DR. OMID OMIDVAR (NPI# 1184678583) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184678583 |
| Entity Type | Individual |
| Full Name | DR. OMID OMIDVAR |
| Credential | M.D. |
| Practice Address |
3791 Katella Ave Suite 106 Los Alamitos CA 90720-3105 |
| Practice Telephone | 5624303114 |
| Practice Fax Number | 5624307718 |
| Mailing Telephone | 5624303114 |
| Mailing Fax Number | 5624307718 |
| Enumeration Date | 2006-05-20 |
| Last Update Date | 2011-04-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
A55552 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
3791 KATELLA AVE SUITE 106 |
| City | LOS ALAMITOS |
| State | CA |
| Zip Code | 90720-3105 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710975602 | Anna Ho | Physician Assistant | 3791 Katella Ave, Suite 201, Los Alamitos, CA 90720-3105 | 2005-10-13 |
| 1710320072 | Breana Jean Wheeler | Nurse Practitioner | 3791 Katella Ave, Suite 210, Los Alamitos, CA 90720-3105 | 2013-04-16 |
| 1184960890 | Chinenye Egwuonwu | Nurse Practitioner | 3791 Katella Ave, Ste. 108, Los Alamitos, CA 90720-3105 | 2012-12-27 |
| 1124370937 | Katie Mintz | Physician Assistant | 3791 Katella Ave, Los Alamitos, CA 90720-3105 | 2012-10-04 |
| 1205118312 | Heather Marie Corson | Physician Assistant | 3791 Katella Ave, Suite # 201, Los Alamitos, CA 90720-3105 | 2011-09-14 |
| 1700107091 | Lauren Marie Dolan | Physician Assistant | 3791 Katella Ave, Suite 201, Los Alamitos, CA 90720-3105 | 2010-06-21 |
| 1205927274 | Randall B Moore | Surgery | 3791 Katella Ave, #201, Los Alamitos, CA 90720 | 2006-09-27 |
| 1518063510 | Ruben Baghdassarian | Urology | 3791 Katella Ave, Suite 200, Los Alamitos, CA 90720-3105 | 2006-09-16 |
| 1699871608 | Stuart Alexander Chalfin | Urology | 3791 Katella Ave, Suite 200, Los Alamitos, CA 90720-3105 | 2006-09-16 |
| 1356453088 | Nicolas Dikio Md Inc | Obstetrics & Gynecology | 3791 Katella Ave, Ste 209, Los Alamitos, CA 90720-3105 | 2006-08-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871152132 | Connie Lee Wax | Social Worker | 5182 Katella, Suite 206, Los Alamitos, CA 90720 | 2019-06-11 |
| 1750891446 | Angela Lynn Hudson | Nurse Practitioner | 4281 Katella Ave Ste 215, Los Alamitos, CA 90720 | 2017-10-06 |
| 1922524149 | Tigom LLC | Pharmacy | 4434 Cerritos Ave, Los Alamitos, CA 90720 | 2017-08-18 |
| 1821531401 | Added Access Cardiology Inc | Internal Medicine | 3801 Katella Ave Suite 401, Los Alamitos, CA 90720 | 2016-11-30 |
| 1619348091 | Debbie Chen | Marriage & Family Therapist | 5182 Katella Ave Ste 202, Los Alamitos, CA 90720 | 2015-10-12 |
| 1801292974 | Michelle R. Ancharoff | Psychologist | 4281 Katella Ave #122, Los Alamitos, CA 90720 | 2014-11-17 |
| 1497179253 | Jeffrey J Mccullough | Dentist | 4281 Katella Ave Ste 112, Los Alamitos, CA 90720 | 2014-02-13 |
| 1043634124 | Alamitos Oral Surgery | Dentist | 4582 Katella Avenue, Los Alamitos, CA 90720 | 2014-02-11 |
| 1972939718 | Twin Town Corporation | Clinic/Center | 4376 Katella Ave., Los Alamitos, CA 90720 | 2013-09-25 |
| 1952644197 | Lindsay Enebak Mossinger | Internal Medicine | 3851 Katella Ave Ste 220, Los Alamitos, CA 90720 | 2013-04-05 |
| Find all providers in zip 90720 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326083858 | Mohan V. Tadikonda | Psychiatry & Neurology | 3191 Oak Knoll Dr, Los Alamitos, CA 90720-4516 | 2006-06-18 |
| 1811023443 | Pacific Neurology Consultants, Inc. | Psychiatry & Neurology | 3191 Oak Knoll Dr, Los Alamitos, CA 90720-4516 | 2007-02-26 |
| 1699705772 | Nima Ramezan Arab | Psychiatry & Neurology | 3851 Katella Ave, Suite 215, Los Alamitos, CA 90720-3309 | 2006-07-04 |
| 1902843659 | Alan H Cohen | Psychiatry & Neurology | 3791 Katella Ave, Suite106, Los Alamitos, CA 90720-3105 | 2006-06-01 |
| 1881631539 | Nirav S. Patel | Psychiatry & Neurology | 3791 Katella Ave, Suite106, Los Alamitos, CA 90720-3105 | 2006-06-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497352876 | Riverside Optimal Healthcare, Inc | Psychiatry & Neurology | 13320 Riverside Dr Ste 204, Sherman Oaks, CA 91423-2512 | 2020-10-08 |
| 1710592431 | Muhammad Amin | Psychiatry & Neurology | 33433 Pony Loop, Fremont, CA 94555-3511 | 2020-09-10 |
| 1558973792 | Catalyst Neuromedical Center PC | Psychiatry & Neurology | 3305 Placer St Ste B, Redding, CA 96001-2378 | 2020-08-19 |
| 1134730906 | West Coast Valley Medical Inc | Psychiatry & Neurology | 3357 Cahuenga Blvd W # 18, Los Angeles, CA 90068-1327 | 2020-08-13 |
| 1720603582 | Lily Wenya Zhou | Psychiatry & Neurology | 780 Welch Road, Suite 350, Stanford Stroke Center, Palo Alto, CA 94304 | 2020-06-08 |
| 1760015689 | Simon James Little | Psychiatry & Neurology | 1634 Divisadero St, Suite 250, San Francisco, CA 94115 | 2020-02-19 |
| 1427689256 | Alejandro F Centurion Md Inc | Psychiatry & Neurology | 100 Clock Tower Pl Ste 225, Carmel, CA 93923-8778 | 2020-01-30 |
| 1659901254 | Kern County Neurological Medical Group, Inc | Psychiatry & Neurology | 18645 Gale Ave Ste 228b, City of Industry, CA 91748-1363 | 2020-01-22 |
| 1609415314 | Aspire Holdings, Inc | Psychiatry & Neurology | 28212 Kelly Johnson Pkwy Ste 215, Valencia, CA 91355-5090 | 2019-12-27 |
| 1336785187 | Tp-health Ca PC | Psychiatry & Neurology | 201 E Center St Ste 112, Anaheim, CA 92805-7212 | 2019-11-26 |
| Find all providers with the same taxonomy | ||||
| City | LOS ALAMITOS |
| Zip Code | 90720 |
Please comment or provide details below to improve the information on DR. OMID OMIDVAR.
| 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.