Healthcare Provider Details

I. General information

NPI: 1144464991
Provider Name (Legal Business Name): MEHRNOOSH ALMASSI MD INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/23/2009
Last Update Date: 02/23/2026
Certification Date: 02/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1840 SAN MIGUEL DR STE 100
WALNUT CREEK CA
94596-8603
US

IV. Provider business mailing address

1840 SAN MIGUEL DR STE 100
WALNUT CREEK CA
94596-8603
US

V. Phone/Fax

Practice location:
  • Phone: 925-356-8990
  • Fax: 925-356-8995
Mailing address:
  • Phone: 925-356-8990
  • Fax: 925-356-8995

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License NumberA74962
License Number StateCA

VIII. Authorized Official

Name: MEHRNOOSH ALMASSI
Title or Position: PRESIDENT
Credential: M.D.
Phone: 925-356-8990