KHODDAMI MEDICAL GROUP INC (NPI# 1598318461) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598318461 |
| Entity Type | Organization |
| Organization Name | KHODDAMI MEDICAL GROUP INC |
| Practice Address |
2705 Loma Vista Rd Ste 206 Ventura CA 93003-1584 |
| Mailing Address |
5855 Olivas Park Dr Ventura CA 93003-7672 |
| Practice Telephone | 8056525469 |
| Mailing Telephone | 8056672801 |
| Mailing Fax Number | 8056411706 |
| Enumeration Date | 2019-07-19 |
| Last Update Date | 2019-07-19 |
| Authorized Official Name | DR. SEYED KHODDAMI (PRESIDENT) |
| Authorized Official Telephone | 8056525469 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | Allopathic & Osteopathic Physicians |
| Street Address |
2705 LOMA VISTA RD STE 206 |
| City | VENTURA |
| State | CA |
| Zip Code | 93003-1584 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124645924 | Community Memorial Health System | Pharmacy | 2790 Loma Vista Road, Ventura, CA 93003 | 2020-06-29 |
| 1730702952 | Sarah Manon Begert | Student in an Organized Health Care Education/Training Program | 300 Hillmont Ave., Bldg 340, Ste 201, Ventura, CA 93003 | 2020-05-21 |
| 1033763677 | Ashley Danielle Aguilar | Counselor | 5740 Ralston Suite 100, Ventura, CA 93003 | 2019-08-01 |
| 1730747239 | Azadeh Ellsworth | Nurse Practitioner | 1752 S Victoria Ave Ste 250, Ventura, CA 93003 | 2019-05-31 |
| 1992275556 | Melissa Marie Cole | Social Worker | 4949 Market St, Ventura, CA 93003 | 2018-11-27 |
| 1851868400 | Weldon Acupuncture Professional Corporation | Acupuncturist | 3737 Telegraph Road, Suite F, Ventura, CA 93003 | 2018-10-31 |
| 1952876468 | Isabella Florencia Gallegos | Specialist/Technologist | 1857 Knoll Dr., Ventura, CA 93003 | 2018-10-11 |
| 1437645421 | Jill Huang Wong | Psychologist | 3585 Maple St Ste 248, Ventura, CA 93003 | 2018-07-02 |
| 1346735156 | Lisa Ngoc Thi Nguyen | Student in an Organized Health Care Education/Training Program | 147 N. Brent Street, Ventura, CA 93003 | 2018-06-25 |
| 1457845331 | Khloe Frank | Student in an Organized Health Care Education/Training Program | 300 Hillmont Ave, Bldg 340, Suite 201, Ventura, CA 93003 | 2018-06-14 |
| Find all providers in zip 93003 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841278827 | Larry Ryan Schatz | Urology | 3291 Loma Vista Rd Ste 402, Ventura, CA 93003-3099 | 2006-01-09 |
| 1992796791 | Marc A Beaghler | Urology | 2705 Loma Vista Rd, Ste 206, Ventura, CA 93003-1581 | 2005-10-31 |
| 1881689321 | William T Klope | Urology | 2755 Loma Vista Rd, Ventura, CA 93003-1544 | 2005-09-12 |
| 1366765844 | William T Klope Md Inc A Medical Corporation | Urology | 2755 Loma Vista Rd, Ventura, CA 93003-1544 | 2010-03-11 |
| 1801078704 | Stephen M. Feinberg, Md Inc | Urology | 1280 S Victoria Ave, Suite 130, Ventura, CA 93003-6555 | 2007-12-03 |
| 1477766855 | Ryan James Bowman | Urology | 300 Hillmont Ave, Bldg 340, Ste 402, Ventura, CA 93003 | 2007-05-08 |
| 1437278603 | Seyed Mohammad Reza Khoddami | Urology | 2705 Loma Vista Rd, Suite 206, Ventura, CA 93003-1581 | 2007-03-28 |
| 1245399641 | Paul D Silverman | Urology | 145 N Brent St, Suite 202, Ventura, CA 93003 | 2006-12-08 |
| 1598704421 | Ventura County Urology Medical Group, Inc | Urology | 2807 Loma Vista Rd, #101, Ventura, CA 93003-1500 | 2006-06-06 |
| 1457342164 | Cedric B Emery | Urology | 2807 Loma Vista Rd, Suite 101, Ventura, CA 93003-1500 | 2005-11-02 |
| Find all providers in VENTURA | ||||
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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.