DR. SHAHRIAR MABOURAKH (NPI# 1497791487) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497791487 |
| Entity Type | Individual |
| Full Name | DR. SHAHRIAR MABOURAKH |
| Credential | MD |
| Practice Address |
1561 Creekside Dr Suite 110 Folsom CA 95630-3492 |
| Practice Telephone | 9169841600 |
| Practice Fax Number | 9169841616 |
| Mailing Telephone | 9169841600 |
| Mailing Fax Number | 9169841616 |
| Enumeration Date | 2006-06-20 |
| Last Update Date | 2009-11-02 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208200000X | Plastic Surgery | G61666 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
1561 CREEKSIDE DR SUITE 110 |
| City | FOLSOM |
| State | CA |
| Zip Code | 95630-3492 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063761237 | Denise Kathleen Hopkins | Physician Assistant | 1561 Creekside Dr, Folsom, CA 95630-3492 | 2012-09-04 |
| 1245558923 | Kelli Carver | Physician Assistant | 1561 Creekside Dr, #150, Folsom, CA 95630-3492 | 2010-05-05 |
| 1326374844 | Creekside Surgery Suite | Clinic/Center | 1561 Creekside Dr, Suite 110, Folsom, CA 95630-3492 | 2009-10-19 |
| 1932348638 | Radiological Associates of Sacramento Medical Group Inc | Urology | 1561 Creekside Dr, Suite 170, Folsom, CA 95630-3492 | 2009-02-19 |
| 1538209663 | Greater Sacramento Pediatrics Association Inc | Clinic/Center | 1561 Creekside Dr, Suite 140, Folsom, CA 95630-3492 | 2007-02-07 |
| 1306867213 | Capitol Urology Medical Group Inc | Clinic/Center | 1561 Creekside Dr, Suite 170, Folsom, CA 95630 | 2006-07-23 |
| 1295768737 | Medical Vision Technology Ophthalmology Group, Inc. | Ophthalmology | 1561 Creekside Dr, Suite 160, Folsom, CA 95630-3492 | 2006-07-08 |
| 1336176312 | Cecille G Taylor | Ophthalmology | 1561 Creekside Dr, #160, Folsom, CA 95630 | 2006-06-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831724657 | Corrections and Rehabilitation | Pharmacy | 570 E. Natoma Street, Folsom, CA 95630 | 2020-03-12 |
| 1174153027 | Haley Harmon | Nurse Practitioner | 1621 Creekside Dr. Creekside Ob/gyn, Ste. 102, Folsom, CA 95630 | 2020-01-20 |
| 1932741469 | Ruma Ramani Jolly | Speech-Language Pathologist | 250 Mc Adoo Drive, Willow Springs, Apt.911, Folsom, CA 95630 | 2019-10-16 |
| 1750844767 | Sharon Munyaanyi | Registered Nurse | 1600 Creekside Dr Ste 3700, Folsom, CA 95630 | 2019-04-08 |
| 1104308345 | Stephanie Whatley | Optometrist | 2390 E Bidwell St Ste 400, Folsom, CA 95630 | 2018-09-04 |
| 1447746607 | Heather Michellee Thrapp | Behavioral Analyst | 125 Oak Ravine Way, Folsom, CA 95630 | 2018-07-10 |
| 1700370483 | Loretta May Delgado | Behavior Technician | 322 Crow Cany, Folsom, CA 95630 | 2018-06-18 |
| 1417448176 | Sound Support Inc. | Hearing Instrument Specialist | 610 East Bidwell Street, Suite A, Folsom, CA 95630 | 2018-05-29 |
| 1548750144 | Don Peterson Md, Sugical Assisting | General Practice | Mercy Hospital of Folsom (dignity Health Folsom), 1650 Creekside Dr., Folsom, CA 95630 | 2018-05-18 |
| 1245733328 | American Heritage Hospice Inc | Hospice Care, Community Based | 1837 Iron Point Rd Ste 180, Folsom, CA 95630 | 2018-03-14 |
| Find all providers in zip 95630 | ||||
| Taxonomy Code | 208200000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Plastic Surgery |
| A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Plastic Surgery, 2007. http://www.abplsurg.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Plastic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699835454 | Kenneth T. Sumida | Plastic Surgery | 1641 Creekside Dr Ste 100, Folsom, CA 95630-3831 | 2006-12-11 |
| 1841214186 | David Lawrence Kaufman | Plastic Surgery | 2220 E Bidwell St, Folsom, CA 95630-3463 | 2006-07-27 |
| 1245468222 | Kenneth T Sumida Md Inc | Plastic Surgery | 1641 Creekside Dr Ste 100, Folsom, CA 95630-3831 | 2009-06-29 |
| 1457438004 | Christa Lynn Clark | Plastic Surgery | 2220 E Bidwell St, Folsom, CA 95630-3463 | 2006-11-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821696048 | Victor Liu Md, A Medical Corporation | Plastic Surgery | 1720 El Camino Real Ste 200, Burlingame, CA 94010-3226 | 2020-10-09 |
| 1629683255 | Veritas Aesthetics PC | Plastic Surgery | 23838 Valencia Blvd Ste 260, Valencia, CA 91355-5630 | 2020-09-10 |
| 1700405586 | Keyian Paydar, Md, PC | Plastic Surgery | 3991 Macarthur Blvd Ste 320, Newport Beach, CA 92660-3004 | 2020-04-13 |
| 1548892045 | Adventist Health Physicians Network | Plastic Surgery | 301 Science Dr Ste 180, Moorpark, CA 93021-0800 | 2020-02-12 |
| 1396383212 | La Jolla Professional Plastic Surgery | Plastic Surgery | 4510 Executive Dr. Suite 105, San Diego, CA 92121 | 2019-12-11 |
| 1083259840 | Remedy Place Physicians | Plastic Surgery | 8305 Sunset Blvd, Los Angeles, CA 90069 | 2019-11-15 |
| 1851945646 | Skinzone Medical Inc | Plastic Surgery | 3374 S. Bristol St, Santa Ana, CA 92704 | 2019-07-30 |
| 1790341832 | Frederic Jerome Kolb | Plastic Surgery | 200 W Arbor Dr # Mc8890, San Diego, CA 92103-1911 | 2019-05-14 |
| 1588125835 | Beauty Eternal, Inc | Plastic Surgery | 1260 East Ave Ste 130, Chico, CA 95926-1021 | 2019-03-28 |
| 1689131229 | Schoemann Reconstructive Surgery | Plastic Surgery | 477 N El Camino Real Ste D101, Encinitas, CA 92024-1370 | 2019-03-01 |
| Find all providers with the same taxonomy | ||||
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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.