MEDICARE: DR. BEHZAD TAGHIZADEH M.D., FACC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RC0000X	Cardiovascular Disease Physician	0101232582	VA
2	207RC0000X	Cardiovascular Disease Physician	C58208	CA
3	207RC0000X	Cardiovascular Disease Physician	200300293	NC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	167205	OTHER	VA	ANTHEM (W/S)
5	2012405A	OTHER	NC	FMH
6	3155493	OTHER	NC	CIGNA HEALTHCARE
7	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
8	3069114	OTHER		AETNA
9	7275230	OTHER		AETNA
10	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
11	167299	OTHER	VA	ANTHEM (MOCKSVILLE)
12	13338	OTHER	NC	BCBS
13	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
14	166458	OTHER	VA	ANTHEM (STUART)
15	166719	OTHER	VA	ANTHEM (MT. AIRY)
16	166007	OTHER	VA	ANTHEM (GALAX)
17	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1275514986
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. BEHZAD TAGHIZADEH M.D., FACC

Provider Business Mailing Address
First Line	:	280 AVOCADO AVE
Second Line	:
City	:	EL CAJON
State	:	CA
Zip	:	92020-4604
Country	:	US
Telephone Number	:	619-582-2404
Fax Number	:	619-243-3236

Provider Business Practice Location Address
First Line	:	280 AVOCADO AVE
Second Line	:
City	:	EL CAJON
State	:	CA
Zip	:	92020-4604
Country	:	US
Telephone Number	:	619-582-2404
Fax Number	:	619-243-3236

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/09/2005
Last Update Date	:	05/04/2026

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Directions to “ DR. BEHZAD TAGHIZADEH M.D., FACC” Practice Location

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