MEHRDAD REZAEE (NPI# 1629056692) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629056692 |
| Entity Type | Individual |
| Full Name | MEHRDAD REZAEE |
| Credential | MD PHD |
| Practice Address |
2030 Forest Ave Suite 210 San Jose CA 95128-4833 |
| Practice Telephone | 4082952257 |
| Practice Fax Number | 4082952264 |
| Mailing Telephone | 4082952257 |
| Mailing Fax Number | 4082952264 |
| Enumeration Date | 2006-01-09 |
| Last Update Date | 2012-02-27 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
G83930 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
2030 FOREST AVE SUITE 210 |
| City | SAN JOSE |
| State | CA |
| Zip Code | 95128-4833 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053392308 | O'connor Hospital Home Health Care Agency | Home Health | 2030 Forest Ave, San Jose, CA 95128-4833 | 2005-11-11 |
| 1457717647 | Katherine Mary Pope | Nurse Practitioner | 2030 Forest Ave, Suite 110, San Jose, CA 95128-4833 | 2016-01-05 |
| 1083026512 | Lynn Vuong | Registered Nurse | 2030 Forest Ave, Suite 110, San Jose, CA 95128-4833 | 2014-06-02 |
| 1932349230 | Myrna Liz Alivio Gagante | Nurse Practitioner | 2030 Forest Ave, Suite 100, San Jose, CA 95128-4833 | 2009-02-26 |
| 1447423587 | Raymond Tabibiazar | Internal Medicine | 2030 Forest Ave, Suite 210, San Jose, CA 95128-4833 | 2008-04-09 |
| 1083890990 | Santa Clara Ob/gyn Medical Group | Obstetrics & Gynecology | 2030 Forest Ave, Suite 100, San Jose, CA 95128-4833 | 2008-01-10 |
| 1043402118 | Joseph P Lee | Pediatrics | 2030 Forest Ave, Suite 110, San Jose, CA 95128-4833 | 2007-08-13 |
| 1215137963 | Jerry A. Hanson, M.d. A Professional Corporation | Clinic/Center | 2030 Forest Ave, Ste. 210, San Jose, CA 95128-4833 | 2007-07-20 |
| 1588861108 | Ursula Maria Wollschlaeger | Pediatrics | 2030 Forest Ave, Suite 110, San Jose, CA 95128-4833 | 2007-06-28 |
| 1194872861 | Mario N Cordero | Obstetrics & Gynecology | 2030 Forest Ave, Suite 100, San Jose, CA 95128-4833 | 2007-01-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982227138 | Ruth Larsen | Social Worker | 850 S. Bascom Avenue, Suite 280, San Jose, CA 95128 | 2020-05-22 |
| 1265067185 | Of Two Minds Psychotherapy | Marriage & Family Therapist | 190 S. Bascom Ave, Ste 130, San Jose, CA 95128 | 2020-03-11 |
| 1982244166 | Cindy Pantoja Escobar | Behavior Technician | 100 O'connor Drive, Suites 21, San Jose, CA 95128 | 2020-01-15 |
| 1104460591 | Katherine Alexandra Misogas | Pharmacist | 777 Turner Dr # 330, San Jose, CA 95128 | 2019-10-29 |
| 1942842216 | Jodie Pierce | Marriage & Family Therapist | 871 Enborg Lane, San Jose, CA 95128 | 2019-10-08 |
| 1003466434 | Dong Mi Cha | Pharmacist | 777 Turner Dr Ste 330, San Jose, CA 95128 | 2019-09-17 |
| 1114571759 | Sleep Well Acupuncture, Inc | Acupuncturist | 1361 S Winchester Blvd Suite 206, San Jose, CA 95128 | 2019-08-01 |
| 1083277677 | Wellocity, Inc | Health Educator | 334 Santana Row, 318, San Jose, CA 95128 | 2019-04-18 |
| 1518428812 | Alexander Diaz | Radiology | 75 South Bascom Ave, San Jose, CA 95128 | 2019-03-28 |
| 1720542103 | Nanci R Price Inc | Chiropractor | 100 O'connor Dr., Ste 27, San Jose, CA 95128 | 2019-01-30 |
| Find all providers in zip 95128 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962000141 | Suman S Kuppahally, M.d. Inc | Internal Medicine | 2505 Samaritan Dr Ste 600, San Jose, CA 95124-4017 | 2020-10-11 |
| 1861918369 | T. Chow Cardiology and Electrophysiology Medical Office | Internal Medicine | 175 N Jackson Ave Ste 111, San Jose, CA 95116-1909 | 2017-08-16 |
| 1275915431 | Careremote | Internal Medicine | 2050 Mckee Rd, Suite 54, San Jose, CA 95116-1431 | 2015-06-24 |
| 1487059960 | Evergreen Cardiology Group, Inc | Internal Medicine | 200 Jose Figueres Ave Ste 330, San Jose, CA 95116-1590 | 2014-10-27 |
| 1639351125 | Dan Van Dang | Internal Medicine | 969 Story Rd, Suite 6066, San Jose, CA 95122-2690 | 2007-11-27 |
| 1538369699 | Anjali Gulati, M.d., Inc. | Internal Medicine | 2505 Samaritan Dr Ste 404, San Jose, CA 95124-4012 | 2007-07-18 |
| 1639375959 | Amir Kaykha | Internal Medicine | 105 N Bascom Ave Ste 204, San Jose, CA 95128-1811 | 2007-06-24 |
| 1396892162 | James Barrett Weidner | Internal Medicine | 2030 Forest Ave Ste 110, San Jose, CA 95128-4833 | 2007-01-04 |
| 1710911011 | Jonathan Ting Ng | Internal Medicine | 1835 Park Ave, San Jose, CA 95126-1650 | 2006-07-10 |
| 1912936659 | South Bay Cardiology | Internal Medicine | 2039 Forest Ave #201, San Jose, CA 95128 | 2006-07-03 |
| Find all providers in SAN JOSE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.