KHOSROW MEHRANY (NPI# 1235123142) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235123142 |
| Entity Type | Individual |
| Full Name | KHOSROW MEHRANY |
| Other Name | MARK MEHRANY |
| Credential | M.D. |
| Practice Address |
1130 Coffee Rd Suite 5b Modesto CA 95355-4228 |
| Mailing Address |
64 Mariposa Ave Los Gatos CA 95030-4317 |
| Practice Telephone | 2093387758 |
| Practice Fax Number | 2095540311 |
| Mailing Telephone | 2093387758 |
| Mailing Fax Number | 2095540311 |
| Enumeration Date | 2005-09-07 |
| Last Update Date | 2019-07-18 |
| NPI Deactivation Date | 03/25/2006 |
| NPI Reactivation Date | 2006-04-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | A87519 | CA | Other Service Providers |
| Street Address |
1130 COFFEE RD SUITE 5B |
| City | MODESTO |
| State | CA |
| Zip Code | 95355-4228 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033580931 | Gettysburg Medical Clinic Inc | Clinic/Center | 1130 Coffee Rd, Building 10, Modesto, CA 95355-4228 | 2015-10-18 |
| 1295970796 | Phillip Carroll | Orthotist | 1130 Coffee Rd, Suite B, Modesto, CA 95355-4228 | 2008-12-11 |
| 1639337660 | Ricky Brar | Dentist | 1130 Coffee Rd, #1a, Modesto, CA 95355-4228 | 2008-05-27 |
| 1760663413 | Vikram Brar | Dentist | 1130 Coffee Rd, Suite 1b, Modesto, CA 95355-4228 | 2007-11-23 |
| 1508075482 | Recto F. Deleon, M.d. Inc. | Family Medicine | 1130 Coffee Rd, Ste 9b, Modesto, CA 95355-4228 | 2007-05-21 |
| 1073721593 | Khosrow Mehrany, Md Inc A Medical C Corporation | Dermatology | 1130 Coffee Rd, 7a, Modesto, CA 95355-4228 | 2007-05-18 |
| 1851424469 | Camile Rae Mcamis | Registered Nurse | 1130 Coffee Rd, Suite 5b, Modesto, CA 95355-4228 | 2007-03-13 |
| 1568509081 | Denice Starley | Physical Medicine & Rehabilitation | 1130 Coffee Rd, Bldg 2b, Modesto, CA 95355-4228 | 2007-02-01 |
| 1013080902 | Martha L Gomez | Dentist | 1130 Coffee Rd, Suite 9a, Modesto, CA 95355-4228 | 2006-11-16 |
| 1609852797 | Dan Gordon Anderson | Plastic Surgery | 1130 Coffee Rd, Suite 5 B, Modesto, CA 95355-4228 | 2005-12-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982211793 | I To I LLC | Optometrist | 3401 Oakdale Rd, Ste 525, Modesto, CA 95355 | 2020-09-25 |
| 1205443116 | Altwal and Shelat Dds Inc | Dentist | 1317 Oakdale Road, Suite 310, Modesto, CA 95355 | 2020-09-24 |
| 1184255911 | Reeves, D.d.s. and Lavalley, D.d.s., A Dental Corporation | Clinic/Center | 3401 Oakdale Road, Suite 505, Modesto, CA 95355 | 2020-01-30 |
| 1487133856 | Natalie Vargas | Behavior Technician | 1317 Oakdale Road Suite 610, Modesto, CA 95355 | 2018-08-07 |
| 1871079152 | Jill H Fusia | Dietitian, Registered | 1404 Cordero Court, Modesto, CA 95355 | 2018-07-19 |
| 1043727514 | Emily Lauren Schaefer | Behavioral Analyst | 3425 Coffee Rd Ste C2, Modesto, CA 95355 | 2018-01-05 |
| 1376083691 | Hari Gnanasekeram, PC | Technician, Cardiology | 1303 Mable Avenu, Modesto, CA 95355 | 2017-03-06 |
| 1598139891 | Encompass Health Rehabilitation Hospital of Modesto, LLC | Rehabilitation Hospital | 1303 Mable Avenue, Modesto, CA 95355 | 2015-11-24 |
| 1013387844 | Diana Faith Kigenyi | Social Worker | 1225 Oakdale Road, Modesto, CA 95355 | 2015-10-06 |
| 1437530672 | Tzu Yi Wei | Acupuncturist | 2209 Coffee Road, Suite A, Modesto, CA 95355 | 2015-06-12 |
| Find all providers in zip 95355 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881045763 | Maria Ortiz | Specialist | 1801 Tully Rd Ste A2, Modesto, CA 95350-2937 | 2016-06-22 |
| 1184081614 | James Mccray | Specialist | 1620 N Carpenter Rd Ste D59, Modesto, CA 95351-1148 | 2016-01-28 |
| 1922380518 | Thao Truong | Specialist | 1321 I St Ste #3, Modesto, CA 95354 | 2011-09-09 |
| 1497088173 | Heather Lee King | Specialist | 325 Downey Ave, Modesto, CA 95354-1203 | 2009-09-11 |
| 1073783353 | David Bautista | Specialist | 500 9th St, Modesto, CA 95354-3428 | 2008-03-03 |
| 1770622375 | Kathleen Marie Dubose | Specialist | 1901 Standiford Ave, Suite A, Modesto, CA 95350-0149 | 2007-02-06 |
| 1932266517 | Callie C Graham | Specialist | 1601 Yosemite Blvd, Suite A, Modesto, CA 95354-2800 | 2007-01-02 |
| 1295896041 | Theodore Edmund Staahl | Specialist | 1329 Spanos Ct Ste A-1, Modesto, CA 95355-2806 | 2006-12-13 |
| 1831272657 | John Leicham | Specialist | 200 Greenwich Ln, Modesto, CA 95350-1461 | 2006-10-23 |
| 1144310657 | Valley Hand Center | Specialist | 200 W Roseburg Ave, Ste B-1, Modesto, CA 95350-5200 | 2006-10-13 |
| Find all providers in MODESTO | ||||
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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.