| Seyed Mohammad Reza Khoddami, MD | |
|
2705 Loma Vista Rd, Suite 206, Ventura, CA 93003-1581 | |
| (805) 643-4067 | |
| (805) 643-4587 |
| Full Name | Seyed Mohammad Reza Khoddami |
|---|---|
| Gender | Male |
| Speciality | Urology |
| Experience | 24 Years |
| Location | 2705 Loma Vista Rd, Ventura, 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. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437278603 | NPI | - | NPPES |
| A109665 | Other | CA | CALIFORNIA STATE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2088P0231X | Urology - Pediatric Urology | A109665 (California) | Secondary |
| 208800000X | Urology | A109665 (California) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Community Memorial Hospital San Buenaventura | Ventura, CA | Hospital |
| Ojai Valley Community Hospital | Ojai, CA | Hospital |
| Ventura County Medical Center | Ventura, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Community Memorial Health System | 9537155676 | 167 |
| 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 | Khoddami Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1598318461 PECOS PAC ID: 8628305893 Enrollment ID: O20190809002506 |
| Mailing Address | Practice Location Address |
|---|---|
| Seyed Mohammad Reza Khoddami, MD 5855 Olivas Park Dr, Ventura, CA 93003-7672 Ph: (805) 667-2801 | Seyed Mohammad Reza Khoddami, MD 2705 Loma Vista Rd, Suite 206, Ventura, CA 93003-1581 Ph: (805) 643-4067 |
Dr. Hailey Sam Eisner, D.O. Urology Medicare: Accepting Medicare Assignments Practice Location: 300 Hillmont Ave Ste 401, Ventura, CA 93003 Phone: 805-652-6201 | |
Michael Poon, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 2705 Loma Vista Rd Ste 206, Ventura, CA 93003 Phone: 805-643-4067 | |
Christopher Dru, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 300 Hillmont Ave Bldg 340, Ventura, CA 93003 Phone: 805-652-6210 | |
Dr. Cedric B Emery, M.D. Urology Medicare: Not Enrolled in Medicare Practice Location: 2807 Loma Vista Rd, Suite 101, Ventura, CA 93003 Phone: 805-653-1533 Fax: 805-653-1536 | |
Dr. William T Klope, MD Urology Medicare: Not Enrolled in Medicare Practice Location: 2755 Loma Vista Rd, Ventura, CA 93003 Phone: 805-641-3689 Fax: 805-641-9538 | |
Dr. Marc A Beaghler, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 2705 Loma Vista Rd, Ste 206, Ventura, CA 93003 Phone: 805-643-4067 Fax: 805-648-5612 |