581 Samaritan Dr, Suite #310, San Jose, CA 95124-4113 | 2011-11-09 |
| 1043513591 | Urological Surgeons of Northern California | Urology | 2581 Samaritan Dr, Suite 200, San Jose, CA 95124-4113 | 2010-12-06 |
| 1417182593 | Michael Timothy Purkey | Otolaryngology | 2581 Samaritan Dr, Suite 210, San Jose, CA 95124-4113 | 2009-05-19 |
| 1609022581 | Amin Manuchehry | Internal Medicine | 2581 Samaritan Dr, Ste 202, San Jose, CA 95124-4112 | 2008-08-12 |
| 1700066776 | Weichung Liu | Radiology | 2581 Samaritan Dr, Suite 206, San Jose, CA 95124-4113 | 2007-11-07 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720548894 | Talkawhile Child and Family Therapy Center PC | Marriage & Family Therapist | 2577 Samaritain Drive, Suite 715, San Jose, CA 95124 | 2019-03-23 |
| 1558847129 | Anne Marie Hamilton | Nurse Practitioner | 2851 Samaritan Dr., San Jose, CA 95124 | 2018-07-17 |
| 1619488665 | Vicky Nguyen | Dentist | 3994 S Bascom Ave # 5, San Jose, CA 95124 | 2017-10-17 |
| 1255840625 | Emmanuel Rohani | Pharmacist | 4623 Fallstone Court, San Jose, CA 95124 | 2017-09-28 |
| 1669928933 | Karlena Lara-otero | Genetic Counselor, MS | 2589 Samaritan Drive, Floor 3, Mail Code: 7532, San Jose, CA 95124 | 2016-08-28 |
| 1982081287 | Shraddha Patel | Dietitian, Registered | 3535 Ross Ave Ste 202, San Jose, CA 95124 | 2015-05-06 |
| 1679966576 | Andrew Francis | Marriage & Family Therapist | 1936 Camden Ave Ste 5a, San Jose, CA 95124 | 2015-03-17 |
| 1164835914 | Addiction Recovery Center | Clinic/Center | 3880 S. Bascom Ave #206, San Jose, CA 95124 | 2014-06-10 |
| 1780005199 | Swathi Balantrapu | Physical Therapist | 14587 Branham Ln, San Jose, CA 95124 | 2014-01-02 |
| 1033405196 | Rick Li Pan | Dentist | 3535 Ross Ave, #201, San Jose, CA 95124 | 2011-06-27 |
| Find all providers in zip 95124 | ||||
| Taxonomy Code | 207VE0102X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Reproductive Endocrinology |
| An obstetrician/gynecologist who is capable of managing complex problems relating to reproductive endocrinology and infertility. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053411967 | Alexis Hangin Kim | Obstetrics & Gynecology | 2581 Samaritan Dr, Suite 302, San Jose, CA 95124-4113 | 2006-09-22 |
| 1790882603 | Valerie Lynn Baker | Obstetrics & Gynecology | 2581 Samaritan Dr, Suite 302, San Jose, CA 95124-4113 | 2006-09-20 |
| 1942239603 | Carmelo S Sgarlata | Obstetrics & Gynecology | 1101 S Winchester Blvd, Suite O-282, San Jose, CA 95128-3901 | 2006-07-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396363552 | Global Premier Fertility - Orange County PC Dba Rise Fertility | Obstetrics & Gynecology | 3333 W Coast Hwy Ste 300, Newport Beach, CA 92663-4058 | 2020-07-13 |
| 1326665621 | Reproductive Medicine Associates of San Diego | Obstetrics & Gynecology | 4510 Executive Dr Ste 150, San Diego, CA 92121-2155 | 2020-07-02 |
| 1861958985 | Lin Fertility Ivf Network, Inc. | Obstetrics & Gynecology | 400 E Rincon St Ste 108, Corona, CA 92879-1389 | 2019-02-13 |
| 1235646985 | Los Angeles Reproductive Center | Obstetrics & Gynecology | 16055 Ventura Blvd Ste 1127, Encino, CA 91436-2612 | 2018-01-03 |
| 1033575956 | Lane Fertility Institute | Obstetrics & Gynecology | 101 Rowland Way Ste 305, Novato, CA 94945-5056 | 2016-01-07 |
| 1992065692 | Tracy Nicole Hadnott Harrison | Obstetrics & Gynecology | 9500 Gilman Drive #0633, La Jolla, CA 92093-0633 | 2012-05-29 |
| 1043584956 | Harvey S Richmond A Prof Corp | Obstetrics & Gynecology | 8631 W. Third St, #240e, Los Angeles, CA 90048 | 2012-02-24 |
| 1992088926 | Scott J Morin | Obstetrics & Gynecology | 150 Spear St Ste 500, San Francisco, CA 94105-1537 | 2011-09-26 |
| 1477846095 | Tannaz Toloubeydokhti | Obstetrics & Gynecology | 9500 Gilman Dr Dept 633, La Jolla, CA 92093-0633 | 2011-05-16 |
| 1770883050 | Homayoun Sadeghi, Md Inc | Obstetrics & Gynecology | 312 S. Beverly Drive #3861, Beverly Hills, CA 90212-0861 | 2010-11-02 |
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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.