DR. NEGAR KHANLOU (NPI# 1376784678) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376784678 |
| Entity Type | Individual |
| Full Name | DR. NEGAR KHANLOU |
| Credential | MD |
| Practice Address |
10833 Leconte Ave Box 951732, A7-149 Chs Box 116 Los Angeles CA 90095-0001 |
| Mailing Address |
5767 W Century Blvd Suite 400 Los Angeles CA 90045-5631 |
| Practice Telephone | 3107945560 |
| Mailing Telephone | 3107945560 |
| Enumeration Date | 2009-03-16 |
| Last Update Date | 2012-06-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ZN0500X |
Pathology Specialization: Neuropathology |
A91536 | CA | Allopathic & Osteopathic Physicians |
| N | 207ZP0105X |
Pathology Specialization: Clinical Pathology/Laboratory Medicine |
A91536 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00A9153600 | 05 |
| Street Address |
10833 LECONTE AVE BOX 951732, A7-149 CHS BOX 116 |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90095-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134199946 | Derek Alan Wong | Medical Genetics | 10833 Leconte Ave, Mdcc 12-334, Los Angeles, CA 90095-1732 | 2006-01-24 |
| 1548664089 | Susana Pak Chae | Nurse Anesthetist, Certified Registered | 10833 Leconte Ave, Room 56-142 Chs, Los Angeles, CA 90095-0001 | 2014-10-13 |
| 1871929570 | Suzanne Hollander | Dietitian, Registered | 10833 Leconte Ave, Mdcc 12-334, Los Angeles, CA 90095-0001 | 2013-09-25 |
| 1952604613 | Elise Marie Martin | Internal Medicine | 10833 Leconte Ave, 37-121 Chs, Los Angeles, CA 90095-0001 | 2010-12-17 |
| 1407162381 | Gil B Ivry | Dentist | 10833 Leconte Ave, A0-156 Chs, Los Angeles, CA 90095-0001 | 2010-08-30 |
| 1922323856 | Grace Deukmedjian | Pediatrics | 10833 Leconte Ave, Suite 265, Los Angeles, CA 90095-0001 | 2010-04-04 |
| 1235397902 | Neil A Martin, Md, Inc | Neurological Surgery | 10833 Leconte Ave, Los Angeles, CA 90095-0001 | 2008-05-29 |
| 1942468624 | John G Frazee Md A Professional Corporation | Neurological Surgery | 10833 Leconte Ave, Los Angeles, CA 90095-0001 | 2008-05-29 |
| 1508031881 | Stacie Lynn Schurman | Advanced Practice Midwife | 10833 Leconte Ave, Los Angeles, CA 90095-0001 | 2008-04-28 |
| 1316121221 | Irene Tam | Dentist | 10833 Leconte Ave, Los Angeles, CA 90095-0001 | 2007-12-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982212155 | Alexandra Gubin | Social Worker | Ucla, 757 Westwood Medical Plaza, Los Angeles, CA 90095 | 2020-07-14 |
| 1952926263 | Georgina Parra | Student in an Organized Health Care Education/Training Program | 10833 Le Conteave, Los Angeles, CA 90095 | 2020-06-11 |
| 1609403575 | Yagmur Muftuoglu | Student in an Organized Health Care Education/Training Program | 757 Westwood Plaza, Neurosurgery, Los Angeles, CA 90095 | 2020-03-23 |
| 1619438173 | Brandon Covington Smith | Student in an Organized Health Care Education/Training Program | 727 Westwood Plaza, Dept of Internal Medicine, Los Angeles, CA 90095 | 2019-03-27 |
| 1184184913 | Alexander Daniel Yuen | Student in an Organized Health Care Education/Training Program | 757 Westwood Plaza (internal Medicine), Los Angeles, CA 90095 | 2019-03-19 |
| 1790266369 | Dana Saifan | Student in an Organized Health Care Education/Training Program | 1000 Veteran Avenue, Los Angeles, CA 90095 | 2018-08-22 |
| 1427549146 | Courtney Renee' Real | Registered Nurse | 757 Westwood Plz Ste 6236, Los Angeles, CA 90095 | 2018-05-29 |
