MR. KAMAL EBADPOUR


Address: 13224 Iroquois Road, Apple Valley, CA 92308
Phone: 2139990995

MR. KAMAL EBADPOUR (NPI# 1043608763) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1043608763
Entity Type Individual
Full Name MR. KAMAL EBADPOUR
Other Name MRS. SEPIDEH SOHRABI
Practice Address 13224 Iroquois Road
Apple Valley
CA 92308
Mailing Address 13224 Iroquois Rd
Apple Valley
CA 92308-6384
Practice Telephone 2139990995
Mailing Telephone 2139990995
Enumeration Date 2015-01-05
Last Update Date 2015-01-05
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 372600000X Adult Companion 366426126 CA Nursing Service Related Providers

Other Provider Identifier

State Issuer Identifier Type Code
CA 46-2760607 05

Office Location

Street Address 13224 IROQUOIS ROAD
City APPLE VALLEY
State CA
Zip Code 92308

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1144831850 Lisa K Frandsen Behavioral Analyst 19794 Poppy Rd, Apple Valley, CA 92308 2020-08-14
1518484195 Jennifer Redwine Behavioral Analyst 1905 Business Center Drive South, Unit 100, San Bernardino, CA 92308 2017-08-24
1508397100 West Care Transportation Non-emergency Medical Transport (VAN) 15480 Straight Arrow Rd #b, Apple Valley, CA 92308 2017-03-24
1811346497 E Kim Dental Corp Dentist 21580 Bear Valley Rd., Ste B2-2, Apple Valley, CA 92308 2016-06-06
1134575376 Seth Owuor Pharmacist 14426 Palmdale Road, Victorville, CA 92308 2016-05-06
1487099669 Hateem Siddiqui Internal Medicine 19059 Bear Valley Rd # 3, Apple Valley, CA 92308 2013-05-01
1225305618 Edward N. Sianipar Nurse Practitioner 19059 Bear Valley Rd., #1, Apple Valley, CA 92308 2011-11-29
1043508559 Southern California Primary Medical Inc Clinic/Center 19341 Bear Valley Rd Ste 101, Apple Valley, CA 92308 2011-07-18
1396070959 Asghar Ali Rajani Registered Nurse 19059 Bear Valley Road, Apple Valley, CA 92308 2009-10-14
1962663393 Town Center Plaza Urgent Care Inc Clinic/Center 19015 Town Center Drive, Suite 102, Apple Valley, CA 92308 2008-06-18
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Taxonomy Information

Taxonomy Code 372600000X
Grouping Nursing Service Related Providers
Classification Adult Companion

Taxonomy Definition

An individual who provides supervision, socialization, and non-medical care to a functionally impaired adult. Companions may assist or supervise the individual with such tasks as meal preparation, laundry and shopping, but do not perform these activities as discrete services. These services are provided in accordance with a therapeutic goal in the plan of care.
Notes: [7/1/2003: new]

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1144831371 Raymond Smith II Adult Companion 17117 Saldee Dr, Carson, CA 90746-1156 2020-08-11
1407470826 Darshana Bhakta Adult Companion 17510 Pioneer Blvd Ste 205, Artesia, CA 90701-4075 2020-06-01
1487282463 Diane Yap Adult Companion 580 22nd Ave, San Francisco, CA 94121-3016 2020-03-27
1639702095 Adrian Kelly Holmes Adult Companion 1540 S Fairfax Ave Apt 2, Los Angeles, CA 90019-4938 2020-02-13
1063059533 Brenda Mendoza Adult Companion 2201 Pinon Springs Cir, Bakersfield, CA 93309-4491 2019-12-04
1619514023 Families Choice Home Care Services, Inc. Adult Companion 545 N Mountain Ave Ste 209, Upland, CA 91786-5055 2019-12-04
1912542937 Qualicare Family Homecare Adult Companion 1706 Descanso Ave Ste A, San Marcos, CA 92078-2514 2019-11-13
1619522497 Barbara Starling Adult Companion 1000 S Dwight Ave, Compton, CA 90220-4447 2019-08-07
1528521390 Sandra Lc Gonzalez Adult Companion 1855 Lashlee Ln, San Ysidro, CA 92173-2119 2019-04-09
1154884971 Brenda Zulema Castillo Adult Companion 40819 Ginger Blossom Ct, Murrieta, CA 92562-2020 2019-04-09
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Competitor

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City APPLE VALLEY
Zip Code 92308

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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