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

Individual provider Family Medicine Physician · NPI 1306874714

Dr. Hamidreza M Khonsari, MD is a Family Practice in Antioch, California. Qualified in 1984, 42 years ago. Practices with Bass Medical Group, a 292-clinician group, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
42
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

3903 Lone Tree Way Ste 104
Antioch, CA 94509-6249
Phone: (925) 755-1255
Fax: (925) 755-1259
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence A486070 (CA)

Record details

NPI number1306874714
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJune 28, 2006
Last updated in NPPESMarch 4, 2025
Certification dateMarch 4, 2025

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 1984 (42 years in practice)
Group practice Bass Medical Group — 292 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

Other providers in Antioch