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

Q: 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.

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: October 18, 2026.

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

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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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Gholam R Mohammadzadeh Md Inc A Medical Corporation is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Gholam R Mohammadzadeh MD Inc A Medical Corporation, which bills Medicare for the services this clinician delivers.

Clinician (1)

Gholam Mohammadzadeh, MD

Cardiac Surgery

NPI 1699743625

77 ROLLING OAKS DR STE 202
Thousand Oaks, CA 91361

(805) 379-6717

✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Is Gholam R Mohammadzadeh MD Inc A Medical Corporation enrolled in Medicare?

Yes. Gholam R Mohammadzadeh MD Inc A Medical Corporation is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Gholam R Mohammadzadeh MD Inc A Medical Corporation?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Cardiac Surgery) reassigns their Medicare billing to Gholam R Mohammadzadeh MD Inc A Medical Corporation. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.