MOHAMMAD EZZATI M.D. NPI 1700030418

NPI Information

NPI: 1700030418
Provider Name: MOHAMMAD EZZATI, M.D.
Classification: Obstetrics & Gynecology - 207VE0102X
Entity Type: Individual

Specialization: Reproductive Endocrinology

PECOS Registration: Yes

Address:
2581 SAMARITAN DR
SUITE 308
SAN JOSE, CA
ZIP 95124
Phone: (650) 943-7000
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Mohammad Ezzati, M.D. is a reproductive endocrinology obstetrics gynecology in San Jose, CA. The provider is an obstetrician/gynecologist who is capable of managing complex problems relating to reproductive endocrinology and infertility. Mohammad Ezzati, M.D. NPI is 1700030418. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2581 SAMARITAN DR
SUITE 308
SAN JOSE, CA
ZIP 95124-113
Phone: (650) 943-7000

The NPI 1700030418 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 11/7/2008 and was last updated on 7/28/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207V00000X	Obstetrics & Gynecology		P1995	TEXAS	No
2	390200000X	Student in an Organized Health Care Education/Training Program				No
3	207VE0102X	Obstetrics & Gynecology	Reproductive Endocrinology	A135887	CALIFORNIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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