DR. ALIREZA MAHMOUDIEH (NPI# 1720166309) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720166309 |
| Entity Type | Individual |
| Full Name | DR. ALIREZA MAHMOUDIEH |
| Credential | MD |
| Practice Address |
3303 M St Merced CA 95348-2714 |
| Mailing Address |
Po Box 511597 Los Angeles CA 90051-8152 |
| Practice Telephone | 2097263410 |
| Practice Fax Number | 2097263371 |
| Mailing Telephone | 2097263410 |
| Mailing Fax Number | 2097263371 |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2014-06-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0001X |
Radiology Specialization: Radiation Oncology |
A90452 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00A904520 | 05 |
| Street Address |
3303 M ST |
| City | MERCED |
| State | CA |
| Zip Code | 95348-2714 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346278546 | Imtiaz A Malik | Internal Medicine | 3303 M St, Merced, CA 95348-2714 | 2006-06-28 |
| 1184003402 | Kelly Flores | Nurse Practitioner | 3303 M St, Merced, CA 95348-2714 | 2015-05-19 |
| 1902062136 | El Portal Radiation Oncology Center | Radiology | 3303 M St, Merced, CA 95348-2714 | 2008-08-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063031649 | Sydney Towle | Counselor | 3360 N Hwy 59 Suite K, Merced, CA 95348 | 2020-04-13 |
| 1972147544 | Aaliyah Belt | Behavior Technician | 2808 Park Ave, Suite A, Merced, CA 95348 | 2019-11-06 |
| 1922566025 | Michelle Chao Lee | Case Manager/Care Coordinator | 3360 North Hwy 59 Suite K, Merced, CA 95348 | 2019-03-07 |
| 1760952246 | Noemi Diaz | Counselor | 3360 North Hwy.59 Suite K, Merced, CA 95348 | 2018-11-28 |
| 1518451632 | Kenneth Tiea Pay | Pharmacist | 767 Ironstone Dr, Merced, CA 95348 | 2018-06-21 |
| 1295223444 | Andraya Diane Plascencia | Behavior Technician | 335 M St, Merced, CA 95348 | 2018-04-24 |
| 1801398839 | Elisabet Pulido | Case Manager/Care Coordinator | 3360 N State Hwy 59, K, Merced, CA 95348 | 2018-03-06 |
| 1184126674 | Carolina Rosales | Behavior Technician | 3335 M St., Merced, CA 95348 | 2018-03-01 |
| 1659897957 | Melody Vega | Social Worker | 3195 M Street, Merced, CA 95348 | 2017-08-17 |
| 1942739305 | Salvador Tinoco Jaramillo | Marriage & Family Therapist | 3360 N Highway 59 Suite K, Merced, CA 95348 | 2017-06-08 |
| Find all providers in zip 95348 | ||||
| Taxonomy Code | 2085R0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Radiation Oncology |
| A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699896357 | Raymond C. Tan, Md A Professional Corporation | Radiology | 3850 G St, Merced, CA 95340-8787 | 2007-04-02 |
| 1902062136 | El Portal Radiation Oncology Center | Radiology | 3303 M St, Merced, CA 95348-2714 | 2008-08-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154933034 | Andrew Lim | Radiology | 200 Medical Plaza Driveway Suite B265, Los Angeles, CA 90095-0001 | 2020-08-20 |
| 1083275200 | Centerpoint Radiation Oncology, Inc. | Radiology | 8929 Wilshire Blvd Ste 100, Beverly Hills, CA 90211-1950 | 2019-06-27 |
| 1922450840 | Cynthia Bajada Chasan | Radiology | 7401 Vista Del Mar Ave, La Jolla, CA 92037-4954 | 2016-07-02 |
| 1871906396 | Sammy Mohamed Ashouri | Radiology | 300 Pasteur Dr Rm H1330, Stanford, CA 94305 | 2014-06-03 |
| 1235540469 | Julian C Hong | Radiology | 1825 4th St Rm M2260, San Francisco, CA 94143-2350 | 2014-05-09 |
| 1295155422 | Rishabh Chaudhari | Radiology | 880 E Tuolumne Rd Ste 101, Turlock, CA 95382-1549 | 2014-04-28 |
| 1407278211 | Vincent S. T. Cheng | Radiology | 6022 W Sweet Dr, Visalia, CA 93291-8924 | 2014-01-13 |
| 1487085221 | Peter Allison Austin | Radiology | 1655 Aspen Grove Ln, Diamond Bar, CA 91765-2953 | 2013-12-04 |
| 1760820666 | Sandra Birdwell | Radiology | 1865 Camino De Los Robles, Menlo Park, CA 94025-5912 | 2013-06-13 |
| 1063859874 | John Vidyadhar Hegde | Radiology | Ucla Medical Center Department of Radiation, 200 Ucla Medical Center, Suite B265, Los Angeles, CA 90095-0001 | 2013-06-03 |
| Find all providers with the same taxonomy | ||||
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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.