HAMIDREZA M. KHONSARI M.D. – NPI #1306874714
Family Medicine

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Health Care Provider Taxonomy Code for Family Medicine

HAMIDREZA KHONSARI is a physician located in ANTIOCH, CA. NPPES has assigned the NPI number 1306874714 to HAMIDREZA KHONSARI on June 28, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.

The NPI profile was last updated on Mar 04, 2025. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for HAMIDREZA KHONSARI below.

NPI Profile for
HAMIDREZA M. KHONSARI

NPI Number
1306874714
Enumeration Date

(about 20 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
HAMIDREZA M. KHONSARI
Credentials
M.D.
Primary location
3903 LONE TREE WAY
SUITE 104
ANTIOCH, CA 94509-6249
Phone: (925) 755-1255 Fax: (925) 755-1259
Mailing address
3903 LONE TREE WAY STE 104
ANTIOCH, CA 94509-6251
Phone: (925) 755-1255 Fax: (925) 755-1259
Sole Proprietor
Yes
Updated
Certification Date
Mar 04, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207Q00000X
- Family Medicine (Primary)		 CA A486070

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Offers Telehealth Services
Yes - Telehealth services allows you to talk to your health care provider using audio/video communications, such as Zoom, without actually going in to the doctor's office
Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
HAMIDREZA KHONSARI is affiliated with the following medical group(s):
  • HOSPITAL
    • JOHN MUIR MEDICAL CENTER - WALNUT CREEK CAMPUS
      1601 YGNACIO VALLEY RD
      WALNUT CREEK, CA 94598
    • SUTTER DELTA MEDICAL CENTER
      3901 LONE TREE WAY
      ANTIOCH, CA 94509
  • HOME HEALTH AGENCY
    • CAREWAY HOME HEALTH
      161 W 25TH AVENUE, SUITE 206A
      SAN MATEO, CA 94403
    • GATEWAY HOME HEALTH CORP
      10 CROW CANYON COURT, SUITE 210
      SAN RAMON, CA 94583
    • JOHN MUIR HOME HEALTH SERVICES
      2298 PIKE COURT
      CONCORD, CA 94520
    • SUTTER VISITING NURSE ASSOCIATION AND HOSPICE
      5099 COMMERCIAL CIRCLE, SUITE 205-A
      CONCORD, CA 94520

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