Individual ProviderSassan GhassemzadehEmergency MedicineAllopathic & Osteopathic PhysiciansPractice Address4445 Magnolia Ave, Riverside, CA 92501-4135(951) 788-3000PECOS EnrollmentBased on the most recent information from CMS, provider Sassan Ghassemzadeh is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1588923684Provider TypeIndividualFull NameGhassemzadeh, SassanTitleDr.CredentialM.D.GenderMaleSole ProprietorNoEnumeration Date5/9/2012Last Updated12/8/2021Contact InformationPractice LocationPractice Address4445 Magnolia Ave, Riverside, CA 92501-4135Phone(951) 788-3000FaxUnlisted FaxMailing LocationMailing Address4445 Magnolia Ave, Department Of Emergency Medicine, Riverside, CA 92501-4135Phone(951) 788-3000FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode207P00000XPrimaryDescriptionEmergency MedicineAllopathic & Osteopathic PhysiciansLicenseA127195California