PATTY KU (NPI# 1205063054) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205063054 |
| Entity Type | Individual |
| Full Name | PATTY KU |
| Credential | M.D. |
| Practice Address |
1172 N Maclay Ave San Fernando CA 91340-1328 |
| Practice Telephone | 8188981388 |
| Practice Fax Number | 8182709585 |
| Mailing Telephone | 8188981388 |
| Mailing Fax Number | 8182709585 |
| Enumeration Date | 2009-06-19 |
| Last Update Date | 2013-10-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | A114176 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
1172 N MACLAY AVE |
| City | SAN FERNANDO |
| State | CA |
| Zip Code | 91340-1328 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306835848 | Sharmeela Advani | Specialist | 1172 N Maclay Ave, San Fernando, CA 91340-1328 | 2005-10-18 |
| 1356818967 | Saara Ashley Niamat | Physician Assistant | 1172 N Maclay Ave, San Fernando, CA 91340-1328 | 2018-11-01 |
| 1225513591 | Shannon Lesley Lange | Pediatrics | 1172 N Maclay Ave, San Fernando, CA 91340-1328 | 2018-10-02 |
| 1033694302 | Mariam Alhakim | Pediatrics | 1172 N Maclay Ave, San Fernando, CA 91340-1328 | 2018-10-02 |
| 1700317237 | Melina Radparvar | Pediatrics | 1172 N Maclay Ave, San Fernando, CA 91340-1328 | 2017-03-26 |
| 1649727199 | Brittani Jolai Clark | Nurse Practitioner | 1172 N Maclay Ave, San Fernando, CA 91340-1328 | 2016-09-01 |
| 1033560537 | Victoria Curtin | Social Worker | 1172 N Maclay Ave, San Fernando, CA 91340-1328 | 2016-06-26 |
| 1831547249 | Leticia Lopez | Nurse Practitioner | 1172 N Maclay Ave, San Fernando, CA 91340-1328 | 2016-05-25 |
| 1033594676 | Linda Marie America | Registered Nurse | 1172 N Maclay Ave, San Fernando, CA 91340-1328 | 2015-07-24 |
| 1154715670 | Gloria Monsalve | Family Medicine | 1172 N Maclay Ave, San Fernando, CA 91340-1328 | 2015-03-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043844301 | Atalla Dental Corp. | Clinic/Center | 557 N. Maclay Ave., San Fernando, CA 91340 | 2020-02-26 |
| 1235623190 | Kohan & Rodef Dental Corporation | Dentist | 500 San Fernardo Mission Blvd Suite #2, San Fernardo, CA 91340 | 2018-06-14 |
| 1700388766 | North Valley Diagnostics Services, Inc. | Electrodiagnostic Medicine | 670 San Fernando Mission Blvd, #d, San Fernando, CA 91340 | 2018-03-06 |
| 1750889531 | Garfield Beach Cvs, L.l.c | Durable Medical Equipment & Medical Supplies | 1204 San Fernando Rd, San Fernando, CA 91340 | 2018-01-26 |
| 1689118598 | Maira Yesenia Lopez | Counselor | 565 S. Brand Blvd, San Fernando, CA 91340 | 2016-12-12 |
| 1386042166 | Afsaneh Mazaheri-sichani | Dentist | 777 Turman St., Suite 107, San Fernando, CA 91340 | 2014-12-11 |
| 1396154167 | Lorena Tercero | Marriage & Family Therapist | 302 S. Brand Blvd, San Fernando, CA 91340 | 2014-08-06 |
| 1689082836 | Germine Aznavour | Pharmacist | 12920 Foothill Blvd, San Fernando, CA 91340 | 2014-07-31 |
| 1841605151 | Aswani Dental Corporation | Clinic/Center | 12940 Foothill Blvd Ste C, San Fernando, CA 91340 | 2014-06-25 |
| 1467705624 | Brenda Lira | Social Worker | 11565 Laurel Canyon Blvd., Suite 116, San Fernando, CA 91340 | 2012-10-24 |
| Find all providers in zip 91340 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| 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 Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912252743 | Ali Anari | Pediatrics | 107 N Maclay Ave, San Fernando, CA 91340-2906 | 2012-07-18 |
| 1538222401 | David Solarte | Pediatrics | 732 Mott St # 100110, San Fernando, CA 91340-4237 | 2006-12-19 |
| 1225513591 | Shannon Lesley Lange | Pediatrics | 1172 N Maclay Ave, San Fernando, CA 91340-1328 | 2018-10-02 |
| 1033694302 | Mariam Alhakim | Pediatrics | 1172 N Maclay Ave, San Fernando, CA 91340-1328 | 2018-10-02 |
| 1326528050 | Emily Jean Weitzel | Pediatrics | 1600 San Fernando Rd, San Fernando, CA 91340-3115 | 2018-08-21 |
| 1700317237 | Melina Radparvar | Pediatrics | 1172 N Maclay Ave, San Fernando, CA 91340-1328 | 2017-03-26 |
| 1851657746 | Teda Arunrut | Pediatrics | 1172 N Maclay Ave, San Fernando, CA 91340-1328 | 2012-04-05 |
| 1366717621 | Mykie Pidor | Pediatrics | 1172 N Maclay Ave, San Fernando, CA 91340-1328 | 2012-03-19 |
| 1578777157 | Joan Lee-shu Grosman | Pediatrics | 1172 N Maclay Ave, San Fernando, CA 91340-1328 | 2007-05-10 |
| 1215059662 | Emma F Martin | Pediatrics | 1600 San Fernando Rd, San Fernando, CA 91340-3115 | 2007-04-05 |
| Find all providers in SAN FERNANDO | ||||
| City | SAN FERNANDO |
| Zip Code | 91340 |
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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.