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

Dr. Koosha Mortazavi, MD

Individual provider Nephrology Physician · NPI 1215966999

Dr. Koosha Mortazavi, MD is a Nephrology in Oxnard, California. Qualified in 1997, 29 years ago. Practices with Vista Del Mar Medical Group Inc, a 7-clinician group, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
29
Licensed in
CA
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

1200 W Gonzales Rd Ste 300
Oxnard, CA 93036-3072
Phone: (805) 278-9094
Fax: (805) 278-8964
Show map & directions

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

Specialties & licences

Nephrology Physician (primary) Taxonomy 207RN0300X · Licence A91559 (CA)
Internal Medicine Physician Taxonomy 207R00000X · Licence A91559 (CA)

Record details

NPI number1215966999
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 3, 2006
Last updated in NPPESJanuary 14, 2010

Medicare enrollment

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

Medicare specialtyNEPHROLOGY
Also practisesINTERNAL MEDICINE
Medical schoolOTHER
Graduated 1997 (29 years in practice)
Group practice Vista Del Mar Medical Group Inc — 7 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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