| 1932605094 | Akash Atul Shah | Student in an Organized Health Care Education/Training Program | Ucla Department of Orthopaedic Surgery, 10833 Le Conte Avenue, 76-116 Chs, Los Angeles, CA 90095 | 2018-04-05 |
| 1316443435 | Dane Jensen Brodke | Orthopaedic Surgery | 757 Westwood Plaza, (orthopaedic Surgery), Los Angeles, CA 90095 | 2018-04-05 |
| 1477058824 | Thomas William Gaither Castellanos | Student in an Organized Health Care Education/Training Program | 757 Westwood Plaza, Urology, Los Angeles, CA 90095 | 2018-03-28 |
| Find all providers in zip 90095 | ||||
| Taxonomy Code | 207ZN0500X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Neuropathology |
| A neuropathologist is expert in the diagnosis of diseases of the nervous system and skeletal muscles and functions as a consultant primarily to neurologists and neurosurgeons. The neuropathologist is knowledgeable in the infirmities of humans as they affect the nervous and neuromuscular systems, be they degenerative, infectious, metabolic, immunologic, neoplastic, vascular or physical in nature. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/. American Osteopathic Board of Pathology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. Board certification for Doctors of Osteopathy (DOs) was provided by the American Osteopathic Board of Pathology. The Certification is NO longer provided. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417247057 | Shino Magaki | Pathology | 10833 Le Conte Ave Rm 13-145, Los Angeles, CA 90095-2804 | 2011-04-16 |
| 1841844149 | Zesheng Chen | Pathology | 760 Westwood Plz, Los Angeles, CA 90024-5055 | 2019-07-25 |
| 1184069825 | Anna John Mathew | Pathology | 1450 San Pablo Street, 2nd Floor Lab, Los Angeles, CA 90033-4500 | 2013-05-08 |
| 1568491256 | Harry V Vinters | Pathology | 10833 Le Conte Ave, Ste B-186 Chs, Los Angeles, CA 90095-3075 | 2006-07-03 |
| 1053392365 | Serguei Ivanovich Bannykh | Pathology | 8700 Beverly Blvd, Suite 8730, Los Angeles, CA 90048 | 2005-11-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255967063 | Healthy Mind & Braiin Center | Pathology | 27448 Outrigger Lane, Helendale, CA 92342 | 2020-03-13 |
| 1659857753 | Romain Cayrol | Pathology | 300 Pasteur Dr # R-241, Stanford, CA 94305-2200 | 2018-07-12 |
| 1295053718 | Jennifer Ziskin | Pathology | 901 Marshall St Bldg 4th, Redwood City, CA 94063-2026 | 2010-05-07 |
| 1023330099 | Meredith Halks Miller | Pathology | 800 Saginaw Dr, Redwood City, CA 94063-4740 | 2010-02-18 |
| 1740519529 | Byung H. Choi | Pathology | 49 Mirador, Irvine, CA 92612-2979 | 2009-12-08 |
| 1295778348 | Henry C Powell | Pathology | 200 West Arbor Drive, Mc 8320, Ucsd Deparment of Pathology, San Diego, CA 92103 | 2006-06-14 |
| 1518401660 | Lea Tenenholz Grinberg-korczyn | Pathology | 675 Nelson Rising Ln, Room 211b, San Francisco, CA 94143-0003 | 2016-12-08 |
| 1548620404 | Mari Perez-rosendahl | Pathology | 101 The City Dr S, Building 1, 3rd Floor, Orange, CA 92868 | 2016-03-03 |
| 1518352640 | Jonathan Lynn Lavezo | Pathology | 300 Pasteur Dr, Department of Pathology, L235, Stanford, CA 94305-2200 | 2015-04-06 |
| 1295171908 | Peyman Zaman Samghabadi | Pathology | 300 Pasteur Dr, Lane Blvd L235, Palo Alto, CA 94305 | 2013-05-21 |
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| City | LOS ANGELES |
| Zip Code | 90095 |
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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.