DR. MADDIHA PAYAMI (NPI# 1336484104) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336484104 |
| Entity Type | Individual |
| Full Name | DR. MADDIHA PAYAMI |
| Credential | D.O. |
| Practice Address |
4053 Lone Tree Way Ste 101 Antioch CA 94531 |
| Mailing Address |
2350 W El Camino Real Fl 2 Mountain View CA 94040-6203 |
| Practice Telephone | 5102045256 |
| Practice Fax Number | 5105067728 |
| Mailing Telephone | 5102045256 |
| Mailing Fax Number | 5105067728 |
| Enumeration Date | 2012-12-05 |
| Last Update Date | 2019-03-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 20A14012 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | STATE MEDICAL LICENSE | 20A14012 | 01 |
| CA | FEDERAL DEA LICENSE | FP5116214 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 7031 Sw 62nd Ave, South Miami, FL 331434701 | 3052847500 |
| Street Address |
4053 LONE TREE WAY STE 101 |
| City | ANTIOCH |
| State | CA |
| Zip Code | 94531 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679889448 | Lisa Ann Hills | Pediatrics | 4053 Lone Tree Way Ste 101, Antioch, CA 94531-6210 | 2010-08-31 |
| 1699154807 | David Lee | Family Medicine | 4053 Lone Tree Way Ste 101, Antioch, CA 94531 | 2015-05-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902406051 | Jayden Mendoza | Behavior Technician | 4849 Lone Tree Way Suite C, Antioch, CA 94531 | 2020-10-28 |
| 1093369720 | Lorena N/a Lepezmagana I | Behavior Technician | 4856 Weler Peak Way, 4856 Wexler Peak Way, Antioch, CA 94531 | 2019-07-31 |
| 1063976538 | Donna C Martinez | Respiratory Therapist, Registered | 4509 Sand Creek Rd, Antioch, CA 94531 | 2019-01-29 |
| 1215428107 | Sierra Singharath | Behavioral Analyst | 5344 Catanzaro Way, Antioch, CA 94531 | 2018-05-25 |
| 1972005551 | Meily Samantha Reyna | Behavioral Analyst | 1858 Mount Goethe Way, Antioch, CA 94531 | 2018-02-28 |
| 1225536477 | Constance Eileen Matous | Physical Therapy Assistant | 4041 Lone Tree Way Suite # 106, Antioch, CA 94531 | 2018-01-23 |
| 1851825921 | Alexander Lim Dds Inc | Dentist | 5171 Lone Tree Way, Antioch, CA 94531 | 2017-04-17 |
| 1467831222 | Jaylan Ishac | Behavioral Analyst | 4749 Crestone Peak Ct, Antioch, CA 94531 | 2015-05-27 |
| 1164831830 | Akape Home Care Agency | Home Health | 2487 Stanford Way, Ste 1a, Antioch, CA 94531 | 2014-08-07 |
| 1679992515 | Joseph Vojtko | Ophthalmology | 4501 Sand Creek Rd Dept Of, Antioch, CA 94531 | 2014-04-08 |
| Find all providers in zip 94531 | ||||
| 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 |
|---|---|---|---|---|
| 1962010520 | Sherene Marsh | Family Medicine | 217 Took Dr, Antioch, TN 37013-1946 | 2020-07-20 |
| 1497149884 | Frank Hamilton Anderson Iv | Family Medicine | 2572 Treetop Dr, Antioch, TN 37013 | 2015-03-24 |
| 1487940342 | Howard Friesen Md Inc | Family Medicine | 1130 A St, Antioch, CA 94509-2356 | 2011-06-20 |
| 1508093816 | Rosalind K. Womack | Family Medicine | 3754 Murfreesboro Pike, Antioch, TN 37013-3878 | 2009-06-12 |
| 1033343728 | Kimberly Rochelle Collins | Family Medicine | 2711 Murfreesboro Pike Ste 201, Antioch, TN 37013-2000 | 2009-05-08 |
| 1356555411 | Patricia Louise Eachus | Family Medicine | 7120 S Hampton Dr, Antioch, TN 37013-2260 | 2007-05-09 |
| 1831260470 | Douglas L Folsom | Family Medicine | 3934 Rocky Point Dr, Antioch, CA 94509-6902 | 2006-11-13 |
| 1699861559 | Meredith Schweitzer | Family Medicine | 3534 Murfreesboro Pike, Suite 104, Antioch, TN 37013-2583 | 2006-10-05 |
| 1477655884 | Clark Edward Williams | Family Medicine | 3741 Sunset Lane, Dr Clark E Williams Family and Urgent Care Practice, Antioch, CA 94509 | 2006-09-05 |
| 1356352306 | Andrew Ness | Family Medicine | 3807 Lone Tree Way, Antioch, CA 94509-6254 | 2006-08-11 |
| Find all providers in ANTIOCH | ||||
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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.