DR. MAHAN MATIN (NPI# 1326365545) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326365545 |
| Entity Type | Individual |
| Full Name | DR. MAHAN MATIN |
| Credential | MD |
| Practice Address |
4400 V St Sacramento CA 95817-1445 |
| Practice Telephone | 9167342525 |
| Enumeration Date | 2010-04-27 |
| Last Update Date | 2019-01-02 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 174400000X | Specialist | Other Service Providers | ||
| N | 207ZC0500X |
Pathology Specialization: Cytopathology |
A122428 | CA | Allopathic & Osteopathic Physicians |
| Y | 207ZP0101X |
Pathology Specialization: Anatomic Pathology |
A122428 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
4400 V ST |
| City | SACRAMENTO |
| State | CA |
| Zip Code | 95817-1445 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245212950 | Alaa Afify | Pathology | 4400 V St, Pathology Building, Sacramento, CA 95817-1445 | 2005-11-17 |
| 1881190288 | Ryan Andrew Thomas | Student in an Organized Health Care Education/Training Program | 4400 V St, Sacramento, CA 95817-1445 | 2018-04-04 |
| 1164928313 | Peter Conner | Student in an Organized Health Care Education/Training Program | 4400 V St, Sacramento, CA 95817-1445 | 2018-04-04 |
| 1982127452 | Miao Tian | Student in an Organized Health Care Education/Training Program | 4400 V St, Sacramento, CA 95817-1445 | 2017-07-17 |
| 1073036547 | Raymond Gong | Student in an Organized Health Care Education/Training Program | 4400 V St, Sacramento, CA 95817-1445 | 2017-07-17 |
| 1629449467 | Abebe Teklu | Pathology | 4400 V St, Path Bldg, Sacramento, CA 95817 | 2015-10-19 |
| 1649651027 | Ananya Datta Mitra | Pathology | 4400 V St, Sacramento, CA 95817-1445 | 2015-06-11 |
| 1073994463 | Dongguang Wei | Student in an Organized Health Care Education/Training Program | 4400 V St, Sacramento, CA 95817-1445 | 2015-06-11 |
| 1063808871 | Sara J Kwong | Pathology | 4400 V St, Sacramento, CA 95817-1445 | 2015-04-08 |
| 1124446620 | Pritesh P Chaudhari | Student in an Organized Health Care Education/Training Program | 4400 V St, Path Building, Sacramento, CA 95817-1445 | 2014-04-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346855103 | Quintin Kuse | Student in an Organized Health Care Education/Training Program | 4610 X Street, Sacramento, Sacramento, CA 95817 | 2020-09-09 |
| 1285259283 | Uc Davis Health | Dietitian, Registered | 2315 Stockton Blvd Sesp 0160, Sacramento, CA 95817 | 2020-06-15 |
| 1942840558 | Michael Marchand-gareau | Ophthalmology | Michael Marchand - Uc Davis Eye Center, 4860 Y Street, Suite 2400, Sacramento, CA 95817 | 2020-01-11 |
| 1467010728 | Jiunn Liang Jonathan Yap | Student in an Organized Health Care Education/Training Program | 4860 Y Str, Ste. 2820, Sacramento, CA 95817 | 2019-06-03 |
| 1083176614 | Kevin Lee | Student in an Organized Health Care Education/Training Program | 2315 Stockton Blvd, Op512, Sacramento, CA 95817 | 2019-04-02 |
| 1508326703 | Ritika Johal | Student in an Organized Health Care Education/Training Program | 4150 V Street, Pssb 1200, Sacramento, CA 95817 | 2019-03-22 |
| 1811468838 | Paige Palsgaard | Behavior Technician | 6730 4th Ave Apt 1731d, Sacramento, CA 95817 | 2018-12-17 |
| 1922503408 | Marie Rossi | Student in an Organized Health Care Education/Training Program | 4150 V Street #1100, Sacramento, CA 95817 | 2018-03-27 |
| 1639673791 | Sean Lam | Student in an Organized Health Care Education/Training Program | 4150 V Street #1200, Sacramento, CA 95817 | 2018-03-22 |
| 1124555388 | Tatyana Polyak | Surgery | 2335 Stockton Blvd., Naob 6th Floor, Sacramento, CA 95817 | 2017-05-18 |
| Find all providers in zip 95817 | ||||
| Taxonomy Code | 207ZP0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Anatomic Pathology |
| A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. |
| Notes: Source: American Board of Medical Specialties, 2007. [7/1/2007: definition added, source added, 7/1/2009: defintion reformatted; 7/1/2011: modified source] - Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/. American Osteopathic Board of Pathology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology (note: this taxonomy code identifies the "anatomic pathology only" route). To acknowledge the diverse activities in the practice of pathology and to accommodate the interests of individuals wanting to enter the field, the ABP offers primary certification through the following three routes: combined anatomic pathology and clinical pathology, anatomic pathology only and clinical pathology only. Primary certification in anatomic pathology or clinical pathology may be combined with some of the subspecialty certifications. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497073910 | Kuang-yu Jen | Pathology | 4400 V St Ste 1224, Sacramento, CA 95817-1445 | 2010-05-07 |
| 1558697946 | Cynthia Ann Gasper | Pathology | 3301 C St Ste 200e, Sacramento, CA 95816-3363 | 2009-10-20 |
| 1619118973 | Dorina Gui | Pathology | 4400 V St, Suite 1223, Sacramento, CA 95817-1445 | 2009-03-17 |
| 1326110149 | Eva G. Hess | Pathology | 6600 Bruceville Rd, Sacramento, CA 95823-4671 | 2006-11-15 |
| 1770655599 | Jenny Dong | Pathology | 6600 Bruceville Rd, Sacramento, CA 95823-4671 | 2006-11-15 |
| 1467524207 | Priya Gulati Brink | Pathology | 2025 Morse Ave, Sacramento, CA 95825-2115 | 2006-11-15 |
| 1154409803 | Gabor Hertz | Pathology | 2025 Morse Ave, Sacramento, CA 95825-2115 | 2006-11-01 |
| 1912085671 | Lalita Krishnan | Pathology | 2025 Morse Ave, Sacramento, CA 95825-2115 | 2006-11-01 |
| 1245318930 | Nang E. Kim | Pathology | 2025 Morse Ave, Sacramento, CA 95825-2115 | 2006-11-01 |
| 1407934151 | John B. Williams | Pathology | 2025 Morse Ave, Sacramento, CA 95825-2115 | 2006-11-01 |
| Find all providers in SACRAMENTO | ||||
| City | SACRAMENTO |
| Zip Code | 95817 |
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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.