NINA KHATIBI (NPI# 1730572603) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730572603 |
| Entity Type | Individual |
| Full Name | NINA KHATIBI |
| Credential | PA-C |
| Practice Address |
39141 Civic Center Dr 335 Fremont CA 94538-5818 |
| Practice Telephone | 5102481400 |
| Enumeration Date | 2015-03-16 |
| Last Update Date | 2015-03-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
52196 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
39141 CIVIC CENTER DR 335 |
| City | FREMONT |
| State | CA |
| Zip Code | 94538-5818 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114927241 | Kranthi Kumar Achanta | Surgery | 39141 Civic Center Dr, Suite 335, Fremont, CA 94538-5818 | 2005-07-29 |
| 1831529700 | Kory Langwell | Physical Therapist | 39141 Civic Center Dr, Suite 120, Fremont, CA 94538-5818 | 2013-11-13 |
| 1760829188 | Chester Maulion Santos | Case Manager/Care Coordinator | 39141 Civic Center Dr, Suite 350, Fremont, CA 94538-5818 | 2013-05-24 |
| 1396020624 | Ashwinder Kaur Wadhawan | Physical Therapist | 39141 Civic Center Dr, Suite 120, Fremont, CA 94538-5818 | 2011-10-18 |
| 1346535507 | Kate Diep Dirksen | Physician Assistant | 39141 Civic Center Dr, Suite 335, Fremont, CA 94538-5818 | 2011-06-16 |
| 1932405453 | Kimberly N Kurtz | Physician Assistant | 39141 Civic Center Dr, Suite #130, Fremont, CA 94538-5818 | 2011-01-31 |
| 1730419052 | Richard Hudson | Spec/Tech, Cardiovascular | 39141 Civic Center Dr, Suite 130, Fremont, CA 94538-5818 | 2010-01-08 |
| 1720214125 | East Bay Hand & Plastic Surgery Center Inc. | Plastic Surgery | 39141 Civic Center Dr, Suite 110, Fremont, CA 94538-5818 | 2009-05-31 |
| 1215174560 | Brian Richard Badduke | Surgery | 39141 Civic Center Dr, Suite 335, Fremont, CA 94538-5818 | 2009-01-08 |
| 1376797886 | Washington Township Hospital Development Corporation | Clinic/Center | 39141 Civic Center Dr, Suite 120, Fremont, CA 94538-5818 | 2008-11-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699394460 | Bay Area Kidney Care Medical Group Inc. | Clinic/Center | 39370 Mozart Terrace Unit 106, Fremont, CA 94538 | 2020-04-13 |
| 1740847284 | Gloria Ann Federico | Behavior Technician | 39210 State St., Suite 220 Fremont, Ca 94538, Fremont, CA 94538 | 2019-05-21 |
| 1093270688 | Timothy Lorne Haynes | Chiropractor | 3775 Beacon Ave., Suite 200, Fremont, CA 94538 | 2019-02-07 |
| 1902370067 | Nicole Sandoval | Counselor | 39155 Liberty St Suite E500, Fremont, CA 94538 | 2019-01-11 |
| 1497225015 | Megan Galban | Behavior Technician | 39210 State St. Suite 220, Fremont, CA 94538 | 2018-11-27 |
| 1780154302 | Karla Patricia Plascencia | Behavior Technician | 39210 State Street Suite 220, Fremont, CA 94538 | 2018-11-27 |
| 1215407846 | Sydney J Torrens | Behavior Technician | 39210 State St. Suite 220 Fremont, Ca 94538, Fremont, CA 94538 | 2018-11-27 |
| 1932676277 | Jarah Harvan | Psychologist | 1999 Mowry Ave Ste F, Fremont, CA 94538 | 2018-10-24 |
| 1205321965 | Chien Shien Yang Md Inc | Psychiatry & Neurology | 1860 Mowry Ave Ste 301a, Fremont, CA 94538 | 2018-06-26 |
| 1912416199 | Advanced Interventional Surgical Center | Clinic/Center | 3077 Stevenson Blvd, Fremont, CA 94538 | 2017-09-20 |
| Find all providers in zip 94538 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063575512 | Jennifer Ann Gregovich | Physician Assistant | 39400 Paseo Padra Parkway, Embarcadero Building, General Surgery Dept., Fremont, CA 94538-2310 | 2006-12-18 |
| 1821635467 | Shane Ashbaugh | Physician Assistant | 38690 Stivers St Ste A, Fremont, CA 94536-5276 | 2019-12-03 |
| 1528546074 | Phoenix Di Ying | Physician Assistant | 3200 Kearney St, Fremont, CA 94538-2299 | 2018-08-06 |
| 1891108270 | Susan Glaubiger | Physician Assistant | 38690 Stivers St, #a, Fremont, CA 94536-5279 | 2014-06-03 |
| 1518280726 | Melanie Castro | Physician Assistant | 3200 Kearney St, Fremont, CA 94538-2299 | 2010-03-03 |
| 1710125919 | Kevin Gary Loontjer | Physician Assistant | 2740 N Clarkson St, Fremont, NE 68025-7716 | 2009-01-26 |
| 1780822031 | Michael Hom | Physician Assistant | 3868 Mowry Ave, Fremont, CA 94538-1430 | 2009-01-24 |
| 1700099165 | Gurleen Deol | Physician Assistant | 3200 Kearney St, Fremont, CA 94538-2299 | 2007-05-08 |
| 1164583092 | Sean M. Kennedy | Physician Assistant | 39400 Paseo Padre Pkwy, Surgery Dept - Embarcadero Bldg, Fremont, CA 94538-2310 | 2006-12-13 |
| 1609937523 | Elaine Dolores Berger | Physician Assistant | 39400 Paseo Padre Pkwy, Surgery Department, Fremont, CA 94538-2310 | 2006-12-13 |
| Find all providers in FREMONT | ||||
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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.