Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Gholam Reza Mohammadzadeh, MD

Individual provider Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician · NPI 1699743625

Dr. Gholam Reza Mohammadzadeh, MD is a Thoracic Surgery in Thousand Oaks, California. Graduated from Rush Medical College of Rush University in 1980, 46 years ago. Practices with Genesis Health System, a 262-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
46
Trained at
Rush Medical College of Rush University
Licensed in
CA
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

77 Rolling Oaks Dr Ste 202
Thousand Oaks, CA 91361-1018
Phone: (805) 379-6717
Fax: (805) 379-6719
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician (primary) Taxonomy 208G00000X · Licence G74293 (CA)

Record details

NPI number1699743625
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 8, 2006
Last updated in NPPESJune 25, 2024
Certification dateJune 25, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyTHORACIC SURGERY
Medical schoolRUSH MEDICAL COLLEGE OF RUSH UNIVERSITY
Graduated 1980 (46 years in practice)
Group practice Genesis Health System — 262 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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