BOBBY KEYVAN-JAFARI (NPI# 1114580354) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114580354 |
| Entity Type | Individual |
| Full Name | BOBBY KEYVAN-JAFARI |
| Practice Address |
230 S 12th Ave Phoenix AZ 85007-3101 |
| Mailing Address |
9306 E Dreyfus Pl Scottsdale AZ 85260-7405 |
| Practice Telephone | 6023620744 |
| Mailing Telephone | 6022282278 |
| Enumeration Date | 2019-04-14 |
| Last Update Date | 2019-04-14 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
230 S 12TH AVE |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85007-3101 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104937606 | Kris Andrew Volcheck | Dentist | 230 S 12th Ave, Phoenix, AZ 85007-3101 | 2006-08-31 |
| 1124581624 | Nashid F Ahmed | Dentist | 230 S 12th Ave, Phoenix, AZ 85007-3101 | 2019-04-11 |
| 1548775497 | Circle The City | Clinic/Center | 230 S 12th Ave, Phoenix, AZ 85007-3101 | 2017-12-13 |
| 1003336215 | James Nathan Mckenna | Dentist | 230 S 12th Ave, Phoenix, AZ 85007-3101 | 2017-06-20 |
| 1801328638 | Clayton Geoffrey Wainwright Jr. | Dentist | 230 S 12th Ave, Phoenix, AZ 85007-3101 | 2017-03-30 |
| 1487014965 | Brighter Way Institute | Dentist | 230 S 12th Ave, Phoenix, AZ 85007-3101 | 2016-02-26 |
| 1154780088 | Kristine Keber | Dentist | 230 S 12th Ave, Phoenix, AZ 85007-3101 | 2016-02-20 |
| 1063871317 | Cheryll Howard | Student in an Organized Health Care Education/Training Program | 230 S 12th Ave, Phoenix, AZ 85007-3101 | 2016-02-15 |
| 1972961399 | Brian Mooney | Dentist | 230 S 12th Ave, Phoenix, AZ 85007-3101 | 2016-01-29 |
| 1568847267 | Michelle Dibaise | Physician Assistant | 230 S 12th Ave, Healthcare for The Homeless, Phoenix, AZ 85007-3101 | 2015-07-22 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861017824 | Tembre Eliza Delong | Student in an Organized Health Care Education/Training Program | 230 South 12th Ave, Phoenix, AZ 85007 | 2020-06-15 |
| 1841706785 | Circle The City | Clinic/Center | 206 S 12th Ave, Phoenix, AZ 85007 | 2017-12-14 |
| 1922559624 | Community Bridges, Inc. | Community/Behavioral Health | 1125 W Jackson St, Phoenix, AZ 85007 | 2016-10-18 |
| 1912358045 | Isabel Victoria Rodriguez | Speech-Language Pathologist | 2302 North 15th Avenue, Phoenix, AZ 85007 | 2016-06-30 |
| 1730441825 | Sara Joyce Edmund | Nurse Practitioner | 1424 S 7th Avenue, Phoenix, AZ 85007 | 2012-06-13 |
| 1295781771 | Ilin Chuang | Pediatrics | 150 N. 18th Ave., Suite 150, Arizona Depart. of Health Services, Phoenix, AZ 85007 | 2006-05-26 |
| 1518924802 | Michael James Higbee | Physician Assistant | 1201 S. 7th Avenue, Suite 150, Phoenix, AZ 85007 | 2006-04-28 |
| 1942278676 | David Paul Brown | Emergency Medicine | 1201 S 7 Avenue, Phoenix, AZ 85007 | 2006-03-09 |
| 1265409759 | Carol D Watkins | Emergency Medicine | 1201 S 7th Avenue, Phoenix, AZ 85007 | 2006-03-02 |
| 1982695615 | Mary Pat Nesbit | Emergency Medicine | 1201 S 7th Ave, Phoenix, AZ 85007 | 2005-11-02 |
| Find all providers in zip 85007 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922615814 | Ethan Robert Curtis | Student in an Organized Health Care Education/Training Program | 9467 Dinglehole Rd, Phoenix, NY 13135-9504 | 2020-09-25 |
| 1508470642 | Aisha J Ramirez-maya | Student in an Organized Health Care Education/Training Program | 5230 S 40th Pl, Phoenix, AZ 85040-3909 | 2020-09-05 |
| 1003429846 | Krista Lyn Beerling | Student in an Organized Health Care Education/Training Program | 5827 E Indian School Rd, Phoenix, AZ 85018-6104 | 2020-08-30 |
| 1568075877 | Melissa Coronado | Student in an Organized Health Care Education/Training Program | 1906 W Latona Ln, Phoenix, AZ 85041-7703 | 2020-08-26 |
| 1801409248 | Javier Bruno Limon | Student in an Organized Health Care Education/Training Program | 4233 N 77th Dr, Phoenix, AZ 85033-2401 | 2020-08-25 |
| 1841803277 | Tiffany Figueroa | Student in an Organized Health Care Education/Training Program | 3416 N 44th St Unit 24, Phoenix, AZ 85018-6044 | 2020-08-25 |
| 1669085353 | Lea Yusupov | Student in an Organized Health Care Education/Training Program | 325 W Anderson Ave, Phoenix, AZ 85023-6545 | 2020-08-24 |
| 1528671179 | Olivia Rose Warner | Student in an Organized Health Care Education/Training Program | 2308 E Heatherbrae Dr, Phoenix, AZ 85016-6216 | 2020-08-24 |
| 1689285470 | Mati Aamed | Student in an Organized Health Care Education/Training Program | 5350 N 20th St, Phoenix, AZ 85016-3321 | 2020-08-13 |
| 1124638689 | Emily Anne Nelson | Student in an Organized Health Care Education/Training Program | 22829 N 39th Run, Phoenix, AZ 85050-5417 | 2020-08-08 |
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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.