IMAD M SHAHHAL (NPI# 1700013463) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700013463 |
| Entity Type | Individual |
| Full Name | IMAD M SHAHHAL |
| Credential | M.D. |
| Practice Address |
460 N Elm St Escondido CA 92025-3002 |
| Mailing Address |
2715 Rich Lynn Ridge Rd Escondido CA 92025-7810 |
| Practice Telephone | 7605208100 |
| Practice Fax Number | 7607372039 |
| Mailing Telephone | 7607390874 |
| Mailing Fax Number | 7607390187 |
| Enumeration Date | 2009-06-19 |
| Last Update Date | 2009-06-23 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207T00000X | Neurological Surgery | A36462 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
460 N ELM ST |
| City | ESCONDIDO |
| State | CA |
| Zip Code | 92025-3002 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598703647 | Neighborhood Healthcare | Clinic/Center | 460 N Elm St, Escondido, CA 92025-3002 | 2006-06-02 |
| 1962936450 | Michael Avila | Family Medicine | 460 N Elm St, Escondido, CA 92025-3002 | 2017-04-12 |
| 1326418773 | Victor Tran | Pharmacist | 460 N Elm St, Escondido, CA 92025-3002 | 2015-09-28 |
| 1164780219 | Tawny Rochelle Sauriol | Family Medicine | 460 N Elm St, Escondido, CA 92025 | 2012-04-26 |
| 1780815522 | Ryan Michael Johnston | Internal Medicine | 460 N Elm St, Escondido, CA 92025-3002 | 2009-07-28 |
| 1255577961 | Lavanya Korabathina | Internal Medicine | 460 N Elm St, Escondido, CA 92025-3002 | 2008-12-30 |
| 1730341249 | Elizabeth D Johnson | Social Worker | 460 N Elm St, Escondido, CA 92025-3002 | 2008-06-26 |
| 1194999276 | Raquel Evangelina Guardado-soto | Psychologist | 460 N Elm St, Escondido, CA 92025-3002 | 2008-04-18 |
| 1114196987 | Brian Chao | Psychologist | 460 N Elm St, Escondido, CA 92025-3002 | 2008-02-26 |
| 1295903607 | Neighborhood Healthcare | General Practice | 460 N Elm St, Escondido, CA 92025-3002 | 2008-02-19 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962001230 | Tanya Geanna Macleod | Peer Specialist | 474 West Vermont Ave., Ste., 101, Escondido, CA 92025 | 2020-10-19 |
| 1801449640 | Jennifer Marsh | Marriage & Family Therapist | 403 N Escondido Blvd #533, Escondido, CA 92025 | 2019-07-21 |
| 1093281644 | Lucy Breen | Peer Specialist | 474 Weest Vermont Ave #104, Escondido, CA 92025 | 2018-10-22 |
| 1457834665 | Daniel & Max | Optometrist | 730 N Center City Parkway, Building A-1, Suite 101, Escondido, CA 92025 | 2018-09-13 |
| 1477033272 | Hyoshin Kwak | Acupuncturist | 106 S. Grape St, Suite 10, Escondido, CA 92025 | 2018-08-21 |
| 1467948877 | Irma P Garcia | Counselor | 337 West Mission Ave, Escondido, CA 92025 | 2018-07-09 |
| 1295235380 | Anna M. Rainville | Marriage & Family Therapist | 11701 San Pasqual Valley Rd, Escondido, CA 92025 | 2018-02-15 |
| 1689187049 | Monica Pino | Occupational Therapist | 469 E Grand Avenue, Escondido, CA 92025 | 2017-11-08 |
| 1427569581 | Mtk Primary Care Medical Group | Specialist | 1835a S Centre City Pkwy Ste 459, Escondido, CA 92025 | 2017-10-17 |
| 1619490349 | Elizabeth Sanchez Arvizu | Student in an Organized Health Care Education/Training Program | 490 N. Grape Stret, Escondido, CA 92025 | 2017-07-25 |
| Find all providers in zip 92025 | ||||
| Taxonomy Code | 207T00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Neurological Surgery |
| A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Neurological Surgery, 2007. http://www.abns.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Neurological Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578864658 | Thomas J Marcisz Md A Med Corp | Neurological Surgery | 624 E Grand Ave, Escondido, CA 92025-4403 | 2010-11-05 |
| 1255445854 | Thomas Joseph Marcisz | Neurological Surgery | 624 East Grand Avenue, Escondido, CA 92025 | 2006-08-19 |
| 1649282765 | Mark Steven Stern | Neurological Surgery | 705 E Ohio Ave, Escondido, CA 92025-3418 | 2006-08-13 |
| 1881686632 | Randall William Smith | Neurological Surgery | 1678 Cloverdale Rd, Escondido, CA 92027-6717 | 2005-08-18 |
| 1831301118 | Randall W. Smith, M.d., Apc | Neurological Surgery | 1678 Cloverdale Rd, Gate Code 2503, Escondido, CA 92027-6717 | 2007-05-07 |
| 1346366929 | Mark S Stern M D A Professional Corporation | Neurological Surgery | 705 E Ohio Ave, Escondido, CA 92025-3418 | 2007-03-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376144477 | Faculty Physicians and Surgeons of Llusm | Neurological Surgery | 35400 Bob Hope Dr Ste 110, Rancho Mirage, CA 92270-1772 | 2020-11-04 |
| 1013524123 | Hubert Tsun-yin Lee | Neurological Surgery | 1201 Welch Road, Stanford, CA 94305-5327 | 2020-09-24 |
| 1811500267 | Chaparral Medical Group, Inc. | Neurological Surgery | 9120 Haven Ave Ste 201, Rancho Cucamonga, CA 91730-5413 | 2020-08-26 |
| 1982259461 | Mauricio Mandel Brigido | Neurological Surgery | 300 Pasteur Dr # R281, Stanford, CA 94305-2200 | 2019-08-01 |
| 1538713227 | Sylvain Palmer Md Inc | Neurological Surgery | 26732 Crown Valley Pkwy Ste 541, Mission Viejo, CA 92691-6376 | 2019-07-31 |
| 1851945877 | X.sean Xin, Do Inc. | Neurological Surgery | 7230 Med Ctr Dr Ste 600, West Hills, CA 91307-4017 | 2019-07-29 |
| 1154974525 | Jan M. Eckermann, Md Inc. | Neurological Surgery | 1617 W Cliff Dr, Ste 203, Newport Beach, CA 92660 | 2019-07-24 |
| 1598317711 | Newport Beach Neurosurgical Institute | Neurological Surgery | 1501 Superior Ave Ste 214b, Newport Beach, CA 92663-3600 | 2019-07-09 |
| 1609438761 | Py26 Neurosurgery, PC | Neurological Surgery | 120 S Spalding Dr Ste 305, Beverly Hills, CA 90212-1800 | 2019-06-28 |
| 1679133664 | Sequoia Neurosurgery, Inc. | Neurological Surgery | 306 N Conyer St Ste A, Visalia, CA 93291-4704 | 2019-06-20 |
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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.