DR. KEVIN PEZESHKI (NPI# 1538207089) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538207089 |
| Entity Type | Individual |
| Full Name | DR. KEVIN PEZESHKI |
| Credential | MD |
| Practice Address |
13750 Victory Blvd Van Nuys CA 91401-2324 |
| Practice Telephone | 8189099955 |
| Practice Fax Number | 8189090454 |
| Mailing Telephone | 8189099955 |
| Mailing Fax Number | 8189090454 |
| Enumeration Date | 2007-02-04 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | A67148 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | GR0090250 | 05 |
| Street Address |
13750 VICTORY BLVD |
| City | VAN NUYS |
| State | CA |
| Zip Code | 91401-2324 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780117390 | Krisztina Herrera | Nurse Practitioner | 13750 Victory Blvd, Van Nuys, CA 91401-2324 | 2017-04-10 |
| 1609252790 | Aykui Alikhanian | Nurse Practitioner | 13750 Victory Blvd, Van Nuys, CA 91401-2324 | 2015-07-30 |
| 1114255437 | Payam Marouni, M .d., Inc. | Family Medicine | 13750 Victory Blvd, Van Nuys, CA 91401-2324 | 2009-11-24 |
| 1326275785 | P. Marouni, M.d Inc. | Family Medicine | 13750 Victory Blvd, Van Nuys, CA 91401-2324 | 2009-06-12 |
| 1386800225 | Payam Marouni | Family Medicine | 13750 Victory Blvd, Van Nuys, CA 91401-2324 | 2008-07-30 |
| 1285828525 | Maryam Soroudi | Clinical Nurse Specialist | 13750 Victory Blvd, Van Nuys, CA 91401-2324 | 2007-08-29 |
| 1184817496 | Kevin Pezeshki Md Inc | Specialist | 13750 Victory Blvd, Van Nuys, CA 91401-2324 | 2007-08-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467004101 | Express Homeservice Inc | Home Health | 13515 Victory Blvd Suite 207, Van Nuys, CA 91401 | 2019-07-12 |
| 1285192690 | Community Care Hospice,inc. | Hospice Care, Community Based | 13629 1/2 Victory Blvd., Van Nuys, CA 91401 | 2019-03-05 |
| 1124501242 | Steven Vu Pham | Pharmacist | 5601 Van Nuys Boulevard, Sherman Oaks, CA 91401 | 2018-09-14 |
| 1184116469 | Well Care Home Health Care Inc | Home Health | 13735 Victory Blvd Ste 3, Van Nuys, CA 91401 | 2018-06-03 |
| 1821504911 | Martha J Rivas-mendoza | Specialist/Technologist | 3130 Burbank Blvd, Sherman Oaks, CA 91401 | 2017-12-27 |
| 1780104687 | Jessica Tang | Marriage & Family Therapist | 13130 Burbank Boulevard, Sherman Oaks, CA 91401 | 2017-06-21 |
| 1184152530 | Creative Approach Residential Inc. | Clinic/Center | 5348 Allott Ave., Sherman Oaks, CA 91401 | 2017-05-30 |
| 1578004503 | David Mashadian Chiropractic Dc Inc | Chiropractor | 14401 Sylvan St #101, Van Nuys, CA 91401 | 2017-03-09 |
| 1154872414 | A.n.t. Hospice Inc | Hospice Care, Community Based | 13629 1/2 Victory Blvd, Van Nuys, CA 91401 | 2016-10-20 |
| 1245785070 | Jack Bayraymyan Dental Group Inc. | Dentist | 14424 Victory Blvd., Van Nuys, CA 91401 | 2016-08-22 |
| Find all providers in zip 91401 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| 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 Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417396318 | My Choice Medical Center, A Professional Medical Corporation | Obstetrics & Gynecology | 7232 Van Nuys Blvd Ste 201, Van Nuys, CA 91405-2231 | 2013-06-24 |
| 1720220981 | Indimed Corporation | Obstetrics & Gynecology | 17620 Sherman Way, Suite 102, Van Nuys, CA 91406-3527 | 2009-04-01 |
| 1184736589 | Payman Paul Joseph | Obstetrics & Gynecology | 7232 Van Nuys Blvd Ste 101, Van Nuys, CA 91405-2231 | 2006-08-31 |
| 1861024093 | Spnh Medical Group Inc | Obstetrics & Gynecology | 7400 Van Nuys Blvd Ste 112, Van Nuys, CA 91405-1972 | 2020-02-05 |
| 1467981795 | Ashkan Alex Shamsian M.d. Inc. | Obstetrics & Gynecology | 15107 Vanowen St, Van Nuys, CA 91405-4542 | 2017-06-09 |
| 1043746316 | Bahareh Fazilat Md Inc | Obstetrics & Gynecology | 15107 Vanowen St, Van Nuys, CA 91405-4542 | 2017-05-05 |
| 1487095337 | Payman P. Joseph Md, A.p.c. | Obstetrics & Gynecology | 7232 Van Nuys Blvd Ste 101, Van Nuys, CA 91405-2231 | 2013-07-08 |
| 1720217698 | Miracle Women's Medical Group Inc | Obstetrics & Gynecology | 7100 Van Nuys Blvd, Suite 113, Van Nuys, CA 91405-3063 | 2009-07-13 |
| 1922297357 | Ramin Ghayoori | Obstetrics & Gynecology | 15107 Vanowen Street, Valley Presbyterian Hospital, Van Nuys, CA 91405 | 2007-10-22 |
| 1427250950 | Women's Choice Maternity Clinic | Obstetrics & Gynecology | 7100 Van Nuys Blvd, #113, Van Nuys, CA 91405-3063 | 2007-06-05 |
| Find all providers in VAN NUYS | ||||
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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.