KHASHAYAR KHOSRAVIANI (NPI# 1144592205) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144592205 |
| Entity Type | Individual |
| Full Name | KHASHAYAR KHOSRAVIANI |
| Credential | MD |
| Practice Address |
401 Bicentennial Way Dept of Rheumatology Suite 160 Santa Rosa CA 95403-2149 |
| Practice Telephone | 7073934155 |
| Mailing Telephone | 7073934155 |
| Enumeration Date | 2012-02-06 |
| Last Update Date | 2016-06-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RR0500X |
Internal Medicine Specialization: Rheumatology |
139927 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
401 BICENTENNIAL WAY DEPT OF RHEUMATOLOGY SUITE 160 |
| City | SANTA ROSA |
| State | CA |
| Zip Code | 95403-2149 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649276940 | Virginia E Hofmann | Psychiatry & Neurology | 401 Bicentennial Way, Department of Psychiatry, Santa Rosa, CA 95403-2149 | 2005-06-22 |
| 1376142646 | Denny Jeb Piolo Sta Ana | Respiratory Therapist, Registered | 401 Bicentennial Way, Santa Rosa, CA 95403-2149 | 2020-10-19 |
| 1417564915 | Nancy Patricia Prussiamerritt | Respiratory Therapist, Registered | 401 Bicentennial Way, Santa Rosa, CA 95403-2149 | 2020-09-28 |
| 1629682042 | Mio John Villagomez | Respiratory Therapist, Registered | 401 Bicentennial Way, Santa Rosa, CA 95403-2149 | 2020-09-02 |
| 1679181861 | Miriam Stone | Respiratory Therapist, Registered | 401 Bicentennial Way, Santa Rosa, CA 95403-2149 | 2020-07-14 |
| 1902414196 | Brenda L Yates | Respiratory Therapist, Registered | 401 Bicentennial Way, Santa Rosa, CA 95403-2149 | 2020-07-14 |
| 1215550801 | John Callander | Student in an Organized Health Care Education/Training Program | 401 Bicentennial Way, Santa Rosa, CA 95403-2149 | 2020-05-18 |
| 1124649074 | Gustavo Gabriel Romero | Student in an Organized Health Care Education/Training Program | 401 Bicentennial Way, Santa Rosa, CA 95403-2149 | 2020-05-01 |
| 1184244147 | Kimberly Hower | Student in an Organized Health Care Education/Training Program | 401 Bicentennial Way, Santa Rosa, CA 95403-2149 | 2020-04-20 |
| 1316574452 | Constantine Kulkoff | Student in an Organized Health Care Education/Training Program | 401 Bicentennial Way, Santa Rosa, CA 95403-2149 | 2020-03-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912549841 | Abundance Acupuncture Healing Clinic | Acupuncturist | 3410 Mendocino Avenue, Santa Rosa, CA 95403 | 2019-10-11 |
| 1982161337 | Crystal J Ward | Registered Nurse | 2350 Mendocino Ave, Ste A4, Santa Rosa, CA 95403 | 2019-02-21 |
| 1033674379 | George Edward Griese | Respiratory Therapist, Registered | 501 Bicentennial Way, Santa Rosa, CA 95403 | 2019-01-31 |
| 1508320672 | East-west Natural Medicine Inc. | Acupuncturist | 2200 Range Ave #207, Santa Rosa, CA 95403 | 2019-01-23 |
| 1316410640 | Lionel C Cooper | Counselor | 315 Mark West Springs Road, Santa Rosa, CA 95403 | 2019-01-09 |
| 1326519182 | Jkb Solutions Inc. | In Home Supportive Care | 3554 Round Barn Boulevard, Suite 311, Santa Rosa, CA 95403 | 2018-12-05 |
| 1487121265 | Catholic Charities of The Diocese of Santa Rosa | Clinic/Center | 987 Airway Ct, Santa Rosa, CA 95403 | 2018-10-30 |
| 1447746524 | Lisa Jean Quang | Optometrist | 3925 Old Redwood, Medical Office Building 4, Suite 141, Santa Rosa, CA 95403 | 2018-07-02 |
| 1598253353 | Jennifer Renee Lummus | Community Health Worker | 3614 Condo Court, Santa Rosa, CA 95403 | 2018-04-27 |
| 1871042366 | Sadie Thuet | Marriage & Family Therapist | 3434 A Mendocino Ave, Santa Rosa, CA 95403 | 2016-09-26 |
| Find all providers in zip 95403 | ||||
| Taxonomy Code | 207RR0500X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Rheumatology |
| An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and "collagen" diseases. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639516149 | Donald Lloyd Whisler | Internal Medicine | 500 Doyle Park Dr Ste 300, Santa Rosa, CA 95405-4559 | 2013-05-24 |
| 1841494275 | Lisa B. Kremer, M.d. | Internal Medicine | 4725-a Hoen Ave, Santa Rosa, CA 95405-7862 | 2007-06-11 |
| 1144262213 | Lisa B Kremer | Internal Medicine | 4725 Hoen Ave Ste A, Santa Rosa, CA 95405-9405 | 2006-06-12 |
| 1104824994 | Jack Waxman | Internal Medicine | 1701 4th St Ste 210, Santa Rosa, CA 95404-3661 | 2005-07-14 |
| 1891344305 | Northern California Medical Assoc Inc | Internal Medicine | 4690 Hoen Ave, Santa Rosa, CA 95405-7823 | 2019-09-06 |
| 1710457361 | Northern California Medical Assoc | Internal Medicine | 1701 4th St Ste 100, Santa Rosa, CA 95404-3661 | 2018-11-27 |
| 1588164909 | Northern California Medical Assoc Inc | Internal Medicine | 990 Sonoma Ave Ste 18, Santa Rosa, CA 95404 | 2018-02-13 |
| 1386031268 | David Maniscalco | Internal Medicine | 3883 Airway Dr Ste 130, Santa Rosa, CA 95403-1671 | 2015-04-19 |
| 1124102298 | Richard T. Zweig | Internal Medicine | 401 Bicentennial Way, Santa Rosa, CA 95403-2149 | 2006-10-25 |
| 1134222458 | Kent William Blakely | Internal Medicine | 1701 4th St Ste 210, Santa Rosa, CA 95404 | 2006-09-06 |
| Find all providers in SANTA ROSA | ||||
| City | SANTA ROSA |
| Zip Code | 95403 |
Please comment or provide details below to improve the information on KHASHAYAR KHOSRAVIANI.
| 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.