VIDA KHALIKI (NPI# 1619526373) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619526373 |
| Entity Type | Individual |
| Full Name | VIDA KHALIKI |
| Credential | PA |
| Practice Address |
1 Shields Ave Davis CA 95616-5200 |
| Practice Telephone | 2082832791 |
| Mailing Telephone | 2082832791 |
| Enumeration Date | 2019-09-05 |
| Last Update Date | 2019-09-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1 SHIELDS AVE |
| City | DAVIS |
| State | CA |
| Zip Code | 95616-5200 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356322903 | Aimee Sisson | Student in an Organized Health Care Education/Training Program | 1 Shields Ave, Uc Davis Master of Public Health Program, Davis, CA 95616-5270 | 2005-11-10 |
| 1811597941 | Anna Pavlov | Registered Nurse | 1 Shields Ave, Davis, CA 95616-5270 | 2020-10-28 |
| 1811548779 | Sarah Schmitt | Dietitian, Registered | 1 Shields Ave, Davis, CA 95616-5270 | 2019-09-23 |
| 1912496563 | Lisa Kay Varnum | Specialist/Technologist | 1 Shields Ave, Davis, CA 95616-5200 | 2018-05-08 |
| 1730682022 | Sean Carrington | Specialist/Technologist | 1 Shields Ave, Davis, CA 95616 | 2018-03-13 |
| 1720502701 | Torie Johnson | Specialist/Technologist | 1 Shields Ave, Davis, CA 95616-5270 | 2017-08-01 |
| 1073044350 | Uc Davis Student Health and Counseling Services | Clinic/Center | 1 Shields Ave, Shcs, Davis, CA 95616-5270 | 2017-03-27 |
| 1992247092 | Lauren Eichstadt | Pharmacist | 1 Shields Ave, Davis, CA 95616-5270 | 2016-11-07 |
| 1467906222 | Duane Robinson | Specialist | 1 Shields Ave, School of Vet Med, Uc Davis, Davis, CA 95616-5270 | 2016-08-10 |
| 1245682178 | Lauren Renee Guajardo | Optometrist | 1 Shields Ave, Davis, CA 95616-5270 | 2016-07-03 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417560871 | Anne-frances Ostrander | Physical Therapy Assistant | 397 La Rue Rd, Davis, CA 95616 | 2020-08-26 |
| 1487271458 | Alix Peloso Mahon | Behavior Technician | 1212 Alvarado Ave Apt 68, Davis, CA 95616 | 2020-06-25 |
| 1427671882 | Dhhs Ihs Cao Sacred Oaks Healing Center | Substance Abuse Rehabilitation Facility | 33100 County Road 31, Davis, CA 95616 | 2020-05-20 |
| 1871126961 | Linda Marie Adams | Dietitian, Registered | Uc Davis Occupational Health, One Shields Ave - Cowell Hall Room 35, Davis, CA 95616 | 2020-02-17 |
| 1851935217 | Timothy James Johnston | Orthotist | 635 Anderson Rd., Suite 18, Davis, CA 95616 | 2019-10-29 |
| 1386290716 | Dakota Cool | Specialist/Technologist | 750 Orchard Road, Davis, CA 95616 | 2019-08-12 |
| 1366908618 | Capitol Periodontal Group | Dentist | 750 F Street #5, Davis, CA 95616 | 2019-02-12 |
| 1831663434 | Elisha Niccole Cusumano | Specialist/Technologist | 264 Hickey Gym, 1 Shields Ave, Davis, CA 95616 | 2019-01-16 |
| 1609364991 | Aron Matthew Katz | Psychologist | One Shield Ave, Student Health & Wellness Center, Bhp, Davis, CA 95616 | 2018-04-23 |
| 1316463938 | Arielle Pinkston | Marriage & Family Therapist | 203 F St, Davis, CA 95616 | 2017-08-15 |
| Find all providers in zip 95616 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346278884 | Lynda Lee White | Physician Assistant | 1616 Da Vinci Ct, Davis, CA 95616-4860 | 2006-06-30 |
| 1255370359 | Roger S. Bickford | Physician Assistant | 1550 E Covell Blvd, (inside Longs Drugs), Davis, CA 95616-1352 | 2006-06-05 |
| 1508105719 | Mary Alice Holmes | Physician Assistant | 2030 Sutter Pl Ste 2200, Davis, CA 95616-6214 | 2013-02-07 |
| 1053661603 | Corinne Houston Case | Physician Assistant | 2330 W Covell Blvd, Davis, CA 95616-5658 | 2012-09-11 |
| 1699906727 | Liya Manukyan Stephanian | Physician Assistant | 635 Anderson Road, Suite 10, Davis, CA 95616-3505 | 2009-08-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760089437 | Karine Harutyunyan | Physician Assistant | 500 E Colorado St Ste 101, Glendale, CA 91205-1607 | 2020-10-06 |
| 1437756228 | Kale Burket | Physician Assistant | Bldg 523, S 8th St, El Centro, CA 92243 | 2020-10-05 |
| 1548867666 | Heba Marzouk Al-shoubaki | Physician Assistant | 633 S Pepper St, Anaheim, CA 92802-1459 | 2020-10-01 |
| 1275140550 | Lisa Lynn Passalacqua | Physician Assistant | 431 7th St, Norco, CA 92860-1671 | 2020-09-30 |
| 1144833989 | Trisha Taylor | Physician Assistant | 10399 Tivoli Way, Yucaipa, CA 92399-6017 | 2020-08-30 |
| 1457963944 | Harlan William Monahan | Physician Assistant | 5210 Del Rio Rd, Sacramento, CA 95822-2519 | 2020-08-18 |
| 1275144313 | Sofia Carmen Bustillo | Physician Assistant | 1709 Coral Pl, Seal Beach, CA 90740-5712 | 2020-08-12 |
| 1124638663 | Gayaneh Gharakhani | Physician Assistant | 1323 E Broadway Apt 110, Glendale, CA 91205-4018 | 2020-08-07 |
| 1144830183 | Loc Bao Tran | Physician Assistant | 8937 Emerson Pl, Rosemead, CA 91770-2813 | 2020-08-04 |
| 1558997957 | Sarah Lubinsky | Physician Assistant | 1511 Montana Ave, Santa Monica, CA 90403-1891 | 2020-03-17 |
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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.