Dr Koosha Mortazavi, MD in Oxnard, CA

Dr Koosha Mortazavi, MD is a medicare enrolled "Internal Medicine - Nephrology" physician in Oxnard, California. He graduated from medical school in 1997 and has 27 years of diverse experience with area of expertise as Nephrology. He is a member of the group practice Vista Del Mar Medical Group Inc, Community Memorial Health System and his current practice location is 1200 W Gonzales Rd, Suite 300, Oxnard, California. You can reach out to his office (for appointments etc.) via phone at (805) 278-9094.

Dr Koosha Mortazavi is licensed to practice in California (license number A91559) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1215966999.

Contact Information

	Dr Koosha Mortazavi, MD
	1200 W Gonzales Rd, Suite 300, Oxnard, CA 93036-3072
	(805) 278-9094
	(805) 278-8964

Map and Direction

Physician's Profile

Full Name	Dr Koosha Mortazavi
Gender	Male
Speciality	Nephrology
Experience	27 Years
Location	1200 W Gonzales Rd, Oxnard, California
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Koosha Mortazavi graduated from medical school in 1997

NPI Data:

NPI Number: 1215966999
Provider Enumeration Date: 07/03/2006
Last Update Date: 01/14/2010

Medicare PECOS Information:

PECOS PAC ID: 3274545496
Enrollment ID: I20060706000272

Medical Identifiers

Medical identifiers for Dr Koosha Mortazavi such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1215966999	NPI	-	NPPES
ZZZ75566Z	Medicaid	CA
110039977	Other	CA	MEDICARE RAILROAD
ZZZ34679Z	Other	CA	BLUE CROSS

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207RN0300X	Internal Medicine - Nephrology	A91559 (California)	Primary
207R00000X	Internal Medicine	A91559 (California)	Secondary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Fmc-dialysis Services Channel Islands	Oxnard, CA	Dialysis facility
Fmc-ventura	Ventura, CA	Dialysis facility
Fmc-camarillo Dialysis Center	Camarillo, CA	Dialysis facility
Fmc-oxnard	Oxnard, CA	Dialysis facility
St Johns Regional Medical Center	Oxnard, CA	Hospital
Community Memorial Hospital San Buenaventura	Ventura, CA	Hospital
Cedars-sinai Medical Center	Los angeles, CA	Hospital
Ventura County Medical Center	Ventura, CA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Vista Del Mar Medical Group Inc	1951357888	6
Community Memorial Health System	9537155676	164

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Koosha Mortazavi allows following entities to bill medicare on his behalf.

Entity Name	Community Memorial Health System
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1215903018 PECOS PAC ID: 9537155676 Enrollment ID: O20040422001668

Entity Name	Vista Del Mar Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1942239694 PECOS PAC ID: 1951357888 Enrollment ID: O20050323001422

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Koosha Mortazavi is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Dr Koosha Mortazavi, MD 1200 W Gonzales Rd, Suite 300, Oxnard, CA 93036-3072 Ph: (805) 278-9094	Dr Koosha Mortazavi, MD 1200 W Gonzales Rd, Suite 300, Oxnard, CA 93036-3072 Ph: (805) 278-9094

Reviews and Comments

Internal Medicine Doctors in Oxnard, CA

Dr. Constante U Abaya, MD Nephrology Medicare: Not Enrolled in Medicare Practice Location: 1200 N Ventura Rd, # C, Oxnard, CA 93030 Phone: 805-983-0730 Fax: 805-485-4586
John R Walters, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 703 N A St, Oxnard, CA 93030 Phone: 805-485-2340 Fax: 805-485-1429
Dr. Donald Miller, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 2241 Wankel Way Ste A, Oxnard, CA 93030 Phone: 805-983-0521 Fax: 805-919-2684
Victor H Alcocer, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 1901 Outlet Center Dr Ste 200, Oxnard, CA 93036 Phone: 805-981-8300 Fax: 805-981-8302
Dr. Jack Shenouda, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 1600 N Rose Ave, Oxnard, CA 93030 Phone: 717-577-3938 Fax: 785-354-6349
Peter G Aline, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 1901 Outlet Center Dr, #220, Oxnard, CA 93036 Phone: 805-988-4118 Fax: 805-988-1239
Dr. Romany F. Demian, M.D. Nephrology Medicare: May Accept Medicare Assignments Practice Location: 971 W 7th St # B, Suite # B, Oxnard, CA 93030 Phone: 805-483-2500 Fax: 805-483-2525

Dr Koosha Mortazavi, MD - Medicare Nephrology in Oxnard, CA