POOYA BANAPOUR (NPI# 1083051577) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083051577 |
| Entity Type | Individual |
| Full Name | POOYA BANAPOUR |
| Practice Address |
1500 E. Duarte Road Duarte CA 91010 |
| Mailing Address |
Po Box 512185 Los Angeles CA 90051-0185 |
| Practice Telephone | 6262564673 |
| Enumeration Date | 2013-05-24 |
| Last Update Date | 2019-06-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | A131966 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
1500 E. DUARTE ROAD |
| City | DUARTE |
| State | CA |
| Zip Code | 91010 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487620829 | Cornelia G. Banciu-odell | Internal Medicine | 1500 E. Duarte Road, Duarte, CA 91010 | 2006-02-26 |
| 1831661537 | Shan Ju Lin | Nurse Practitioner | 1500 E. Duarte Road, Duarte, CA 91010 | 2018-12-19 |
| 1922581941 | Brittany Nicole Duvall | Nurse Practitioner | 1500 E. Duarte Road, Duarte, CA 91010 | 2018-09-14 |
| 1720573017 | Sarah Kay De Belen | Nurse Practitioner | 1500 E. Duarte Road, Duarte, CA 91010 | 2018-06-28 |
| 1740728484 | Julie Jean | Nurse Practitioner | 1500 E. Duarte Road, Duarte, CA 91010 | 2017-02-02 |
| 1952848137 | Chelsea Marie Abad | Nurse Practitioner | 1500 E. Duarte Road, Duarte, CA 91010 | 2017-01-25 |
| 1245777663 | Christien Jeyasingh | Nurse Practitioner | 1500 E. Duarte Road, Duarte, CA 91010 | 2017-01-24 |
| 1982064093 | Mariya Milgram | Nurse Practitioner | 1500 E. Duarte Road, Duarte, CA 91010 | 2016-03-02 |
| 1790151405 | Alice Han | Nurse Practitioner | 1500 E. Duarte Road, Duarte, CA 91010 | 2015-08-17 |
| 1982081899 | Janet Rattanapichetkul | Nurse Practitioner | 1500 E. Duarte Road, Duarte, CA 91010 | 2015-04-29 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386266849 | Cheyenne King | Student in an Organized Health Care Education/Training Program | 1801 Huntington Drive, Duarte, Ca 91010, Duarte, CA 91010 | 2020-05-07 |
| 1114578028 | Cristian Gonzalez | Case Manager/Care Coordinator | 2250 E Foothill Ave, Pasadena, CA 91010 | 2019-09-23 |
| 1366932378 | Maisie Madrid | Marriage & Family Therapist | 1801 Huntington Drive, Duarte, CA 91010 | 2018-05-15 |
| 1598289571 | Bertha Maria Torres | Social Worker | 938 E. Huntington Drive, Unit A, Duarte, CA 91010 | 2017-08-01 |
| 1598292286 | Sheila Ramirez | Occupational Therapy Assistant | 2302 Citrus View Ave, Duarte, CA 91010 | 2017-05-12 |
| 1982059556 | Patricia Mendoza | Case Manager/Care Coordinator | 2502 E.huntington Dr., Duarte, CA 91010 | 2016-05-02 |
| 1770966178 | Sinziana Dumitra | Surgery | 1500 Durate Road California, Mob L001, Duarte, CA 91010 | 2015-07-02 |
| 1477940161 | Jin Sun L Bitar | Internal Medicine | 1500 Duarte Rd # Wing4, Duarte, CA 91010 | 2015-04-20 |
| 1659625622 | Jeanette Marie Petermann | Nurse Practitioner | 1036 East Huntington Drive, Duarte, CA 91010 | 2012-10-30 |
| 1649534397 | Nathaniel J Khoe Dds. Inc | Dentist | 1016 Huntington Drive, Duarte, CA 91010 | 2012-06-27 |
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| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467830711 | Felicia Balzano | Urology | 1500 Duarte Rd, Duarte, CA 91010-3012 | 2015-05-07 |
| 1881081867 | Brady Miller | Urology | 1500 Duarte Rd, Duarte, CA 91010-3012 | 2015-04-17 |
| 1578958757 | Yasmeen M Jaber | Urology | 1500 Duarte Rd, Duarte, CA 91010-3012 | 2015-04-03 |
| 1053731745 | Frank Anthony Myers Jr. | Urology | 1500 E. Duarte Road, Duarte, CA 91010 | 2014-04-21 |
| 1265850390 | David J. Abramowitz | Urology | 1500 Duarte Rd, Duarte, CA 91010-3012 | 2014-04-05 |
| 1992048417 | Albert H Kim | Urology | 1500 Duarte Rd, Duarte, CA 91010-3012 | 2013-04-03 |
| 1659639623 | Jim K. Shen | Urology | 1500 Duarte Rd, Duarte, CA 91010 | 2012-04-27 |
| 1093943854 | Jonathan Lim Yamzon | Urology | 1500 Duarte Rd, Duarte, CA 91010-3012 | 2009-06-30 |
| 1811082720 | Clayton Lau | Urology | 1500 E Duarte Rd, Duarte, CA 91010 | 2006-10-04 |
| 1851486757 | Kevin Chan | Urology | 1500 E Duarte Rd, Duarte, CA 91010 | 2006-10-04 |
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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.