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DR. MOHAMMED TAGHI REZAI D.O.
NPI 1013399195
Family Medicine in Thousand Oaks, CA

Active since June 24, 2015Opted out of Medicare · through Dec 28, 2026
455 E THOUSAND OAKS BLVD STE B, THOUSAND OAKS, CA 91360(818) 232-5788 Get Directions Write a Review

NPPES record last updated: May 2, 2022. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: May 2, 2022, Dec 3, 2021, Sep 9, 2018 (3 updates tracked since 2018).

About Dr. Mohammed Taghi Rezai D.o. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MOHAMMED TAGHI REZAI D.O. (NPI 1013399195) is an individual family medicine provider in Thousand Oaks, California, licensed in California (20A14895) and active in the NPI registry since June 2015. He has opted out of Medicare through December 28, 2026 and remains eligible to order and refer and maintains a secondary practice location in Redding.

NPPES Registry Identity

NPI1013399195
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. MOHAMMED TAGHI REZAICredential: D.O.
Location Address455 E THOUSAND OAKS BLVD STE BThousand Oaks, CA 91360-5800
Mailing Address455 E Thousand Oaks Blvd Ste BThousand Oaks, CA 91360-5800 · (818) 232-5788
Phone(818) 232-5788
Sole ProprietorYes
Enumeration DateJune 24, 2015
Last NPPES UpdateMay 2, 20223 updates tracked since enumeration
NPPES CertifiedMay 2, 2022
✔ NPI 1013399195 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in CA · 20A14895
Definition
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.
Also ListedFamily Medicine · Addiction MedicineTaxonomy 207QA0401X · License 20A14895 (CA)
Also ListedPreventive Medicine · Addiction MedicineTaxonomy 2083A0300X · License 20A14895 (CA)
455 E THOUSAND OAKS BLVD STE B, Thousand Oaks, CA 91360
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Secondary Practice Location 1

Location 13184 Churn Creek RdRedding, CA 96002-2122 · Phone (530) 768-2446

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Mohammed Taghi Rezai D.o. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from December 28, 2020 through December 28, 2026.

Opt-Out Effective DateDecember 28, 2020
Opt-Out In Effect ThroughDecember 28, 2026Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91360 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$95.28 typical visit price
range $62.32 – $185.36
Typical copayment $23.82 (range $15.58 – $46.34)
Most-billed visit code 99203
Established Patient
$108.74 typical visit price
range $20.68 – $151.85
Typical copayment $27.18 (range $5.17 – $37.96)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mohammed Rezai's NPI number?

The NPI number for Mohammed Rezai is 1013399195. It was assigned to this individual provider in the NPPES registry on June 24, 2015.

Where is Mohammed Rezai located?

Mohammed Rezai practices at 455 E Thousand Oaks Blvd Ste B, Thousand Oaks, CA 91360. The listed phone number is (818) 232-5788.

What is Mohammed Rezai's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Mohammed Rezai enrolled in Medicare?

No. Mohammed Rezai has opted out of Medicare through December 28, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Mohammed Rezai was last updated on May 2, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.