MR. BABAK KHORRAM (NPI# 1902820152) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902820152 |
| Entity Type | Individual |
| Full Name | MR. BABAK KHORRAM |
| Credential | PHYSICIAN ASSISTANT |
| Practice Address |
13330 Bloomfield Ave Norwalk CA 90650-3251 |
| Mailing Address |
62 Rockport Irvine CA 92602-1050 |
| Practice Telephone | 5628680733 |
| Mailing Telephone | 5628680733 |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA14508 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | PA14508 | 05 |
| Street Address |
13330 BLOOMFIELD AVE |
| City | NORWALK |
| State | CA |
| Zip Code | 90650-3251 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154368991 | Janet L. Coyoca | Occupational Therapist | 13330 Bloomfield Ave, Suite 101, Norwalk, CA 90650-3259 | 2006-06-01 |
| 1164968194 | Tam Duong | Pharmacist | 13330 Bloomfield Ave, Suite 102, Norwalk, CA 90650-3251 | 2017-01-14 |
| 1316234511 | Pooja Akotia | Family Medicine | 13330 Bloomfield Ave, Suite A, Norwalk, CA 90650-3251 | 2011-07-08 |
| 1669765574 | Rey Louie Armenion | Physical Therapist | 13330 Bloomfield Ave, 101, Norwalk, CA 90650-3251 | 2011-05-25 |
| 1598919235 | Pih Health Physicians | Family Medicine | 13330 Bloomfield Ave, Norwalk, CA 90650-3251 | 2008-11-07 |
| 1972786622 | Vivian T Tran Dds Inc | Dentist | 13330 Bloomfield Ave, Ste 201, Norwalk, CA 90650 | 2007-12-17 |
| 1639363856 | Inland Imaging Services | Radiologic Technologist | 13330 Bloomfield Ave, Suite 114, Norwalk, CA 90650-3251 | 2007-08-30 |
| 1023231461 | Javier T Salcido | Radiologic Technologist | 13330 Bloomfield Ave, Suite 114, Norwalk, CA 90650-3251 | 2007-04-11 |
| 1053534396 | One Call Imaging Inc. | Radiologic Technologist | 13330 Bloomfield Ave, Suite 114, Norwalk, CA 90650-3251 | 2007-04-11 |
| 1689713604 | Bright Medical Associates, Inc | Specialist | 13330 Bloomfield Ave, Norwalk, CA 90650-3251 | 2007-02-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003420316 | Ricky Chavez | Occupational Therapist | 13603 Halcourt Avenue, Norwalk, CA 90650 | 2020-09-03 |
| 1326671652 | Ryan Ly | Psychologist | 11400 Bloomfield Blvd, Norwalk, CA 90650 | 2020-02-14 |
| 1710416177 | Ricky O Lee | Pharmacist | 11401 S. Bloomfield Ave, Norwalk, CA 90650 | 2017-06-08 |
| 1689108847 | Eliana Segura | Student in an Organized Health Care Education/Training Program | 12440 Firestone Ave Blvd., 3020, Norwalk, CA 90650 | 2017-04-14 |
| 1396282752 | Martin Sanchez Torres | Specialist/Technologist, Other | 14003 Summer Ave, Norwalk, CA 90650 | 2017-01-24 |
| 1952859837 | Fatimah Busran | Social Worker | 11401 South Bloomfield Avde., Norwalk, CA 90650 | 2016-09-20 |
| 1760939383 | Andy Chang | Licensed Psychiatric Technician | 12440 East Imperial Highway, Suite 116, Norwalk, CA 90650 | 2016-09-01 |
| 1548634322 | Leslie Yesenia Lazo | Student in an Organized Health Care Education/Training Program | 12440 E. Firestone Blvd, Norwalk, CA 90650 | 2015-11-17 |
| 1306247994 | Ruth Vergara | Student in an Organized Health Care Education/Training Program | 21520 S. Pioneer Blvd., Suite 110, Hawaiian Gardens, CA 90650 | 2014-09-15 |
| 1265854251 | Sungmin Yee | Acupuncturist | 12706 Bloomfield Ave, Apt. 135, Norwalk, CA 90650 | 2014-01-10 |
| Find all providers in zip 90650 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689208571 | Sage Ann Miele | Physician Assistant | 149 Water St Apt 32, Norwalk, CT 06854-3758 | 2020-02-28 |
| 1720405939 | Heidi Nicole Riviello | Physician Assistant | 677 Connecticut Ave, Norwalk, CT 06854-1614 | 2014-03-25 |
| 1134423619 | Frankie Miller | Physician Assistant | 14635 Carmenita Rd, Norwalk, CA 90650-5228 | 2010-12-27 |
| 1932143195 | Carlos Benjamin Garcia | Physician Assistant | 14359 Pioneer Blvd Ste A, Norwalk, CA 90650-4850 | 2006-06-16 |
| 1255320081 | Amy C Crane | Physician Assistant | 9421 Marketplace Dr, Norwalk, IA 50211-2338 | 2005-10-14 |
| 1033107842 | Alan James Alfonso | Physician Assistant | 520 West Avenue, Norwalk, CT 06850 | 2005-10-06 |
| 1447819289 | Michael George Chase | Physician Assistant | 761 Main Ave Ste 201, Norwalk, CT 06851-1176 | 2019-06-06 |
| 1306311451 | Lloydacia A Stephens | Physician Assistant | 761 Main Ave Ste 201, Norwalk, CT 06851-1176 | 2018-10-04 |
| 1356876403 | Monique Stewart | Physician Assistant | 34 Maple St, Norwalk, CT 06850-3815 | 2017-04-26 |
| 1669889879 | Jenna Marie Strahan | Physician Assistant | 34 Maple St, Norwalk Hospital, Dept. of Surgery, Norwalk, CT 06850-3815 | 2014-07-20 |
| Find all providers in NORWALK | ||||
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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.