KHODAMRAD PAYMAN, M.D., INC. (NPI# 1629265434) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629265434 |
| Entity Type | Organization |
| Organization Name | KHODAMRAD PAYMAN, M.D., INC. |
| Practice Address |
17525 Ventura Blvd Suite 203 Encino CA 91316-3843 |
| Practice Telephone | 8189860200 |
| Practice Fax Number | 8189864393 |
| Mailing Telephone | 8189860200 |
| Mailing Fax Number | 8189864393 |
| Enumeration Date | 2007-09-26 |
| Last Update Date | 2009-01-13 |
| Authorized Official Name | DR. KHODAM-RAD PAYMAN (PRESIDENT) |
| Authorized Official Telephone | 3104286667 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207XS0117X |
Orthopaedic Surgery Specialization: Orthopaedic Surgery of the Spine |
A75190 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
17525 VENTURA BLVD SUITE 203 |
| City | ENCINO |
| State | CA |
| Zip Code | 91316-3843 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619958626 | Clifford Robert Kahn | Orthopaedic Surgery | 17525 Ventura Blvd, Suite 203, Encino, CA 91316-5109 | 2005-11-07 |
| 1811313075 | Enhance Aesthetics & Gynecology | Specialist | 17525 Ventura Blvd, 1-m, Encino, CA 91316-3843 | 2014-03-12 |
| 1992127468 | Spinal Procedures Medical Group | Clinic/Center | 17525 Ventura Blvd, Ste 203, Encino, CA 91316-5109 | 2014-01-17 |
| 1770912370 | Rejuvenation Surgicenter | Clinic/Center | 17525 Ventura Blvd, 101, Encino, CA 91316-3843 | 2013-11-04 |
| 1861829277 | Andrew Wassef Md | Orthopaedic Surgery | 17525 Ventura Blvd, Suite 203, Encino, CA 91316-5109 | 2013-09-30 |
| 1982906798 | Steven Novom M.d. Inc. | Psychiatry & Neurology | 17525 Ventura Blvd, Suite 203, Encino, CA 91316-5109 | 2010-11-30 |
| 1952629735 | David Ari Friedberg | Orthopaedic Surgery | 17525 Ventura Blvd, Suite 203, Encino, CA 91316-2109 | 2010-05-04 |
| 1861629685 | Evish Kamrava | Physical Medicine & Rehabilitation | 17525 Ventura Blvd, Suite 203, Encino, CA 91316-3843 | 2009-06-18 |
| 1740447044 | Rejuvenation Surgicenter | Clinic/Center | 17525 Ventura Blvd, Suite 101, Encino, CA 91316-3843 | 2008-05-22 |
| 1619166998 | Graham A. Purcell, M.d., Inc. | Orthopaedic Surgery | 17525 Ventura Blvd, Suite 203, Encino, CA 91316-3843 | 2007-10-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548883341 | Kerry Ann Mclean | Marriage & Family Therapist | 1777 Ventura Blvd Unit 103, Encino, CA 91316 | 2020-05-27 |
| 1336793124 | Achieve Speech Associates, Inc. | Clinic/Center | 17605 Ventura Boulevard, #302, Encino, CA 91316 | 2019-07-30 |
| 1053978312 | Somnia Sleep Science & Treatment Center | Clinic/Center | 5435 Balboa Blvd Suite 100, Encino, CA 91316 | 2019-05-22 |
| 1437634466 | New Spirit Recovery, LLC | Substance Abuse Rehabilitation Facility | 17856 Cathedral Pl., Encino, CA 91316 | 2018-09-25 |
| 1649762014 | Hashemi Ophthalmology, PC | Ophthalmology | 5353 Balboa Blvd Ste 110, Encino, CA 91316 | 2018-06-01 |
| 1932614310 | Hannah Esther Weinsrein | Marriage & Family Therapist | 17337 Ventura Blvd., Sutie #317, Encino, CA 91316 | 2017-12-07 |
| 1881118560 | Paula Miley | Marriage & Family Therapist | 5535 Balboa Blvd #202, Encino, CA 91316 | 2017-08-03 |
| 1477088193 | Rachela Conti | Psychologist | 5400 Balboa Blvd. #311, Encino, CA 91316 | 2017-05-01 |
| 1962857235 | Jessica Shlager | Occupational Therapist | 6345 Balboa Boulevard Suite 120, Encino, CA 91316 | 2016-04-25 |
| 1720432800 | Canyon West Los Angeles LLC | Clinic/Center | 17167 W. Ventura Boulevard, Encino, CA 91316 | 2016-04-14 |
| Find all providers in zip 91316 | ||||
| Taxonomy Code | 207XS0117X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Orthopaedic Surgery of the Spine |
| Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Separate board certification is not currently offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538402912 | Spine Inc A Medical Corporation | Orthopaedic Surgery | 16030 Ventura Blvd, 400, Encino, CA 91436-2731 | 2013-04-03 |
| 1427225440 | Elliot Ryan Carlisle Md Inc | Orthopaedic Surgery | 17525 Ventura Blvd Ste 203, Encino, CA 91316-5109 | 2008-05-08 |
| 1750560389 | Greg S. Khounganian | Orthopaedic Surgery | 5363 Balboa Blvd, Ste 245, Encino, CA 91316 | 2007-10-31 |
| 1669453676 | Elliot Ryan Carlisle | Orthopaedic Surgery | 16311 Ventura Blvd, Suite 800, Encino, CA 91436-2124 | 2005-11-07 |
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|---|---|---|---|---|
| 1720649940 | Travis Loidolt D.o. Inc | Orthopaedic Surgery | 584 N. Sunrise Ave., Suite 100, Roseville, CA 95661-2862 | 2019-06-27 |
| 1528629185 | Kushagra Verma Md Inc | Orthopaedic Surgery | 2006 Bataan Rd Unit A, Redondo Beach, CA 90278-1306 | 2019-06-25 |
| 1144888348 | Borys Gvozdyev Md A Professional Medical Corporation | Orthopaedic Surgery | 18035 Brookhurst St # 1200, Fountain Valley, CA 92708-6738 | 2019-06-03 |
| 1992369227 | Veronica Donato | Orthopaedic Surgery | 1245 Wilshire Blvd Ste 770, Los Angeles, CA 90017-4881 | 2019-04-22 |
| 1134681232 | Sca Care of Ca, LLC | Orthopaedic Surgery | 533 Airport Blvd Ste 420, Burlingame, CA 94010-2018 | 2019-04-05 |
| 1528557568 | James Alfred Aicardi | Orthopaedic Surgery | 3838 California St Rm 715, San Francisco, CA 94118-1509 | 2018-05-04 |
| 1457850661 | Ravi Ramachandran Md Inc | Orthopaedic Surgery | 2330 E Bidwell St Ste 100, Folsom, CA 95630-3897 | 2018-02-03 |
| 1659879906 | Total Joint Cin of Northern California | Orthopaedic Surgery | 533 Airport Blvd Ste 425, Burlingame, CA 94010-2018 | 2018-01-31 |
| 1588172936 | Select Health of Ca IIi, LLC | Orthopaedic Surgery | 2372a Morse Ave, Irvine, CA 92614-6234 | 2018-01-19 |
| 1578071924 | Coordinated Health of Ca IIi, LLC | Orthopaedic Surgery | 2372c Morse Ave, Irvine, CA 92614-6234 | 2018-01-19 |
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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.