SHARIS SAKETKHOO (NPI# 1013168400) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013168400 |
| Entity Type | Individual |
| Full Name | SHARIS SAKETKHOO |
| Practice Address |
12291 Washington Blvd Ste 500 Whittier CA 90606-2551 |
| Practice Telephone | 3102703518 |
| Mailing Telephone | 3102703518 |
| Enumeration Date | 2008-10-03 |
| Last Update Date | 2008-10-03 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | A105027 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
12291 WASHINGTON BLVD STE 500 |
| City | WHITTIER |
| State | CA |
| Zip Code | 90606-2551 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821182403 | Scott D Kirsch | Family Medicine | 12291 Washington Blvd Ste 500, Whittier, CA 90606-2551 | 2006-10-03 |
| 1285263020 | Betty Yu Wong | Student in an Organized Health Care Education/Training Program | 12291 Washington Blvd Ste 500, Whittier, CA 90606-2551 | 2020-04-03 |
| 1215565379 | Michelle Renee Abueg | Student in an Organized Health Care Education/Training Program | 12291 Washington Blvd Ste 500, Whittier, CA 90606-2551 | 2020-04-01 |
| 1639706211 | Joey Asfahan | Student in an Organized Health Care Education/Training Program | 12291 Washington Blvd Ste 500, Whittier, CA 90606-2551 | 2020-03-24 |
| 1396205092 | Mai-anh Vuong-dac | Student in an Organized Health Care Education/Training Program | 12291 Washington Blvd Ste 500, Whittier, CA 90606-2551 | 2019-03-20 |
| 1770999450 | Stephanie Tran | Family Medicine | 12291 Washington Blvd Ste 500, Whittier, CA 90606-2551 | 2014-07-02 |
| 1407105067 | Valerie Merry Gallegos | Student in an Organized Health Care Education/Training Program | 12291 Washington Blvd Ste 500, Whittier, CA 90606-2551 | 2012-08-29 |
| 1780994764 | Paulette Saleh | Student in an Organized Health Care Education/Training Program | 12291 Washington Blvd Ste 500, Whittier, CA 90606-2551 | 2010-10-08 |
| 1730492851 | Eric Michael Neilson | Student in an Organized Health Care Education/Training Program | 12291 Washington Blvd Ste 500, Whittier, CA 90606-2551 | 2010-07-18 |
| 1023249216 | Jorge Rodrigo Mercado Peregrina | Student in an Organized Health Care Education/Training Program | 12291 Washington Blvd Ste 500, Whittier, CA 90606-2551 | 2009-08-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003385113 | Adrian Garcia | Psychologist | 10800 E. Benavon St., Whittier, CA 90606 | 2018-11-19 |
| 1013424951 | Myra Cahambing | Physical Therapy Assistant | 12411 Slauson Ave., Unit G, Whittier, CA 90606 | 2017-12-31 |
| 1639698129 | Josephine Chang | Occupational Therapist | 12411 Slanson Ave. Unit H, Whittier, CA 90606 | 2017-09-15 |
| 1265950786 | Gladys J Lucero | Specialist/Technologist | 12411 Slauson Ave Unit H, Whittier, CA 90606 | 2017-09-05 |
| 1457807059 | Edward Montero | Student in an Organized Health Care Education/Training Program | 6220 Vicki Drive, Whittier, CA 90606 | 2016-09-01 |
| 1124495734 | Valerie Rodriguez | Occupational Therapist | 12421 Slauson Ave., Suite H, Whittier, CA 90606 | 2015-08-31 |
| 1114303104 | Katherine Jones | Occupational Therapist | 12411 Slauson Avenue Unit H, Whittier, CA 90606 | 2015-08-03 |
| 1356742589 | Michael Alberto Garcia | Specialist/Technologist | 12411 Slauson Ave. Unit H, Whittier, CA 90606 | 2014-09-08 |
| 1922414721 | Jeremiah Knapp | Student in an Organized Health Care Education/Training Program | 12291 Washington Blvd Fl 5, Whittier, CA 90606 | 2014-07-01 |
| 1407284193 | Editha Gutierrez | Nurse Practitioner | 12291 Washington Blvd Ste 205, Whittier, CA 90606 | 2013-10-16 |
| Find all providers in zip 90606 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225650120 | Montes Medical Group Inc | Family Medicine | 12533 Washington Blvd Ste B, Whittier, CA 90602-1010 | 2020-05-13 |
| 1275995490 | Cathleen Yi Li | Family Medicine | 15725 Whittier Blvd Ste 400, Whittier, CA 90603-2338 | 2016-03-26 |
| 1689975336 | Eric Flanders | Family Medicine | 13671 Camilla St, Whittier, CA 90601-3814 | 2010-11-11 |
| 1295955938 | Alija Ali | Family Medicine | 13470 Telegraph Rd, Whittier, CA 90605-3436 | 2007-04-26 |
| 1588722946 | Mark F Varallo | Family Medicine | 15733 Whittier Blvd, Whittier, CA 90603-2312 | 2006-12-05 |
| 1821182403 | Scott D Kirsch | Family Medicine | 12291 Washington Blvd Ste 500, Whittier, CA 90606-2551 | 2006-10-03 |
| 1629160551 | Ronald G. Galbreath | Family Medicine | 12522 E. Lambert Road, Suite D, Whittier, CA 90606-2758 | 2006-09-28 |
| 1174621957 | Bobby Chu Ko | Family Medicine | 15217 Leffingwell Rd, Whittier, CA 90604 | 2006-09-20 |
| 1215031216 | Jose A Aceves | Family Medicine | 14609 E Whittier Blvd, Whittier, CA 90605 | 2006-09-11 |
| 1558465930 | Chung-lien Chen | Family Medicine | 12802 Whittier Blvd, Whittier, CA 90602-2931 | 2006-09-07 |
| Find all providers in WHITTIER | ||||
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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.