TINA KHOSRAVI (NPI# 1609301506) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609301506 |
| Entity Type | Individual |
| Full Name | TINA KHOSRAVI |
| Practice Address |
705 W La Veta Ave Ste 109 Orange CA 92868-4447 |
| Practice Telephone | 7146289342 |
| Mailing Telephone | 7146289342 |
| Enumeration Date | 2017-04-27 |
| Last Update Date | 2017-11-27 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
705 W LA VETA AVE STE 109 |
| City | ORANGE |
| State | CA |
| Zip Code | 92868-4447 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144868050 | Janet Ma | Nurse Practitioner | 705 W La Veta Ave Ste 109, Orange, CA 92868-4447 | 2019-12-11 |
| 1770139461 | Hoa Thi Lien Tran | General Practice | 705 W La Veta Ave Ste 109, Orange, CA 92868-4447 | 2019-08-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346859386 | Sadaf Abrishami | Pharmacist | 101 The City Dr S., Orange, CA 92868 | 2020-07-27 |
| 1245869825 | Helena Yijia Hong | Student in an Organized Health Care Education/Training Program | Uci Medical Center, 101 The City Drive, Orange, CA 92868 | 2020-04-06 |
| 1932736527 | Joshua Kristopher Livingston | Student in an Organized Health Care Education/Training Program | 101 The City Dr S, Rte. 128-01, Orange, CA 92868 | 2020-03-24 |
| 1831725894 | Michelle Brown | Student in an Organized Health Care Education/Training Program | 101 The City Dr S. Rte 128-01, Orange, CA 92868 | 2020-03-20 |
| 1093363491 | Kristin Lee | Pharmacist | 132 S. Anita Dr., Orange, CA 92868 | 2019-08-28 |
| 1740834217 | Matthew Brian Mecheal | Dentist | 725 W. La Veta Suite 260, Orange, CA 92868 | 2019-08-01 |
| 1245897990 | Brent Tyler Louie | Student in an Organized Health Care Education/Training Program | 101 The City Drive South Building 3, Route 88, Neuropsychiatric Center Uc Irvine Medical Center, Orange, CA 92868 | 2019-05-28 |
| 1093277972 | Danielle Amato | Student in an Organized Health Care Education/Training Program | Uc Irvine Health 101 The City Drive, City Tower, Ste 40, Orange, CA 92868 | 2019-04-01 |
| 1851852206 | Julia Ting Bu | Student in an Organized Health Care Education/Training Program | Uc Irvine Health, 101 The City Drive, City Tower, Ste 400, Orange, CA 92868 | 2019-03-28 |
| 1326507344 | Harrison Beene Lowder | Student in an Organized Health Care Education/Training Program | 505 S. Main St, Suite 525, Orange, CA 92868 | 2019-03-19 |
| Find all providers in zip 92868 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831560721 | Kimberly Gin Hankamolkit | Physician Assistant | 200 S Manchester Ave Ste 210, Orange, CA 92868-3211 | 2015-10-17 |
| 1194846691 | Namneet K Dhaliwal | Physician Assistant | 1100 E Stewart Dr, Orange, CA 92868 | 2007-04-02 |
| 1740309608 | M. Barbara Klyde | Physician Assistant | 2391 N River Trail Rd, Orange, CA 92865-2036 | 2007-03-29 |
| 1750467346 | Joan Stoykovich | Physician Assistant | 1215 E Chapman Ave, Suite 4, Orange, CA 92866-2237 | 2006-10-27 |
| 1841222916 | Marcel M Motz | Physician Assistant | 1100 West Stewart Dr, Orange, CA 92868-3849 | 2006-07-07 |
| 1548263015 | Amir M Seifi | Physician Assistant | 280 S Main St Ste 200, Orange, CA 92868-3852 | 2005-05-27 |
| 1588297600 | Serena Marilyn Mclean | Physician Assistant | 1100 W Stewart Dr, Orange, CA 92868-3849 | 2020-02-17 |
| 1891331385 | Lacee Oliver | Physician Assistant | 2592 N Santiago Blvd, Orange, CA 92867-1862 | 2019-11-20 |
| 1518454396 | Yuchao Jin | Physician Assistant | 1140 W La Veta Ave Ste 610, Orange, CA 92868 | 2018-04-17 |
| 1528566122 | Kyle Daniels | Physician Assistant | 1100 W Stewart Dr, Orange, CA 92868-3849 | 2018-01-29 |
| Find all providers in ORANGE | ||||
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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.