DR. SARA KHAGHANI (NPI# 1538424296) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538424296 |
| Entity Type | Individual |
| Full Name | DR. SARA KHAGHANI |
| Credential | MD, MPH |
| Practice Address |
4601 Dale Rd Modesto CA 95356-9718 |
| Mailing Address |
856 Palomino Dr. Unit B Pleasanton CA 94566 |
| Practice Telephone | 2097355000 |
| Enumeration Date | 2012-07-09 |
| Last Update Date | 2018-02-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | A130265 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
4601 DALE RD |
| City | MODESTO |
| State | CA |
| Zip Code | 95356-9718 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912998311 | Stephen Matthew Willey | Physical Therapist | 4601 Dale Rd, Modesto, CA 95356 | 2005-11-03 |
| 1760098263 | Paola Ramirez | Behavior Technician | 4601 Dale Rd, Modesto, CA 95356-9718 | 2020-09-20 |
| 1538772678 | Roy Choi | Pharmacist | 4601 Dale Rd, Modesto, CA 95356-9718 | 2020-08-28 |
| 1730797499 | Donna Cruz | Pharmacist | 4601 Dale Rd, Modesto, CA 95356-9718 | 2020-07-20 |
| 1538777487 | Kyle Wesley Hopson | Physical Therapist | 4601 Dale Rd, Modesto, CA 95356-9718 | 2020-07-16 |
| 1376176313 | Su Jin Yeo | Pharmacist | 4601 Dale Rd, Modesto, CA 95356-9718 | 2020-02-18 |
| 1972135580 | Tran Huyen Smernes | Pharmacist | 4601 Dale Rd, Modesto, CA 95356-9718 | 2020-02-11 |
| 1740827534 | Evelyn Kwong | Pharmacist | 4601 Dale Rd, Modesto, CA 95356-9718 | 2019-11-29 |
| 1467000463 | Oanh Hoang Nguyen Phan | Nurse Practitioner | 4601 Dale Rd, Modesto, CA 95356-9718 | 2019-09-03 |
| 1598311227 | Janine Grace Lastimosa Tennant | Pharmacist | 4601 Dale Rd, Modesto, CA 95356-9718 | 2019-08-19 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649809021 | Amelia E Delgadillo | Licensed Vocational Nurse | 501 Triangle Rd, Modesto, CA 95356 | 2020-04-07 |
| 1689220279 | Meagan Veneman | Physical Medicine & Rehabilitation | 125 Hogue Rd, Modesto, CA 95356 | 2019-08-10 |
| 1497131213 | Hermes Guardian Transport | Non-emergency Medical Transport (VAN) | 4221 Erin Way, Modesto, CA 95356 | 2015-08-04 |
| 1811373640 | Melissa Ruiz | Marriage & Family Therapist | 5815 Stoddard Rd Suite 600, Modesto, CA 95356 | 2015-08-04 |
| 1922242866 | Lifecare Solutions Inc | Durable Medical Equipment & Medical Supplies | 500 Glass Ln Ste H, Modesto, CA 95356 | 2009-04-22 |
| 1659541647 | Ashley Allison Streeter | Dentist | 556 Lyell Dr, Modesto, CA 95356 | 2008-03-05 |
| 1265636013 | Margaret Kathleen Grisell | Orthopaedic Surgery | 4601 Dale Ave, Kaiser Modesto Medical Center, Orthopedic Surgery, Modesto, CA 95356 | 2007-06-14 |
| 1841412111 | Bobby Gene Boswell | Specialist/Technologist | 3908 Vintage Cove, Modesto, CA 95356 | 2007-05-03 |
| 1598892861 | Merritt Radiological Medical Group Inc | Radiology | 526 Charity Way, Modesto, CA 95356 | 2007-02-27 |
| 1396871091 | Michael Steven Beck | Social Worker | 4640 Spyres Way, Building B, Suite 7, Modesto, CA 95356 | 2007-02-26 |
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| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942664552 | Carolyn Robin Lanam | Emergency Medicine | 1601 Cummins Dr Ste D, Modesto, CA 95358-6411 | 2016-04-09 |
| 1821288739 | Darrell Jack Names | Emergency Medicine | 1904 Laurel Oak Dr, Modesto, CA 95354-1627 | 2007-07-26 |
| 1487662631 | Clair L. Pettinger | Emergency Medicine | 4707 Greenleaf Ct, Suite A, Modesto, CA 95356-8733 | 2006-08-04 |
| 1619919735 | Joseph Charles Dagostino | Emergency Medicine | 700 Coffee Rd, Memorial Med Ctr, Modesto, CA 95355 | 2006-06-12 |
| 1003812751 | John Joseph Gallo | Emergency Medicine | 3800 Dale Rd, Modesto, CA 95356-8627 | 2005-06-27 |
| 1780945766 | Jose Gerardo Alberto | Emergency Medicine | 600 Coffee Rd, Modesto, CA 95355-4201 | 2012-06-06 |
| 1417217993 | Ranti Sherifat Bolaji | Emergency Medicine | 1441 Florida Ave, Modesto, CA 95350-4404 | 2012-05-18 |
| 1811253198 | Erin Elizabeth Lensch | Emergency Medicine | 1700 Coffee Rd, Department of Emergency Medicine, Modesto, CA 95355-2803 | 2012-04-11 |
| 1043576531 | Phillip Michael Chan | Emergency Medicine | 1441 Florida Ave, Emergency Department, Modesto, CA 95350-4404 | 2012-04-09 |
| 1144517392 | Stefanie Rathgeb Zarfoss | Emergency Medicine | 4601 Dale Rd, Dept. of Emergency Medicine, Modesto, CA 95356-9718 | 2011-07-07 |
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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.