KHOSROW VAKHSHOURI (NPI# 1215993456) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215993456 |
| Entity Type | Individual |
| Full Name | KHOSROW VAKHSHOURI |
| Credential | M.D. |
| Practice Address |
2151 W Grant Line Rd Tracy CA 95377-7309 |
| Mailing Address |
600 Coffee Rd Modesto CA 95355-4201 |
| Practice Telephone | 2098320535 |
| Mailing Telephone | 2095241211 |
| Enumeration Date | 2006-04-25 |
| Last Update Date | 2011-02-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | A87152 | CA | Allopathic & Osteopathic Physicians |
| N | 207R00000X | Internal Medicine | A87152 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00A871520 | 05 |
| Street Address |
2151 W GRANT LINE RD |
| City | TRACY |
| State | CA |
| Zip Code | 95377-7309 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932171022 | Andris J Lazdins | Family Medicine | 2151 W Grant Line Rd, Tracy, CA 95377-7309 | 2006-02-03 |
| 1356802482 | Melanie Deschine | Social Worker | 2151 W Grant Line Rd, Tracy, CA 95377-7309 | 2019-03-29 |
| 1295200061 | Sydney Bree Hansen | Dietitian, Registered | 2151 W Grant Line Rd, Tracy, CA 95377-7309 | 2018-10-09 |
| 1164919049 | Community Medical Centers Inc | Clinic/Center | 2151 W Grant Line Rd, Tracy, CA 95377-7309 | 2018-04-17 |
| 1326413154 | Sutter Valley Medical Foundation | Internal Medicine | 2151 W Grant Line Rd, Tracy, CA 95377-7309 | 2015-12-04 |
| 1215203906 | Anita Xue | Anesthesiology | 2151 W Grant Line Rd, Tracy, CA 95377-7309 | 2012-03-27 |
| 1558667915 | Savneet Kaur | Family Medicine | 2151 W Grant Line Rd, Tracy, CA 95377-7309 | 2011-02-02 |
| 1447578331 | Dunni Ayobami Adalumo | Family Medicine | 2151 W Grant Line Rd, Tracy, CA 95377-7309 | 2010-05-17 |
| 1538487129 | Lyudmila Vladimirovna Salomatina | Family Medicine | 2151 W Grant Line Rd, Tracy, CA 95377-7309 | 2010-05-07 |
| 1447588926 | Saira Haroon Khan | Family Medicine | 2151 W Grant Line Rd, Tracy, CA 95377-7309 | 2009-11-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639787070 | Mehak Bhardwaj | Behavior Technician | 2434 Saffron Ct, Tracy, CA 95377 | 2020-07-22 |
| 1427510809 | Xiaorui Yang | Behavior Technician | 1951 W Middlefield Dr Apt 224, Tracy, CA 95377 | 2019-04-03 |
| 1962936328 | Duc Nguyen | Pharmacist | 2941 W. Lowell Ave, Apt# 21, Tracy, CA 95377 | 2017-04-12 |
| 1053735043 | Luke Rond | Emergency Medicine | 763 Quail Run Cir, Tracy, CA 95377 | 2014-02-11 |
| 1578862553 | Nhan Duong | Pharmacist | 3250 W. Grant Line Road, Tracy, CA 95377 | 2011-03-16 |
| 1952570582 | Tech Diamond Health Care | Home Health | 2098 Babcock Lane, Tracy, CA 95377 | 2008-02-28 |
| 1316058795 | Wandisan and Rosete Medical Group Professional Corporation | Internal Medicine | 4600 S Tracy Blvd #107, Tracy, CA 95377 | 2006-08-31 |
| 1801838610 | Rollie Duyao Rosete | Internal Medicine | 4600 S Tracy Blvd, #107, Tracy, CA 95377 | 2006-06-13 |
| 1649274663 | Wivina Talabis Urbano | Pediatrics | 4600 South Tracy Blvd, Suite 110, Tracy, CA 95377 | 2005-06-08 |
| 1770586448 | Mitchell Edward Blum | Otolaryngology | 2160 W. Grantline Rd, Suite 250, Tracy, CA 95377 | 2005-05-24 |
| Find all providers in zip 95377 | ||||
| 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 |
|---|---|---|---|---|
| 1114968104 | Mahesh K Sehgal | Family Medicine | 500 W Eaton Ave, Tracy, CA 95376 | 2006-06-09 |
| 1932171022 | Andris J Lazdins | Family Medicine | 2151 W Grant Line Rd, Tracy, CA 95377-7309 | 2006-02-03 |
| 1871139485 | Premiercare Physicians A California General Partnership | Family Medicine | 1470 Bessie Ave, Tracy, CA 95376-3417 | 2019-11-19 |
| 1467981662 | Maryam Zaman | Family Medicine | 445 W Eaton Ave, Tracy, CA 95376-3420 | 2017-06-09 |
| 1255868055 | Nimmie Singh | Family Medicine | 445 W Eaton Ave, Tracy, CA 95376-3420 | 2017-05-11 |
| 1770978579 | Jasdeep Dhami | Family Medicine | 445 W Eaton Ave, Tracy, CA 95376-3420 | 2015-03-30 |
| 1356764518 | Ross Thomas Caulfield | Family Medicine | 445 W Eaton Ave, Tracy, CA 95376-3420 | 2014-01-23 |
| 1619261054 | Pranjal Patel Md Inc | Family Medicine | 1530 Bessie Ave, Suite 105, Tracy, CA 95376-3080 | 2011-06-02 |
| 1558667915 | Savneet Kaur | Family Medicine | 2151 W Grant Line Rd, Tracy, CA 95377-7309 | 2011-02-02 |
| 1447578331 | Dunni Ayobami Adalumo | Family Medicine | 2151 W Grant Line Rd, Tracy, CA 95377-7309 | 2010-05-17 |
| Find all providers in TRACY | ||||
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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.