{"npi":"1922176239","type":"NPI-1","status":"active","name":{"display":"Mohammad Khezrian MD","other":[],"first":"MOHAMMAD","last":"KHEZRIAN","middle":"ALI","credential":"MD"},"specialty":{"primary_taxonomy":"207QG0300X","primary_taxonomy_description":"Family Medicine, Geriatric Medicine","slug":"family-medicine-geriatric","schema_org_specialty":"Geriatric","all":[{"code":"207Q00000X","description":"Family Medicine","primary":false,"state":"AZ","license":"37112"},{"code":"207QG0300X","description":"Family Medicine, Geriatric Medicine","primary":true,"state":"AZ","license":"37112"}]},"addresses":[{"purpose":"LOCATION","street_1":"1120 S DOBSON RD STE 225","city":"CHANDLER","state":"AZ","postal_code":"852866170","country_code":"US","phone":"4807285460","fax":"4807285461"},{"purpose":"MAILING","street_1":"PO BOX 33269","city":"PHOENIX","state":"AZ","postal_code":"850673269","country_code":"US","phone":"6024064786","fax":"9166364358"}],"license":{"state":"AZ","number":"37112"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"226724","state":"AZ","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20070813000495","type_code":"14-38","type_desc":"PRACTITIONER - GERIATRIC MEDICINE","state":"AZ","pac_id":"3375521727"}]},"enumeration_date":"2006-12-04","last_updated":"2025-08-29","_meta":{"source":"NPPES","snapshot_date":"2025-08-29","doc_url":"https://findmynpi.com/api"}}