DR. MAHINDOKHT MARY RAISZADEH (NPI# 1194898064) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194898064 |
| Entity Type | Individual |
| Full Name | DR. MAHINDOKHT MARY RAISZADEH |
| Credential | M.D. |
| Practice Address |
5222 Balboa Ave Ste 45 San Diego CA 92117-6904 |
| Practice Telephone | 8586166430 |
| Mailing Telephone | 8586166430 |
| Enumeration Date | 2006-11-16 |
| Last Update Date | 2012-11-05 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 173000000X | Legal Medicine | A34656 | CA | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00A346561 | 05 |
| Street Address |
5222 BALBOA AVE STE 45 |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92117-6904 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699772756 | Raymond C Heung | Internal Medicine | 5222 Balboa Ave, Ste 33, San Diego, CA 92117-6953 | 2005-07-05 |
| 1265851810 | Lindsay Lindsay Trottier | Acupuncturist | 5222 Balboa Ave, Suite 21, San Diego, CA 92117-6904 | 2014-04-10 |
| 1427499128 | Rty Pharmaceutical Inc | Pharmacy | 5222 Balboa Ave, San Diego, CA 92117-6904 | 2013-07-10 |
| 1215294244 | Erica Dawn Stark | Acupuncturist | 5222 Balboa Ave, Suite 43, San Diego, CA 92117-6904 | 2012-04-16 |
| 1447563275 | Jessica Davis | Nurse Practitioner | 5222 Balboa Ave, Suite 31, San Diego, CA 92117-6904 | 2010-07-21 |
| 1548441389 | Walter Jolley Dpm A Professional Corporation | Podiatrist | 5222 Balboa Ave, Suite 52, San Diego, CA 92117-6904 | 2007-11-20 |
| 1750570289 | Evelyn Jeehyun Kang | Chiropractor | 5222 Balboa Ave, Suite# 73, San Diego, CA 92117-6904 | 2007-10-22 |
| 1669699849 | Raymond Heung, M.d. | Clinical Medical Laboratory | 5222 Balboa Ave, Suite 33, San Diego, CA 92117-6904 | 2007-04-19 |
| 1538384573 | Mike Adams | Dentist | 5222 Balboa Ave, Suite 71, San Diego, CA 92117-6904 | 2007-04-16 |
| 1558459180 | Advanced Pediatric Medical Group Inc | Clinic/Center | 5222 Balboa Ave, Suite 42, San Diego, CA 92117-6904 | 2006-10-10 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154956050 | Enbara Corporation | Dentist | 5189 Clairmont Mesa Blvd, San Diego, CA 92117 | 2020-03-11 |
| 1568956050 | Lourdes C Villagran | Case Manager/Care Coordinator | 4474 Charger Blvd, San Diego, CA 92117 | 2018-06-18 |
| 1750893509 | Dzendzel Family Chiropractic | Chiropractor | 3650 Clairemont Drive, Ste 2, San Diego, CA 92117 | 2017-11-02 |
| 1205355401 | Alan Ford | Counselor | 4150 Ute Dr., San Diego, CA 92117 | 2017-09-19 |
| 1780101238 | Allison Dawn Heeney | Occupational Therapist | 3386 Hopi Place, San Diego, CA 92117 | 2017-08-25 |
| 1275074379 | Rachel Gabrielle Packer | Counselor | 5252 Balboa Ave Ste 801, San Diego, CA 92117 | 2017-03-09 |
| 1316482995 | Lisa Graff-marsh, Inc. | Social Worker | 4985 Park Rim Dr., San Diego, CA 92117 | 2017-01-05 |
| 1417408949 | Markos and Markos 1 Inc | Private Vehicle | 4495 Clairemont Mesa Blvd, San Diego, CA 92117 | 2016-10-19 |
| 1801341813 | Huynh and Habashi Dental Corporation | Dentist | 2995 Clairemont Dr, Suite A, San Diego, CA 92117 | 2016-08-19 |
| 1184076077 | Tammy Monck | Optometrist | 3952 Clairemont Mesa Blvd Ste I, San Diego, CA 92117 | 2016-07-05 |
| Find all providers in zip 92117 | ||||
| Taxonomy Code | 173000000X |
| Grouping | Other Service Providers |
| Classification | Legal Medicine |
| The specialty areas of medicine concerned with matters of, and relations with, substantive law and legal institutions; such as the conduct of medical examinations at crime scenes, performance of autopsies, giving of expert medical testimony in judicial proceedings, medical treatment of inmates of penal institutions, the practice of trauma medicine in law enforcement settings, and other clinical practice and medical science applications in the fields of law, law enforcement, and corrections. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306243662 | Physicians First Choice, LLC | Legal Medicine | 6626 Norman Ln, San Diego, CA 92120-3949 | 2014-12-02 |
| 1376834077 | Gateway Comprehensive Medical Group | Legal Medicine | 995 Gateway Center Way Ste 105, San Diego, CA 92102-4544 | 2011-04-28 |
| 1376840793 | San Diego Anesthesia LLC | Legal Medicine | 3434 Midway Dr Ste 1008, San Diego, CA 92110-4924 | 2011-02-21 |
| 1912026204 | Donald J. Williams | Legal Medicine | 964 5th Ave, Conditional Release Program, 435, San Diego, CA 92101-6102 | 2007-03-28 |
| 1003085572 | Barbara Denysiak | Legal Medicine | 3969 4th Ave, Ste. 203, San Diego, CA 92103-3165 | 2008-02-28 |
| 1215975776 | Sarah A Judd | Legal Medicine | 3020 Childrens Way, Mc-5075, San Diego, CA 92123-4223 | 2006-06-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831659945 | Christopher C Duong | Legal Medicine | 2114 Pullman Ln # B, Redondo Beach, CA 90278-4914 | 2019-03-24 |
| 1538694088 | Manohar Sukumar | Legal Medicine | 601 W Civic Center Dr, 601 Civic Center Drive West, Santa Ana, CA 92701-4002 | 2017-04-21 |
| 1316471402 | Comp Legal Medical Group | Legal Medicine | 71 Bryson Dr, Sutter Creek, CA 95685-4115 | 2017-04-14 |
| 1003358375 | Globilling Inc | Legal Medicine | 5230 Las Virgenes Rd Ste 210, Calabasas, CA 91302-3448 | 2016-11-17 |
| 1124560172 | Exam-docs Dba Forensic Med Group | Legal Medicine | 960 E Alosta Ave # 203, Azusa, CA 91702-2709 | 2016-11-08 |
| 1770937393 | Lynn Barkley Burnett | Legal Medicine | 1336 N Wishon Ave, Fresno, CA 93728-2316 | 2016-04-20 |
| 1407218936 | Jose A Zepeda | Legal Medicine | 1266 Pepper Dr, El Centro, CA 92243-4302 | 2016-03-23 |
| 1912362443 | Paronian Medical Group, Inc. | Legal Medicine | 11631 Victory Blvd., Suite 105, North Hollywood, CA 91606 | 2015-12-29 |
| 1982077269 | Elite Surgical Clinic, Medical Corporation | Legal Medicine | 1510 S. Central Ave., Suite 100, Glendale, CA 91204-2582 | 2015-11-09 |
| 1669841995 | Injury Center Medical Group Inc | Legal Medicine | 432 E Redlands Blvd, Suite C, San Bernardino, CA 92408-3718 | 2015-09-16 |
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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.