ELITE MEDICAL SERVICES (NPI# 1265829006) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265829006 |
| Entity Type | Organization |
| Organization Name | ELITE MEDICAL SERVICES |
| Practice Address |
1860 Mowry Ave Suite 402 Fremont CA 94538-1730 |
| Mailing Address |
39120 Argonaut Way Suite 706 Fremont CA 94538-1304 |
| Practice Telephone | 5105561000 |
| Practice Fax Number | 8888761676 |
| Mailing Telephone | 5105561000 |
| Mailing Fax Number | 8888761676 |
| Enumeration Date | 2015-04-20 |
| Last Update Date | 2015-04-20 |
| Authorized Official Name | NOSRAT KHAJAVI (OWNER) |
| Authorized Official Telephone | 5105561000 |
| Authorized Official Credential | DO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 6223 | CA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205134715 | Elite Medical Services | Internal Medicine | 1236 Fm 2824, Beeville, TX 78102-8229 | 2011-03-08 |
| 1881916963 | Elite Medical Services | Emergency Medicine | 2779 Sunridge Heights Pkwy, Henderson, NV 89052-5050 | 2010-02-17 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | ELITE MEDICAL SERVICES, INC. | 601 W Main # 1015, Spokane, WA 99201 |
| Street Address |
1860 MOWRY AVE SUITE 402 |
| City | FREMONT |
| State | CA |
| Zip Code | 94538-1730 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376543413 | Ramesh C Karipineni | Surgery | 1860 Mowry Ave, Suite 400, Fremont, CA 94538-1730 | 2005-07-29 |
| 1750749891 | Hoda Spine & Msk Pain Company, Inc | Clinic/Center | 1860 Mowry Ave, Ste. 401, Fremont, CA 94538-1730 | 2016-02-03 |
| 1487042859 | Elite Surgical Services | Clinic/Center | 1860 Mowry Ave, Ste.#401, Fremont, CA 94538-1730 | 2015-01-07 |
| 1164848032 | Liberty Surgical Center, LLC | Clinic/Center | 1860 Mowry Ave, Suite 401, Fremont, CA 94538-1730 | 2014-03-14 |
| 1780025692 | Chien Shien Yang | Psychiatry & Neurology | 1860 Mowry Ave, Ste 301a, Fremont, CA 94538-1730 | 2013-07-09 |
| 1902187099 | East Bay Ambulatory Surgery Center, LLC | Clinic/Center | 1860 Mowry Ave, Suite 401 / 402, Fremont, CA 94538-1730 | 2011-09-01 |
| 1700175189 | East Bay Ambulatory Surgery Center LLC | Legal Medicine | 1860 Mowry Ave, Ste 401 & 402, Fremont, CA 94538-1730 | 2011-04-06 |
| 1477872430 | East Bay Eyecare Professionals, Inc. | Ophthalmology | 1860 Mowry Ave, Suite 101, Fremont, CA 94538-1730 | 2010-05-28 |
| 1427385988 | Achla Raina | Family Medicine | 1860 Mowry Ave, #400, Fremont, CA 94538-1730 | 2009-11-04 |
| 1689837569 | Padmaja Sharma | Obstetrics & Gynecology | 1860 Mowry Ave, Suite 306, Fremont, CA 94538-1730 | 2008-07-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699394460 | Bay Area Kidney Care Medical Group Inc. | Clinic/Center | 39370 Mozart Terrace Unit 106, Fremont, CA 94538 | 2020-04-13 |
| 1740847284 | Gloria Ann Federico | Behavior Technician | 39210 State St., Suite 220 Fremont, Ca 94538, Fremont, CA 94538 | 2019-05-21 |
| 1093270688 | Timothy Lorne Haynes | Chiropractor | 3775 Beacon Ave., Suite 200, Fremont, CA 94538 | 2019-02-07 |
| 1902370067 | Nicole Sandoval | Counselor | 39155 Liberty St Suite E500, Fremont, CA 94538 | 2019-01-11 |
| 1497225015 | Megan Galban | Behavior Technician | 39210 State St. Suite 220, Fremont, CA 94538 | 2018-11-27 |
| 1780154302 | Karla Patricia Plascencia | Behavior Technician | 39210 State Street Suite 220, Fremont, CA 94538 | 2018-11-27 |
| 1215407846 | Sydney J Torrens | Behavior Technician | 39210 State St. Suite 220 Fremont, Ca 94538, Fremont, CA 94538 | 2018-11-27 |
| 1932676277 | Jarah Harvan | Psychologist | 1999 Mowry Ave Ste F, Fremont, CA 94538 | 2018-10-24 |
| 1205321965 | Chien Shien Yang Md Inc | Psychiatry & Neurology | 1860 Mowry Ave Ste 301a, Fremont, CA 94538 | 2018-06-26 |
| 1912416199 | Advanced Interventional Surgical Center | Clinic/Center | 3077 Stevenson Blvd, Fremont, CA 94538 | 2017-09-20 |
| Find all providers in zip 94538 | ||||
| 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 |
|---|---|---|---|---|
| 1609256411 | Harpreet Singh | Family Medicine | 39210 State St Ste 209, Fremont, CA 94538-1456 | 2015-06-05 |
| 1255727293 | Nicholas Andrew Phillips | Family Medicine | 556 Mowry Ave Ste 200, Fremont, CA 94536 | 2015-04-07 |
| 1245647908 | Temazcal Family Clinic | Family Medicine | 39277 Liberty St Bldg D, Fremont, CA 94538-1519 | 2014-07-15 |
| 1417395633 | Bonnie Huang Hall | Family Medicine | 46923 Warm Springs Blvd Ste 207, Fremont, CA 94539-7977 | 2013-06-10 |
| 1730401274 | Sveltlana Peng Burkhead | Family Medicine | 4041 Lowry Rd, Fremont, CA 94555-1101 | 2010-02-25 |
| 1003145103 | Deepti Saxena Md Inc | Family Medicine | 43628 Skye Rd, Fremont, CA 94539-5925 | 2009-12-18 |
| 1912167750 | Mary Wonderly Md LLC | Family Medicine | 2575 Hayes Ave Ste 5, Fremont, OH 43420-5201 | 2008-06-16 |
| 1508088279 | Washington Family Health Medical Group, Inc. | Family Medicine | 38069 Martha Avenue, Siute 300, Fremont, CA 94536 | 2007-05-03 |
| 1275691222 | Tamara Cheney | Family Medicine | 2287 Mowry Ave Ste C, Fremont, CA 94538-1622 | 2006-12-04 |
| 1720199342 | Khalid A Baig | Family Medicine | 632 Mowry Ave, Fremont, CA 94536-4113 | 2006-08-31 |
| Find all providers in FREMONT | ||||
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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.