MR. NOUROLLAH DANIALYPOUR (NPI# 1245304856) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245304856 |
| Entity Type | Individual |
| Full Name | MR. NOUROLLAH DANIALYPOUR |
| Credential | MD |
| Practice Address |
5708 Watt Avenue North Highlands CA 95660 |
| Practice Telephone | 9163448866 |
| Practice Fax Number | 9163443979 |
| Mailing Telephone | 9163448866 |
| Mailing Fax Number | 9163443979 |
| Enumeration Date | 2006-11-17 |
| Last Update Date | 2018-05-15 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | 00A411140 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA STATE LICENSE | 00A411140 | 01 | |
| CA | 8624117 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 5710 Watt Avenue, North Highlands, CA 95660 | 9163448866 | 9163443979 |
| Street Address |
5708 WATT AVENUE |
| City | NORTH HIGHLANDS |
| State | CA |
| Zip Code | 95660 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851893077 | Elica Health Centers | Clinic/Center | 5708 Watt Avenue, North Highlands, CA 95660 | 2018-03-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881198810 | Wyzell Washington | Behavior Technician | 4039 Polk Street #89, North Highlands, CA 95660 | 2018-03-23 |
| 1184147746 | Rosane Jordao | Registered Nurse | 6045 Watt Ave # Wz3e, North Highlands, CA 95660 | 2017-07-25 |
| 1962823435 | Aaron Michael Lowe | Chiropractor | 5400 Watt Ave., North Highlands, CA 95660 | 2013-12-30 |
| 1609157833 | Working Title LLC | Non-emergency Medical Transport (VAN) | 3831 Tavi Ave, North Highlands, CA 95660 | 2011-09-01 |
| 1275795122 | Twin Rivers Unified School District | Local Education Agency (LEA) | 3222 Winona Way, North Highlands, CA 95660 | 2008-07-01 |
| 1295850154 | Vera Bolyshkanov | Dentist | 6137 Watt Ave, Suite 8, North Highlands, CA 95660 | 2007-03-20 |
| 1912000571 | Marc Douglas Siemens | Chiropractor | 5705 Marconi Ave, Ste B, Carmichael, CA 95660 | 2006-09-07 |
| 1811004906 | Wendy Walker Godfrey | Social Worker | 3628 Madison Avenue, Suite 7, North Highlands, CA 95660 | 2006-08-24 |
| 1629181045 | Erik Sternad | Marriage & Family Therapist | 4612 Roseville Road, North Highlands, CA 95660 | 2006-08-17 |
| 1649383696 | Allyn Pharo | Marriage & Family Therapist | 4216 Roseville Rd, North Highlands, CA 95660 | 2006-08-16 |
| Find all providers in zip 95660 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124218979 | Watt Avenue Medical Clinic | General Practice | 5710 Watt Ave, North Highlands, CA 95660-4752 | 2007-07-27 |
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| Find all providers with the same taxonomy | ||||
| City | NORTH HIGHLANDS |
| Zip Code | 95660 |
Please comment or provide details below to improve the information on MR. NOUROLLAH DANIALYPOUR.
| 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.