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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 372600000X | Adult Companion | 366426126 | CA | Nursing Service Related Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CA | 46-2760607 | 05 |
Street Address |
13224 IROQUOIS ROAD |
City | APPLE VALLEY |
State | CA |
Zip Code | 92308 |
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 |
Find all providers in zip 92308 |
Taxonomy Code | 372600000X |
Grouping | Nursing Service Related Providers |
Classification | Adult Companion |
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] |
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 |
Find all providers with the same taxonomy |
City | APPLE VALLEY |
Zip Code | 92308 |
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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.