DR. MEHDI S. JAHROMI (NPI# 1356388177) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356388177 |
| Entity Type | Individual |
| Full Name | DR. MEHDI S. JAHROMI |
| Credential | MD |
| Practice Address |
33758 Yucaipa Blvd Yucaipa CA 92399-2243 |
| Mailing Address |
Po Box 10069 San Bernardino CA 92423-0069 |
| Practice Telephone | 9097959747 |
| Practice Fax Number | 9097971191 |
| Mailing Telephone | 9093354188 |
| Enumeration Date | 2006-06-01 |
| Last Update Date | 2017-07-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | A64559 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00A645590 | 05 |
| Street Address |
33758 YUCAIPA BLVD |
| City | YUCAIPA |
| State | CA |
| Zip Code | 92399-2243 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295701977 | Victor Salib | Family Medicine | 33758 Yucaipa Blvd, Yucaipa, CA 92399 | 2006-02-23 |
| 1629681614 | Keely Alison Niemeyer | Dietitian, Registered | 33758 Yucaipa Blvd, Yucaipa, CA 92399-2243 | 2020-08-28 |
| 1750894630 | Huong Le | Optometrist | 33758 Yucaipa Blvd, Yucaipa, CA 92399-2243 | 2017-11-14 |
| 1801338645 | Kaitlin Darlene Kostecki | Nurse Practitioner | 33758 Yucaipa Blvd, Yucaipa, CA 92399-2243 | 2016-11-10 |
| 1568844645 | Lisa Shelly-ann Thompson | Family Medicine | 33758 Yucaipa Blvd, Yucaipa, CA 92399 | 2015-06-24 |
| 1457730392 | Mina Sameh Sobhy Soliman | Family Medicine | 33758 Yucaipa Blvd, Yucaipa, CA 92399 | 2015-05-26 |
| 1427437813 | Rachael Suzanne Tennant | Family Medicine | 33758 Yucaipa Blvd, Yucaipa, CA 92399-2243 | 2015-05-19 |
| 1891188454 | Marina Gonzalez | Physician Assistant | 33758 Yucaipa Blvd, Yucaipa, CA 92399-2243 | 2015-03-06 |
| 1295047058 | Mi La Kim | Nurse Practitioner | 33758 Yucaipa Blvd, Yucaipa, CA 92399 | 2010-07-09 |
| 1740500313 | Marc Hualong Ma | Family Medicine | 33758 Yucaipa Blvd, Yucaipa, CA 92399 | 2010-06-07 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891301941 | Emily Ambrosi | Occupational Therapist | 12257 Tulip Ln, Yucaipa, CA 92399 | 2020-09-23 |
| 1952943524 | Terrence Williams | Behavioral Analyst | 13768 Meadow View Lane, Yucaipa, CA 92399 | 2019-10-15 |
| 1235795097 | Han Acu&herbs, Inc | Acupuncturist | 32387 Yucaipa Blvd, Ste, F, Yucaipa, CA 92399 | 2019-05-16 |
| 1366926784 | David Gene Satre | Psychologist | 31752 Dove Ct, Yucaipa, CA 92399 | 2018-09-21 |
| 1336659861 | Titianna Little | Physical Therapist | 32819 Yucaipa Boulevard #3, Yucaipa, CA 92399 | 2017-10-11 |
| 1174043467 | Sharon Lee Pendola | Licensed Vocational Nurse | 11885 4th St, Yucaipa, CA 92399 | 2017-06-27 |
| 1073033072 | Juniper Manor, LLC | Skilled Nursing Facility | 35223 Juniper Avenue, Yucaipa, CA 92399 | 2017-06-21 |
| 1952858417 | Rafael Arias | Non-emergency Medical Transport (VAN) | 12386 17th St, Yucaipa, CA 92399 | 2016-09-01 |
| 1578906467 | Joyce I Bandele | Durable Medical Equipment & Medical Supplies | 34664 County Line Rd Suite 14, Yucaipa, CA 92399 | 2013-04-10 |
| 1033475108 | Loleta Michelle Gustafson | Marriage & Family Therapist | 34455 Yucaipa Blvd Ste 206, Yucaipa, CA 92399 | 2012-04-03 |
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| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316219868 | Redlands Yucaipa Medical Group, Inc. | Internal Medicine | 33423 Yucaipa Blvd, Suite D, Yucaipa, CA 92399-2064 | 2012-01-30 |
| 1760574123 | Tonda Dale Bradshaw | Internal Medicine | 35237 Yucaipa Blvd, Yucaipa, CA 92399-4340 | 2006-09-29 |
| 1881657559 | Joon W Rhee | Internal Medicine | 34675 Yucaipa Blvd, #102, Yucaipa, CA 92399-4155 | 2006-04-11 |
| 1821231648 | Gaja Andzel | Internal Medicine | 33758 Yucaipa Blvd, Yucaipa, CA 92399-2243 | 2009-04-08 |
| 1396784401 | Raymundo A Morales | Internal Medicine | 33758 Yucaipa Blvd, Yucaipa, CA 92399-2743 | 2006-06-05 |
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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.