GHOLAM R. MOHAMMADZADEH MD – NPI #1699743625
Thoracic Surgery (Cardiothoracic Vascular Surgery)

A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty.

Health Care Provider Taxonomy Code for Thoracic Surgery (Cardiothoracic Vascular Surgery)

GHOLAM MOHAMMADZADEH is a thoracic surgeon located in THOUSAND OAKS, CA. NPPES has assigned the NPI number 1699743625 to GHOLAM MOHAMMADZADEH on March 08, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 208G00000X from the Health Care Provider Taxonomy code set, which is classified as Thoracic Surgery (Cardiothoracic Vascular Surgery).

The NPI profile was last updated on Jun 25, 2024. 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 GHOLAM MOHAMMADZADEH below.

NPI Profile for
GHOLAM R. MOHAMMADZADEH

NPI Number
1699743625
Enumeration Date

(more than 20 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
GHOLAM R. MOHAMMADZADEH
Credentials
MD
Primary location
77 ROLLING OAKS DR STE 202
THOUSAND OAKS, CA 91361-1018
Phone: (805) 379-6717 Fax: (805) 379-6719
Mailing address
Same as primary location
Sole Proprietor
No
Updated
Certification Date
Jun 25, 2024

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.

Identifiers

Identifiers for GHOLAM MOHAMMADZADEH

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
medicaidCA00G742930
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
208G00000X
- Thoracic Surgery (Cardiothoracic Vascular Surgery) (Primary)		 CA G74293

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

Education
RUSH MEDICAL COLLEGE OF RUSH UNIVERSITY - Graduated 1980
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
GHOLAM MOHAMMADZADEH is affiliated with the following medical group(s):
  • HOSPITAL
    • LOS ROBLES HOSPITAL & MEDICAL CENTER
      215 W JANSS RD
      THOUSAND OAKS, CA 91360
    • NORTHRIDGE HOSPITAL MEDICAL CENTER
      18300 ROSCOE BLVD
      NORTHRIDGE, CA 91325
    • SIMI VALLEY HOSPITAL & HEALTH CARE SERVICES
      2975 N SYCAMORE DR
      SIMI VALLEY, CA 93065
    • ST JOHNS REGIONAL MEDICAL CENTER
      1600 N ROSE AVE
      OXNARD, CA 93030
    • WEST HILLS HOSPITAL & MEDICAL CENTER
      7300 MEDICAL CENTER DR
      WEST HILLS, CA 91307

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