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GHOLAM R MOHAMMADZADEH MD INC A MEDICAL CORPORATION
NPI 1811320724
Thoracic Surgery (Cardiothoracic Vascular Surgery) in Thousand Oaks, CA

Active since August 14, 2013
77 ROLLING OAKS DR STE 202, THOUSAND OAKS, CA 91361(805) 379-6717(805) 379-6719 Get Directions Write a Review

NPPES record last updated: June 25, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 25, 2024, Jun 21, 2024 (2 updates tracked since 2024).

About Gholam R Mohammadzadeh Md Inc A Medical Corporation NPPES

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

GHOLAM R MOHAMMADZADEH MD INC A MEDICAL CORPORATION (NPI 1811320724) is a healthcare organization registered as a thoracic surgery (cardiothoracic vascular surgery) in Thousand Oaks, California and active in the NPI registry since August 2013. The organization lists Gholam R Mohammadzadeh, Owner, as its authorized official.

NPPES Registry Identity

NPI1811320724
Entity TypeOrganization
Primary Taxonomy208G00000X
Legal Business NameGHOLAM R MOHAMMADZADEH MD INC A MEDICAL CORPORATION
Location Address77 ROLLING OAKS DR STE 202Thousand Oaks, CA 91361-1018
Mailing Address77 Rolling Oaks Dr Ste 202Thousand Oaks, CA 91361-1018 · (805) 379-6717 · Fax (805) 379-6719
Phone(805) 379-6717
Fax(805) 379-6719
Organization SubpartNo
Authorized OfficialGholam R MohammadzadehOwner · (805) 379-6717
Enumeration DateAugust 14, 2013
Last NPPES UpdateJune 25, 20242 updates tracked since enumeration
NPPES CertifiedJune 25, 2024
✔ NPI 1811320724 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyThoracic Surgery (Cardiothoracic Vascular Surgery)Allopathic & Osteopathic Physicians
Taxonomy Code208G00000X
Definition
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.
77 ROLLING OAKS DR STE 202, Thousand Oaks, CA 91361
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SUE ANN FERRARO NP
Nurse Practitioner
77 ROLLING OAKS DR STE 202
THOUSAND OAKS, CA 91361
Los Angeles County (805) 387-6687
DR. GHOLAM REZA MOHAMMADZADEH MD
Thoracic Surgery (Cardiothoracic Vascular Surgery)
77 ROLLING OAKS DR STE 202
THOUSAND OAKS, CA 91361
Los Angeles County (805) 379-6717
RENAISSANCE ASTHETIC LASER AND VEIN INSTITUTE, A MEDICAL CORPORATION
Surgery (Vascular Surgery)
77 ROLLING OAKS DR STE 202
THOUSAND OAKS, CA 91361
Los Angeles County (805) 379-6717
JUST BEAUTIFUL AESTHETICS
Nurse Practitioner
77 ROLLING OAKS DR STE 202
THOUSAND OAKS, CA 91361
Los Angeles County (805) 387-6687

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 Gholam R Mohammadzadeh MD Inc A Medical Corporation's NPI number?

The NPI number for Gholam R Mohammadzadeh MD Inc A Medical Corporation is 1811320724. It was assigned to this organization in the NPPES registry on August 14, 2013.

Where is Gholam R Mohammadzadeh MD Inc A Medical Corporation located?

Gholam R Mohammadzadeh MD Inc A Medical Corporation is located at 77 Rolling Oaks Dr Ste 202, Thousand Oaks, CA 91361. The listed phone number is (805) 379-6717.

What is Gholam R Mohammadzadeh MD Inc A Medical Corporation's specialty?

The primary specialty registered for this NPI is Thoracic Surgery (Cardiothoracic Vascular Surgery) with taxonomy code 208G00000X.

When was this NPI record last updated?

The NPPES record for Gholam R Mohammadzadeh MD Inc A Medical Corporation was last updated on June 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.