MOHAMMAD REZA KAZEMAINI MOFRAD (NPI# 1164408993) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164408993 |
| Entity Type | Individual |
| Full Name | MOHAMMAD REZA KAZEMAINI MOFRAD |
| Credential | M.D. |
| Practice Address |
43112 15th St W Lancaster CA 93534-6219 |
| Practice Telephone | 6619512826 |
| Mailing Telephone | 6619512826 |
| Enumeration Date | 2005-12-22 |
| Last Update Date | 2018-10-26 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
M9398 | TX | Allopathic & Osteopathic Physicians |
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
A92090 | CA | Allopathic & Osteopathic Physicians |
| N | 2471C3402X |
Radiologic Technologist Specialization: Radiography |
A92090 | CA | Technologists, Technicians & Other Technical Service Providers |
| Street Address |
43112 15TH ST W |
| City | LANCASTER |
| State | CA |
| Zip Code | 93534-6219 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407488802 | Herbert Alberto Marroquin Jr. | Pharmacist | 43112 15th St W, Lancaster, CA 93534-6219 | 2020-02-04 |
| 1114562436 | Sukhwinder Kaur Bains | Registered Nurse | 43112 15th St W, Lancaster, CA 93534-6219 | 2019-11-11 |
| 1033687405 | Sifrido Alvarenga | Respiratory Therapist, Registered | 43112 15th St W, Lancaster, CA 93534-6269 | 2018-11-05 |
| 1437696424 | Princess Acacio | Pharmacist | 43112 15th St W, Lancaster, CA 93534-6219 | 2017-01-27 |
| 1134666142 | Shiva Kumar | Pharmacist | 43112 15th St W, Lancaster, CA 93534-6219 | 2017-01-27 |
| 1942747944 | Paul Chu | Pharmacist | 43112 15th St W, Lancaster, CA 93534-6219 | 2017-01-27 |
| 1235676230 | Kevin Klapp | Pharmacist | 43112 15th St W, Lancaster, CA 93534-6219 | 2017-01-27 |
| 1912443003 | Lilibeth Bianes | Nurse Practitioner | 43112 15th St W, Lancaster, CA 93534-6219 | 2017-01-12 |
| 1215486287 | Vardan Babayan | Pharmacist | 43112 15th St W, Lancaster, CA 93534-6219 | 2016-09-30 |
| 1740736248 | Latonia Luu | Pharmacist | 43112 15th St W, Lancaster, CA 93534 | 2016-08-25 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194346098 | Lori Ann Barlow Washington | Counselor | 921 W J Street, Lancaster, CA 93534 | 2020-05-01 |
| 1629698253 | Gisela Regalado Paredes | Surgery | Antelope Valley Hospital, 1600 West Ave J, Lancaster, CA 93534 | 2020-04-23 |
| 1124668470 | Latonya Jean Allen | Case Manager/Care Coordinator | 44443 10th St. West, Lancaster, CA 93534 | 2020-01-14 |
| 1629629746 | Korinna Fite | Occupational Therapy Assistant | 43860 10th St. W., Lancaster, CA 93534 | 2019-09-20 |
| 1114576105 | Victor Nemr Hass Md | Anesthesiology | Embassy Surgery Center, 42135 10th Street West 325, Lancaster, CA 93534 | 2019-09-11 |
| 1609421007 | Jaime A Mort | Nurse Practitioner | 43112 N 15st W, Lancaster, CA 93534 | 2019-08-03 |
| 1013560747 | Allyson Lods | Dietitian, Registered | 43115 15th Street West, Lancaster, CA 93534 | 2019-07-22 |
| 1144884123 | Nicole Breanne Palman | Speech-Language Pathologist | 43860 10th St. West, 1st Floor, Lancaster, CA 93534 | 2019-04-25 |
| 1841761475 | Vanessa Gonzalez | Case Manager/Care Coordinator | 44226 10th St West, Lancaster, CA 93534 | 2018-12-07 |
| 1760969265 | Marilyn Joy Pollack | Physical Therapy Assistant | 1306 W Avenue J Ste 2, Lancaster, CA 93534 | 2018-07-26 |
| Find all providers in zip 93534 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083213151 | Antelope Valley Outpatient Imaging Center, LLC | Radiology | 44105 15th St W Ste 100, Lancaster, CA 93534-4090 | 2020-10-20 |
| 1437548484 | Los Robles Radiologic Associates | Radiology | 44928 Shad St, Lancaster, CA 93536-8533 | 2015-01-14 |
| 1356762074 | Edwin Robert Payne | Radiology | 465 Overlook Dr Ne, Lancaster, OH 43130-1918 | 2013-12-23 |
| 1689977308 | John William Gareis | Radiology | 2101 Millersville Pike, Lancaster, PA 17603-6216 | 2010-12-20 |
| 1124104237 | Harmadeep K Gill Medical Corporation | Radiology | 43807 10th Street West, Suite C, Lancaster, CA 93534-4805 | 2006-10-31 |
| 1306884648 | Beverly Radiology Medical Group | Radiology | 43713 20th St W, Lancaster, CA 93534-4628 | 2006-06-02 |
| 1710931381 | Beverly Radiology Medical Group | Radiology | 44305 Lorimer Ave, Lancaster, CA 93534-3700 | 2006-05-19 |
| 1851355473 | Ray H Hashemi | Radiology | 43731 N 15 St West, Lancaster, CA 93534 | 2006-04-12 |
| 1679542179 | Harry Zibners | Radiology | 1241 River Valley Blvd, Lancaster, OH 43130-1653 | 2006-03-16 |
| 1316940349 | Cindy Janesky | Radiology | 555 N Duke St, Lancaster, PA 17602-2250 | 2005-05-23 |
| Find all providers in LANCASTER | ||||
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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.