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

Dr. Mehran Mirkazemi, DO

Individual provider Surgery Physician · NPI 1811967268

Dr. Mehran Mirkazemi, DO is a General Surgery in Thousand Oaks, California. Qualified in 1995, 31 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in California and Michigan.

Years since qualifying
31
Licensed in
CA, MI
In the registry since
2006
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

455 E Thousand Oaks Blvd Ste 106
Thousand Oaks, CA 91360-5877
Phone: (805) 908-6552
Fax: (805) 365-4115
Show map & directions

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

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 20A24169 (CA)
Specialist Taxonomy 174400000X · Licence 5101013208 (MI)

Record details

NPI number1811967268
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorYes
NPI enumeratedJanuary 26, 2006
Last updated in NPPESJanuary 8, 2026
Certification dateJanuary 8, 2026
Mailing address455 E Thousand Oaks Blvd Ste 106, Thousand Oaks, CA 91360-5877

Medicare enrollment

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

Medicare specialtyGENERAL SURGERY
Medical schoolOTHER
Graduated 1995 (31 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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