Khaled M Hassan (NPI# 1023272309, PAC ID# 5698939189) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DERMATOLOGY.
| Nation Provider ID (NPI) | 1023272309 |
| PAC ID by PECOS | 5698939189 |
| Professional Enrollment ID | I20141028001601 |
| Full Name | Khaled M Hassan |
| Organization Legal Name | ST JOSEPH HERITAGE HEALTHCARE |
| Address |
2141 N Harbor Blvd Suite 25000 Fullerton CA 92835-3827 |
| Phone Number | 7146268610 |
| Gender | M |
| Medical School | DUKE UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2008 |
| Primary Specialty | DERMATOLOGY |
| Group Practice PAC ID | 8921993205 |
| Number of Group Practice Members | 1049 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 2141 N Harbor Blvd, Suite 25000, Fullerton, CA 92835-3827 | 7146268610 | ST JOSEPH HERITAGE HEALTHCARE |
| Organization Legal Name | ST JOSEPH HERITAGE HEALTHCARE |
| Physicians | 1022 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tarah N Nelson | Nurse Practitioner | St Joseph Heritage Healthcare | 2460 Buhne St, Eureka, CA 95501-3207 |
| Kristen Shay Rasnick | Nurse Practitioner | St Joseph Heritage Healthcare | 6580 Hembree Ln, Suite 270, Windsor, CA 95492-6885 |
| Basit Rahim | Neurology | St Joseph Heritage Healthcare | 26800 Crown Valley Pkwy, Suite 385, Mission Viejo, CA 92691-7320 |
| Elizabeth Wachtel O'brien | Certified Nurse Midwife (cnm) | St Joseph Heritage Healthcare | 3307 Renner Dr, Fortuna, CA 95540-3119 |
| Michael James Glamore | Urology | St Joseph Heritage Healthcare | 1701 4th St, Suite 200, Santa Rosa, CA 95404-3661 |
| Teresa E Shields-szabo | Family Medicine | St Joseph Heritage Healthcare | 26795 Portola Pkwy, Foothill Ranch, CA 92610-1713 |
| Austin James Perkins | Physician Assistant | St Joseph Heritage Healthcare | 100 E Valencia Mesa Dr, Suite 105, Fullerton, CA 92835-3816 |
| Sherin Ann Chakkalakel | Nurse Practitioner | St Joseph Heritage Healthcare | 905 E Washington St, St Joseph Heritage Healthcare, Petaluma, CA 94952-3389 |
| Jamie Lea Meyer | Nurse Practitioner | St Joseph Heritage Healthcare | 2332 23rd St, Eureka, CA 95501-3231 |
| Laura Elizabeth Hall | Nurse Practitioner | St Joseph Heritage Healthcare | 2280 Harrison Ave, Suite K, Eureka, CA 95501-3200 |
| Street Address |
2141 N HARBOR BLVD SUITE 25000 |
| City | FULLERTON |
| State | CA |
| Zip | 92835-3827 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lisbeth Keplinger | Podiatry | St Joseph Heritage Healthcare | 2141 N Harbor Blvd, Suite 35000, Fullerton, CA 92835-3827 |
| Bradley Borsari | Internal Medicine | St Joseph Heritage Healthcare | 2141 N Harbor Blvd, Suite 25000, Fullerton, CA 92835-3827 |
| Dana D Tran | Critical Care (intensivists) | St Joseph Heritage Healthcare | 2141 N Harbor Blvd, Suite 25000, Fullerton, CA 92835-3827 |
| David A Ruckman | Internal Medicine | St Joseph Heritage Healthcare | 2141 N Harbor Blvd, Suite 25000, Fullerton, CA 92835-3827 |
| Amy Alias | Internal Medicine | St Joseph Heritage Healthcare | 2141 N Harbor Blvd, Suite 25000, Fullerton, CA 92835-3827 |
| Sanjay Chabra | Rheumatology | St Joseph Heritage Healthcare | 2141 N Harbor Blvd, Suite 25000, Fullerton, CA 92835-3827 |
| Stewart L Shanfield | Orthopedic Surgery | St Joseph Heritage Healthcare | 2141 N Harbor Blvd, Suite 35000, Fullerton, CA 92835-3827 |
| Rebecca A Penera | Podiatry | St Joseph Heritage Healthcare | 2141 N Harbor Blvd, Suite 35000, Fullerton, CA 92835-3827 |
| Andrew L Concoff | Sports Medicine | St Joseph Heritage Healthcare | 2141 N Harbor Blvd, Suite 35000, Fullerton, CA 92835-3827 |
| Shirley W Pang | Rheumatology | St Joseph Heritage Healthcare | 2141 N Harbor Blvd, Suite 25000, Fullerton, CA 92835-3827 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Howard Dedes | Interventional Pain Management | 295 Imperial Hwy, Suite 100, Fullerton, CA 92835-1020 | |
| Alvaro O Liceaga | Interventional Pain Management | 295 Imperial Hwy 100, Fullerton, CA 92835-1020 | |
| Sara Said | Psychologist, Clinical | The Neurobehavioral Group, A Psychological Corporation | 385 Imperial Hwy, Fullerton, CA 92835-1040 |
| Stella R Vargas | Physical Therapy | 373 Imperial Hwy, Fullerton, CA 92835-1040 | |
| Johnson L Moon | Neurology | Neurology Center of North Orange County A Medical Corp | 381 Imperial Hwy, Fullerton, CA 92835-1040 |
| Priscilla P Armstrong | Psychologist, Clinical | The Neurobehavioral Group, A Psychological Corporation | 385 Imperial Hwy, Fullerton, CA 92835-1040 |
| Margaret M Slaven | Psychologist, Clinical | The Neurobehavioral Group, A Psychological Corporation | 385 Imperial Hwy, Fullerton, CA 92835-1040 |
| Manpreet Kaur Multani | Neurology | Neurology Center of North Orange County A Medical Corp | 381 Imperial Hwy, Fullerton, CA 92835-1040 |
| Eileen S Kang | Psychologist, Clinical | The Neurobehavioral Group, A Psychological Corporation | 385 Imperial Hwy, Fullerton, CA 92835-1040 |
| Kiran Bath | Neurology | Neurology Center of North Orange County A Medical Corp | 381 Imperial Hwy, Fullerton, CA 92835-1040 |
| Find all physicians in zip 92835 | |||
| City | FULLERTON |
| Zip Code | 92835 |
| Specialty | DERMATOLOGY |
| City + Specialty | FULLERTON + DERMATOLOGY |
Please comment or provide details below to improve the information on Khaled M Hassan.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.