DANIEL KHODABAKHSH (NPI# 1780884395) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780884395 |
| Entity Type | Individual |
| Full Name | DANIEL KHODABAKHSH |
| Practice Address |
1600 W Avenue J Lancaster CA 93534-2814 |
| Mailing Address |
8143 Crebs Ave Reseda CA 91335-1204 |
| Practice Telephone | 6617266225 |
| Mailing Telephone | 4153362277 |
| Enumeration Date | 2007-07-21 |
| Last Update Date | 2012-07-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | A106419 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
1600 W AVENUE J |
| City | LANCASTER |
| State | CA |
| Zip Code | 93534-2814 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245236025 | James Helfrich Mcmillan | Obstetrics & Gynecology | 1600 W Avenue J, Lancaster, CA 93534-2814 | 2005-06-25 |
| 1376144840 | Christina Trieu | Occupational Therapist | 1600 W Avenue J, Lancaster, CA 93534-2814 | 2020-11-02 |
| 1770180382 | Antelope Valley Inpatient Pediatric Associates, Inc | Pediatrics | 1600 W Avenue J, Lancaster, CA 93534-2814 | 2020-10-06 |
| 1679180574 | Beena Batna | Registered Nurse | 1600 W Avenue J, Lancaster, CA 93534-2894 | 2020-09-25 |
| 1538772090 | Stephanie N Smith | Nurse Practitioner | 1600 W Avenue J, Lancaster, CA 93534-2814 | 2020-08-25 |
| 1134746639 | Jeremy Ryan Kennedy | Registered Nurse | 1600 W Avenue J, Lancaster, CA 93534-2894 | 2020-06-30 |
| 1295366656 | Sam Joed Abid IIi | Pharmacist | 1600 W Avenue J, Lancaster, CA 93534-2814 | 2020-02-03 |
| 1316584907 | Christopher Timothy Pereida | Clinic/Center | 1600 W Avenue J, Lancaster, CA 93534-2814 | 2019-12-03 |
| 1568013142 | David Thai | Nurse Practitioner | 1600 W Avenue J, Lancaster, CA 93534-2814 | 2019-09-24 |
| 1356997050 | Glenn Gabrang | Registered Nurse | 1600 W Avenue J, Lancaster, CA 93534-2894 | 2019-08-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194346098 | Lori Ann Barlow Washington | Counselor | 921 W J Street, Lancaster, CA 93534 | 2020-05-01 |
| 1629698253 | Gisela Regalado Paredes | Surgery | Antelope Valley Hospital, 1600 West Ave J, Lancaster, CA 93534 | 2020-04-23 |
| 1124668470 | Latonya Jean Allen | Case Manager/Care Coordinator | 44443 10th St. West, Lancaster, CA 93534 | 2020-01-14 |
| 1629629746 | Korinna Fite | Occupational Therapy Assistant | 43860 10th St. W., Lancaster, CA 93534 | 2019-09-20 |
| 1114576105 | Victor Nemr Hass Md | Anesthesiology | Embassy Surgery Center, 42135 10th Street West 325, Lancaster, CA 93534 | 2019-09-11 |
| 1609421007 | Jaime A Mort | Nurse Practitioner | 43112 N 15st W, Lancaster, CA 93534 | 2019-08-03 |
| 1013560747 | Allyson Lods | Dietitian, Registered | 43115 15th Street West, Lancaster, CA 93534 | 2019-07-22 |
| 1144884123 | Nicole Breanne Palman | Speech-Language Pathologist | 43860 10th St. West, 1st Floor, Lancaster, CA 93534 | 2019-04-25 |
| 1841761475 | Vanessa Gonzalez | Case Manager/Care Coordinator | 44226 10th St West, Lancaster, CA 93534 | 2018-12-07 |
| 1760969265 | Marilyn Joy Pollack | Physical Therapy Assistant | 1306 W Avenue J Ste 2, Lancaster, CA 93534 | 2018-07-26 |
| Find all providers in zip 93534 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700188257 | Medexpress Urgent Care, PC - Pennsylvania | Emergency Medicine | 4 Rohrerstown Rd, Lancaster, PA 17603-2229 | 2010-12-03 |
| 1629159017 | Kenneth Phillips | Emergency Medicine | 931 Nokomis Cir, Lancaster, TX 75146-5137 | 2006-10-18 |
| 1881604890 | David Aaron Hunt | Emergency Medicine | 43322 Gingham Ave, Suite 105, Lancaster, CA 93535-4569 | 2006-08-09 |
| 1073537445 | Troy John Sasse | Emergency Medicine | 4827 Transit Rd, Lancaster, NY 14043 | 2006-07-27 |
| 1942233879 | Fairfield Er Physicians Dba Fairfield Medical Center Pro Fee | Emergency Medicine | Fairfield Emergency Room Physicians, 401 N Ewing Street, Lancaster, OH 43130 | 2006-07-07 |
| 1720018732 | Michael G Marenchic | Emergency Medicine | 35 Wilson Dr, Lancaster, PA 17603-4741 | 2006-07-04 |
| 1851330609 | Stephen Schwartz | Emergency Medicine | 3059 Columbia Ave, Lancaster, PA 17603-4010 | 2006-06-06 |
| 1265481923 | Trent Erney | Emergency Medicine | 335 E Avenue I, Urgent Care, Lancaster, CA 93535-1916 | 2006-05-09 |
| 1194798421 | Joseph J Mayberry | Emergency Medicine | 105 Huntingwood Dr, Lancaster, PA 17602-1390 | 2006-02-08 |
| 1811974108 | James L Medina | Emergency Medicine | 555 North Duke St, Lancaster, PA 17604 | 2005-12-28 |
| Find all providers in LANCASTER | ||||
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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.