DR. EBTESAM KHALED (NPI# 1649376971) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649376971 |
| Entity Type | Individual |
| Full Name | DR. EBTESAM KHALED |
| Credential | M.D. |
| Practice Address |
17772 Beach Blvd Huntington Beach CA 92647-6819 |
| Mailing Address |
Po Box 131 Huntington Beach CA 92648-0131 |
| Practice Telephone | 9093050714 |
| Practice Fax Number | 9093947415 |
| Mailing Telephone | 7143752077 |
| Mailing Fax Number | 7143752082 |
| Enumeration Date | 2006-09-15 |
| Last Update Date | 2017-01-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
A49538 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00A495382 | 05 |
| Street Address |
17772 BEACH BLVD |
| City | HUNTINGTON BEACH |
| State | CA |
| Zip Code | 92647-6819 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619957925 | The Huntington Beach Vhs Limited Partnership | General Acute Care Hospital | 17772 Beach Blvd, Huntington Beach, CA 92647-6819 | 2006-01-20 |
| 1790260156 | Shokoufeh Hariri | Pharmacist | 17772 Beach Blvd, Huntington Beach, CA 92647-6819 | 2018-10-01 |
| 1144717919 | Cep America - Psychiatry PC | Psychiatry & Neurology | 17772 Beach Blvd, Huntington Beach, CA 92647-6819 | 2018-04-17 |
| 1376998849 | Randall Roll | Emergency Medicine | 17772 Beach Blvd, Huntington Beach, CA 92647 | 2016-05-03 |
| 1295095420 | Beach Emergency Medical Associates, Inc. | Emergency Medicine | 17772 Beach Blvd, Huntington Beach, CA 92647-6819 | 2012-05-22 |
| 1659669018 | Michael Maruska | Emergency Medicine | 17772 Beach Blvd, Huntington Beach, CA 92647-6819 | 2011-07-19 |
| 1780986356 | Prime Healthcare Huntington Beach | Psychiatric Unit | 17772 Beach Blvd, Huntington Beach, CA 92647-6819 | 2010-12-02 |
| 1427359637 | Anthony M. Gonzales Md, Inc | Anesthesiology | 17772 Beach Blvd, Huntington Beach, CA 92647-6819 | 2010-11-04 |
| 1730346529 | Phong Thien Vu, M.d., Inc. | Anesthesiology | 17772 Beach Blvd, Huntington Beach, CA 92647-6819 | 2008-05-20 |
| 1811161870 | Michelle W Ly | Emergency Medicine | 17772 Beach Blvd, Huntington Beach, CA 92647-6819 | 2008-04-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417464231 | Patricia Michelle Ramsey | Counselor | 16761 Viewpoint Lane, Apt 386, Huntington Beach, CA 92647 | 2018-01-02 |
| 1780103390 | Luz Flores | Health Educator | 8041 Newman Avenue, Hungtington Beach, CA 92647 | 2017-09-14 |
| 1134649106 | Louise Polzel | Social Worker | 17111 Beach Blvd St 205, Huntington Beach, CA 92647 | 2017-06-21 |
| 1205364015 | Chi Hong Nguyen | Family Medicine | 8201 Newman Ave 101, Huntington, CA 92647 | 2017-05-24 |
| 1396281770 | Sandra Vera | Specialist/Technologist | 7812 Edinger Ave. #400, Huntington Beach, CA 92647 | 2017-01-10 |
| 1245773050 | Sherika Benjamin | Technician, Pathology | 8211 San Angelo Drive Suit #f2, Huntington Beach, CA 92647 | 2016-11-28 |
| 1306389440 | Nhi Pham Nguyen | Behavioral Analyst | 17732 Beach Blvd., Suite G, Huntington Beach, CA 92647 | 2016-11-21 |
| 1710345095 | Pacific Beach Medical Group, Inc. | Internal Medicine | 16111 Beach Blvd., Huntington Beach, CA 92647 | 2016-02-02 |
| 1699148494 | Daniel Bui | Dentist | 16900-a Goldenwest St, Huntington Beach, CA 92647 | 2015-11-03 |
| 1598132359 | Hayley Patricia Buchanan | Specialist/Technologist | 23441 S. Pointe Drive, Suite 245, Laguna Hills, ORANGE COUNTY 92647 | 2015-08-27 |
| Find all providers in zip 92647 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760095673 | Dana Np: Advanced Practice Psychiatric Nursing, Inc. | Psychiatry & Neurology | 9801 Olympic Dr, Huntington Beach, CA 92646-4848 | 2020-08-29 |
| 1346410834 | Anuradha Punit Pandya | Psychiatry & Neurology | 19351 Pismo Ln, Huntington Beach, CA 92646-2637 | 2008-03-11 |
| 1770760076 | Stephen Marc Wyman | Psychiatry & Neurology | 17011 Beach Blvd Ste 900, Huntington Beach, CA 92647-5998 | 2008-01-29 |
| 1568594943 | David A. Sack Md Inc. | Psychiatry & Neurology | 19456 Woodlands Ln, Huntington Beach, CA 92648-5570 | 2007-03-11 |
| 1811068349 | Christopher R Dennis | Psychiatry & Neurology | 7755 Center Ave, Suite 630, Huntington Beach, CA 92647 | 2006-11-13 |
| 1578652798 | Jeannette Hanna | Psychiatry & Neurology | 5762 Bolsa Avenue, Suite 107, Huntington Beach, CA 92649-1172 | 2006-10-12 |
| 1841390051 | Craig J Wronski | Psychiatry & Neurology | 18811 Huntington, Suite 200, Huntington Beach, CA 92648 | 2006-09-25 |
| 1972600310 | Glenn H. Richmond | Psychiatry & Neurology | 613 21st St, Huntington Beach, CA 92648-3318 | 2006-09-20 |
| 1598708893 | Phillip Zeidenberg | Psychiatry & Neurology | 16152 Beach Boulevard, Ste 200, Huntington Beach, CA 92547 | 2006-06-14 |
| 1528046463 | Bruce D Appelbaum | Psychiatry & Neurology | 18811 Huntington St, Suite 200, Huntington Beach, CA 92648-6002 | 2005-12-31 |
| Find all providers in HUNTINGTON BEACH | ||||
| City | HUNTINGTON BEACH |
| Zip Code | 92647 |
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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.