HATAV KHADEMI (NPI# 1083063580) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083063580 |
| Entity Type | Individual |
| Full Name | HATAV KHADEMI |
| Credential | RN |
| Practice Address |
1161 Bay Blvd Suit B Chula Vista CA 91911-2670 |
| Mailing Address |
1161 Bay Blvd Ste B Chula Vista CA 91911-2670 |
| Practice Telephone | 6195857686 |
| Mailing Telephone | 6195857686 |
| Enumeration Date | 2016-06-07 |
| Last Update Date | 2016-06-28 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | 852519 | CA | Student, Health Care |
| Street Address |
1161 BAY BLVD SUIT B |
| City | CHULA VISTA |
| State | CA |
| Zip Code | 91911-2670 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780750927 | Christopher Joseph Chacon | Marriage & Family Therapist | 1161 Bay Blvd, Ste B, Chula Vista, CA 91911-2670 | 2006-11-28 |
| 1497296628 | Janette Tapia | Marriage & Family Therapist | 1161 Bay Blvd, Suite B, Chula Vista, CA 91911-2670 | 2017-03-20 |
| 1750821682 | Edna Miroslava Arreola | Counselor | 1161 Bay Blvd, Suite B, Chula Vista, CA 91911-2670 | 2017-02-25 |
| 1942759600 | Melissa Sanchez | Case Manager/Care Coordinator | 1161 Bay Blvd, B, Chula Vista, CA 91911-2670 | 2016-09-22 |
| 1043763915 | Elizabeth Munoz | Licensed Vocational Nurse | 1161 Bay Blvd, Chula Vista, CA 91911-2670 | 2016-07-27 |
| 1972956043 | Ada Rivapalacio | Student in an Organized Health Care Education/Training Program | 1161 Bay Blvd, Chula Vista, CA 91911-2670 | 2016-07-13 |
| 1407233802 | Consuelo Smith | Counselor | 1161 Bay Blvd, Suite B, Chula Vista, CA 91911-2670 | 2015-05-05 |
| 1033505656 | Katie Guerrero Soto | Marriage & Family Therapist | 1161 Bay Blvd, Chula Vista, CA 91911-2670 | 2015-04-09 |
| 1063844280 | Ofelia Reyes | Student in an Organized Health Care Education/Training Program | 1161 Bay Blvd, Chula Vista, CA 91911-2670 | 2013-07-30 |
| 1275970097 | Hannah K Branch | Counselor | 1161 Bay Blvd, Suite B, Chula Vista, CA 91911-2670 | 2013-06-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962011064 | Hfm Inc | Pharmacy | 750 Medical Center Court, Suite 8, Unit A, Chula Vista, CA 91911 | 2020-07-24 |
| 1659991198 | Cindy Way | Student in an Organized Health Care Education/Training Program | 1161 Bay Blvd. Ste. B Chula Vista,ca 91911, Chula Vista, CA 91911 | 2020-04-24 |
| 1083243455 | Uriel Angel Gonzalez | Student in an Organized Health Care Education/Training Program | 1161 Bay Boulevard B, Chula Vista, Chula Vista, CA 91911 | 2020-04-07 |
| 1083252464 | Denisse Patricia Macias | Dentist | 235 East Orange Avenue, Apartment E4, Chula Vista, CA 91911 | 2019-12-16 |
| 1952955494 | Jenifer Irene Wright | Counselor | 1180 Third Ave Suite C-3, Chula Vista, CA 91911 | 2019-08-01 |
| 1891357075 | Myriam Lourdes Scales | Counselor | 1172 3rd Ave Suite D1, Chula Vista, CA 91911 | 2019-07-08 |
| 1295228328 | Centro De Salud De La Comunidad De San Ysidro, Inc | Clinic/Center | 880 Third Ave Ste A, Chula Vista, CA 91911 | 2018-06-13 |
| 1902398589 | The Arc of San Diego | Day Training, Developmentally Disabled Services | 1280 Nolan Avenue, Chula Vista, CA 91911 | 2018-05-31 |
| 1003344292 | Jalitza Cardona | Peer Specialist | 853 3rd Ave, Suite C, Chula Vista, CA 91911 | 2017-06-01 |
| 1598138042 | Amy Nylund | Nurse Practitioner | 754 Medical Center Ct Ste 100, Chula Vista, CA 91911 | 2015-11-05 |
| Find all providers in zip 91911 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366055477 | Emma Wan | Student in an Organized Health Care Education/Training Program | 855 Third Ave Ste 2230, Chula Vista, CA 91911-1350 | 2020-08-28 |
| 1659991198 | Cindy Way | Student in an Organized Health Care Education/Training Program | 1161 Bay Blvd. Ste. B Chula Vista,ca 91911, Chula Vista, CA 91911 | 2020-04-24 |
| 1083243455 | Uriel Angel Gonzalez | Student in an Organized Health Care Education/Training Program | 1161 Bay Boulevard B, Chula Vista, Chula Vista, CA 91911 | 2020-04-07 |
| 1396373619 | Juan Carlos Lozano | Student in an Organized Health Care Education/Training Program | 435 H St # 112, Chula Vista, CA 91910-4307 | 2020-03-31 |
| 1396382206 | Oscar Brian Castillo | Student in an Organized Health Care Education/Training Program | 9123 Stylus Street Apt 301, Chula Vista, CA 91915 | 2019-12-10 |
| 1073179529 | Roshni Kakaiya | Student in an Organized Health Care Education/Training Program | 435 H Street, Cv112, Chula Vista, CA 91910 | 2019-05-09 |
| 1497217756 | Rachel Buehler Van Hollebeke | Student in an Organized Health Care Education/Training Program | 435 H St, Cv112, Chula Vista, CA 91910-4307 | 2019-04-04 |
| 1760986889 | Athena Celeste Arias | Student in an Organized Health Care Education/Training Program | 480 Fourth Ave Ste 302, Chula Vista, CA 91910-4403 | 2018-03-22 |
| 1467984674 | Cindy Parra | Student in an Organized Health Care Education/Training Program | 1021 Hawthorne Creek Dr, Chula Vista, CA 91914-2618 | 2017-03-28 |
| 1831633189 | Cleveland Eugene Gardner IIi | Student in an Organized Health Care Education/Training Program | 1066 Mount Whitney Rd, Chula Vista, CA 91913-2850 | 2016-12-06 |
| Find all providers in CHULA VISTA | ||||
| City | CHULA VISTA |
| Zip Code | 91911 |
Please comment or provide details below to improve the information on HATAV KHADEMI.
| 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.