Kian Mostafavi (NPI# 1336383652, PAC ID# 7618014911) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is VASCULAR SURGERY.
| Nation Provider ID (NPI) | 1336383652 |
| PAC ID by PECOS | 7618014911 |
| Professional Enrollment ID | I20131016001987 |
| Full Name | Kian Mostafavi |
| Organization Legal Name | PERMANENTE MEDICAL GROUP INC |
| Address |
1100 Veterans Blvd Redwood City CA 94063-2037 |
| Phone Number | 6502992000 |
| Gender | M |
| Graduation Year | 1999 |
| Primary Specialty | VASCULAR SURGERY |
| Secondary Specialties | GENERAL SURGERY |
| Group Practice PAC ID | 8921910225 |
| Number of Group Practice Members | 6775 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050777 | KAISER FOUNDATION HOSPITAL - SAN LEANDRO |
| 050512 | KAISER FOUNDATION HOSPITAL - FREMONT |
| Address | Phone | Organization |
|---|---|---|
| 39400 Paseo Padre Pkwy, Fremont, CA 94538-2310 | 5102483000 | PERMANENTE MEDICAL GROUP INC |
| 1100 Veterans Blvd, Redwood City, CA 94063-2037 | 6502992000 | PERMANENTE MEDICAL GROUP INC |
| 1150 Veterans Blvd, Redwood City, CA 94063-2037 | 6502992000 | PERMANENTE MEDICAL GROUP INC |
| 1190 Veterans Blvd, Redwood City, CA 94063-2037 | 6502992000 | PERMANENTE MEDICAL GROUP INC |
| 901 Nevin Ave, Richmond, CA 94801-3143 | 5103071500 | PERMANENTE MEDICAL GROUP INC |
| 2500 Merced St, San Leandro, CA 94577-4201 | 5104541000 | PERMANENTE MEDICAL GROUP INC |
| Organization Legal Name | PERMANENTE MEDICAL GROUP INC |
| Physicians | 9623 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Richard Kailean Mchugh | Otolaryngology | Permanente Medical Group Inc | 7300 Wyndham Dr, Sacramento, CA 95823-4913 |
| Catherine J. Choi | Ophthalmology | Permanente Medical Group Inc | 320 Lennon Ln, Walnut Creek, CA 94598-2419 |
| Justin M Leazenby | Psychologist, Clinical | Permanente Medical Group Inc | 800 Sereno Dr, Vallejo, CA 94589-2411 |
| Crissy A Bankston | Psychologist, Clinical | Permanente Medical Group Inc | 3454 Hillcrest Ave, Antioch, CA 94531-8238 |
| Frank W Lien | Family Medicine | Permanente Medical Group Inc | 1190 Veterans Blvd, Redwood City, CA 94063-2037 |
| Mona Collado Ferrer-kaw | Psychiatry | Permanente Medical Group Inc | 111 Smith Ranch Rd, San Rafael, CA 94903-1939 |
| Matthew J Holland | Psychologist, Clinical | Permanente Medical Group Inc | 1761 Broadway St, Vallejo, CA 94589-2226 |
| Shawn M Youngs | Family Medicine | Permanente Medical Group Inc | 10305 Promenade Pkwy, Elk Grove, CA 95757-9400 |
| Kristin G Leach | Family Medicine | Permanente Medical Group Inc | 9201 Big Horn Blvd, Elk Grove, CA 95758-1240 |
| Valerie M Tiscareno | Qualified Audiologist | Permanente Medical Group Inc | 15 Southgate Ave, Daly City, CA 94015-1413 |
| Street Address |
1100 VETERANS BLVD |
| City | REDWOOD CITY |
| State | CA |
| Zip | 94063-2037 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Joseph C Kwok | Physical Medicine and Rehabilitation | Permanente Medical Group Inc | 1100 Veterans Blvd, Redwood City, CA 94063-2037 |
| Ritu Bansal | Internal Medicine | Permanente Medical Group Inc | 1100 Veterans Blvd, Redwood City, CA 94063-2037 |
| Brian A Roling | Podiatry | Permanente Medical Group Inc | 1100 Veterans Blvd, Redwood City, CA 94063-2037 |
| James N Peros | Internal Medicine | Permanente Medical Group Inc | 1100 Veterans Blvd, Redwood City, CA 94063-2037 |
| Amit P Kamboj | Gastroenterology | Permanente Medical Group Inc | 1100 Veterans Blvd, Redwood City, CA 94063-2037 |
| Monique Danielle Schaulis | Emergency Medicine | Permanente Medical Group Inc | 1100 Veterans Blvd, Redwood City, CA 94063-2037 |
| Anagha V Jain | Nephrology | Permanente Medical Group Inc | 1100 Veterans Blvd, Redwood City, CA 94063-2037 |
| Donghui Lin | Pathology | Permanente Medical Group Inc | 1100 Veterans Blvd, Redwood City, CA 94063-2037 |
| Tom A Vo | Internal Medicine | Permanente Medical Group Inc | 1100 Veterans Blvd, Redwood City, CA 94063-2037 |
| Woojin M Yu | Pathology | Permanente Medical Group Inc | 1100 Veterans Blvd, Redwood City, CA 94063-2037 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Christopher A Herrera | Chiropractic | 1219 Arguello St, Redwood City, CA 94063-1207 | |
| Rikke Dich Johansen | Chiropractic | 536 El Camino Real, Redwood City, CA 94063-1212 | |
| Katelyn R Cresta | Chiropractic | Mobilize Sports Chiropractic and Manual Therapy Inc. | 536 El Camino Real, Redwood City, CA 94063-1212 |
| Michael Jay Silvas | Chiropractic | Mobilize Sports Chiropractic and Manual Therapy Inc. | 536 El Camino Real, Redwood City, CA 94063-1212 |
| Randall Toal | Chiropractic | Health Logic Chiropractic Sports Medicine and Manual Therapy | 536 El Camino Real, Redwood City, CA 94063-1212 |
| Denise Magee | Chiropractic | 703 Whipple Ave, Redwood City, CA 94063-1228 | |
| Alan Rappoport | Clinical Psychologist | 611 Veterans Blvd, 116b, Redwood City, CA 94063-1400 | |
| Kathleen Jean Bolter | Psychologist, Clinical | 617 Veterans Blvd, Suite 210, Redwood City, CA 94063-1419 | |
| Jan T Rydfors | Obstetrics/gynecology | 570 Price Ave, Suite 100, Redwood City, CA 94063-1433 | |
| Mary Pravdin | Obstetrics/gynecology | Baychildrens | 570 Price Ave, Suite 100, Redwood City, CA 94063-1433 |
| Find all physicians in zip 94063 | |||
| City | REDWOOD CITY |
| Zip Code | 94063 |
| Specialty | VASCULAR SURGERY |
| City + Specialty | REDWOOD CITY + VASCULAR SURGERY |
Please comment or provide details below to improve the information on Kian Mostafavi.
| 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.