PEDIATRIC ADULT ENDOCRINE


Address: 25078 Peachland Ave Ste A, Newhall, CA 91321-2558
Phone: 6612534420

PEDIATRIC ADULT ENDOCRINE (NPI# 1659683217) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1659683217
Entity Type Organization
Organization Name PEDIATRIC ADULT ENDOCRINE
Practice Address 25078 Peachland Ave Ste A
Newhall
CA 91321-2558
Practice Telephone 6612534420
Practice Fax Number 6612534425
Mailing Telephone 6612534420
Mailing Fax Number 6612534425
Enumeration Date 2010-07-11
Last Update Date 2018-06-01
Authorized Official Name DR. KHALID SYED HASAN (OWNERPHYSICIAN)
Authorized Official Telephone 6612534420
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207RE0101X Internal Medicine
Specialization: Endocrinology, Diabetes & Metabolism
C134457 CA Allopathic & Osteopathic Physicians
Y 2080P0205X Pediatrics
Specialization: Pediatric Endocrinology
C134457 CA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
AZ 147208 05

Office Location

Street Address 25078 PEACHLAND AVE STE A
City NEWHALL
State CA
Zip Code 91321-2558

Providers in the same location

NPI Name Taxonomy Address Enumeration
1144255910 Tracy L Cunningham Chiropractor 25078 Peachland Ave Ste A, Newhall, CA 91321-2558 2006-07-11

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1982196879 Brandi Wright-dohopolski Acupuncturist 27820 Freemont Court, Unit 5, Suite E, Valencia, CA 91321 2018-06-06
1780113209 Jennifer Ann Woods Physician Assistant 23645 Meadowridge Drive, 110, Newhall, CA 91321 2017-06-08
1942661624 Sina Tebi Md Inc Internal Medicine 23938 Lyons Avenue, #204, Newhall, CA 91321 2016-03-09
1720452220 Julie Kim Pharmacist 26863 Sierra Hwy, Santa Clarita, CA 91321 2015-11-20
1568855773 Carly Nikiforuk Counselor 24625 Arch St., Newhall, CA 91321 2015-03-12
1437562741 Teresa Cha Waggoner Nurse Practitioner 23772 Newhall Avenue, Newhall, CA 91321 2014-06-04
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Taxonomy Information

Taxonomy Code 2080P0205X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics
Specialization Pediatric Endocrinology

Taxonomy Definition

A pediatrician who provides expert care to infants, children and adolescents who have diseases that result from an abnormality in the endocrine glands (glands which secrete hormones). These diseases include diabetes mellitus, growth failure, unusual size for age, early or late pubertal development, birth defects, the genital region and disorders of the thyroid, the adrenal and pituitary glands.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1497037915 Sena Cantas Orsdemir Pediatrics 1 Med Plaza Dr, Irvine, CA 92697-1132 2011-09-10
1770720799 John Shih-chang Ching Pediatrics 9300 Valley Childrens Pl # Mb23, Madera, CA 93636-8761 2009-01-13
1386890135 Nicolas Leigh Cuttriss Pediatrics 300 Pasteur Dr Rm G-313, Stanford, CA 94305-2200 2008-08-13
1306017421 Audrey Denise Briscoe Pediatrics 9449 East Imperial Hwy, Department of Pediatrics Suite 332, Downey, CA 90242 2008-03-17
1255452025 Nadia Shaheen Sattar Pediatrics 39650 Liberty St Ste 140, Fremont, CA 94538-2225 2007-04-02
1255471975 Huong Quynh Nguyen Pediatrics 7055 N Chestnut Ave, Suite 103, Fresno, CA 93720-0350 2007-02-08
1376659995 Sherry L. Franklin Pediatrics 7910 Frost St Ste 435, San Diego, CA 92123-2771 2006-08-23
1124041710 Ramin R Mogadas Pediatrics 9985 Sierra Ave Fl Mob, Fontana, CA 92335-6720 2006-07-25
1164442620 Mario I. Brakin, M.d.,f.a.a.p., Inc Pediatrics 2650 Elm Ave Ste 210, Long Beach, CA 90806-1600 2006-07-20
1730138009 Jordan Pinsker Pediatrics 2219 Bath Street, William Sansum Diabetes Center, Santa Barbara, CA 93105 2006-05-06
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Competitor

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City NEWHALL
Zip Code 91321

Improve Information

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Dataset Information

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.

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