SHAHIN ETEBAR MD INC (NPI# 1699138677) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699138677 |
| Entity Type | Organization |
| Organization Name | SHAHIN ETEBAR MD INC |
| Practice Address |
36101 Bob Hope Dr Ste B2 Rancho Mirage CA 92270-2003 |
| Mailing Address |
Po Box 1299 Rancho Mirage CA 92270-1053 |
| Practice Telephone | 7603468058 |
| Practice Fax Number | 4178909127 |
| Mailing Telephone | 7603468058 |
| Mailing Fax Number | 4178909127 |
| Enumeration Date | 2016-03-29 |
| Last Update Date | 2016-03-29 |
| Authorized Official Name | SHAHIN ETEBAR (PRESIDENT) |
| Authorized Official Telephone | 7603468058 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207T00000X | Neurological Surgery | CA | Allopathic & Osteopathic Physicians |
| Street Address |
36101 BOB HOPE DR STE B2 |
| City | RANCHO MIRAGE |
| State | CA |
| Zip Code | 92270-2003 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497818405 | Kristine Werner | Clinical Neuropsychologist | 36101 Bob Hope Dr Ste B2, Rancho Mirage, CA 92270-2003 | 2006-12-19 |
| 1720575939 | Tobias Moeller-bertram,md Corporation | Psychologist | 36101 Bob Hope Dr Ste B2, Rancho Mirage, CA 92270-2003 | 2018-04-13 |
| 1619489697 | Mariam Parekh | Psychologist | 36101 Bob Hope Dr Ste B2, Rancho Mirage, CA 92270-2003 | 2017-10-30 |
| 1659751451 | Gina Coccimiglio | Nurse Practitioner | 36101 Bob Hope Dr Ste B2, Rancho Mirage, CA 92270-2003 | 2015-06-05 |
| 1508122235 | Jill Ann Saulque | Psychologist | 36101 Bob Hope Dr Ste B2, Rancho Mirage, CA 92270-2003 | 2012-04-06 |
| 1306111604 | Benjamin Maslin | Anesthesiology | 36101 Bob Hope Dr Ste B2, Rancho Mirage, CA 92270-2003 | 2012-03-20 |
| 1265668180 | Paul Martin Mitchell | Physician Assistant | 36101 Bob Hope Dr Ste B2, Rancho Mirage, CA 92270-2003 | 2009-06-05 |
| 1447499199 | Insun Lee | Anesthesiology | 36101 Bob Hope Dr Ste B2, Rancho Mirage, CA 92270-2003 | 2009-02-19 |
| 1972777316 | Tim Ulrich Leier | Specialist | 36101 Bob Hope Dr Ste B2, Rancho Mirage, CA 92270-2003 | 2008-04-16 |
| 1003091562 | Christine Bierdrager-salley | Psychologist | 36101 Bob Hope Dr Ste B2, Rancho Mirage, CA 92270-2003 | 2008-01-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235757824 | Monsetrrat Martinez | Behavioral Analyst | 69930 Ca-111, Ste 118, Rancho Mirage, CA 92270 | 2020-07-09 |
| 1306475785 | Christine Palmares | Student in an Organized Health Care Education/Training Program | 39000 Bob Hope Drive, Achs-gme Office, Rancho Mirage, CA 92270 | 2020-04-07 |
| 1821627449 | Dino Mellone | Student in an Organized Health Care Education/Training Program | 39000 Bob Hope Drive, Achs-gme Office Ste. 201, Rancho Mirage, CA 92270 | 2020-04-06 |
| 1356970164 | Chris Kim | Student in an Organized Health Care Education/Training Program | Eisenhower Health Emergency Medicine Residency, 39000 Bob Hope Dr., Achs-gme Office, Rancho Mirage, CA 92270 | 2020-04-03 |
| 1609434075 | Junko Ohara | Student in an Organized Health Care Education/Training Program | Eisenhower Health Internal Medicine Residency, 39000 Bob Hope Drive, Achs-gme Office, Rancho Mirage, CA 92270 | 2019-05-31 |
| 1245791896 | Iman Rasheed | Student in an Organized Health Care Education/Training Program | 3900 Bob Hope Drive, Achs-gme Office, Rancho Mirage, CA 92270 | 2019-03-27 |
| 1073086583 | Robert B Greene | Internal Medicine | 8 Moon Lake Drive, Rancho Mirage, CA 92270 | 2019-01-08 |
| 1356818884 | Kade Bartschi | Dentist | 1591 Griffin Rd, 29 Palms, CA 92270 | 2018-11-02 |
| 1841775392 | Rose Pharmacy Rm LLC | Pharmacy | 35400 Bob Hope Drive, Suite #207, Rancho Mirage, CA 92270 | 2018-10-01 |
| 1235615956 | Trang Huyen Nguyen | Dentist | 71-817 Hwy 111 Suite A, Rancho Mirage, CA 92270 | 2018-07-16 |
| Find all providers in zip 92270 | ||||
| Taxonomy Code | 207T00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Neurological Surgery |
| A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Neurological Surgery, 2007. http://www.abns.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Neurological Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376144477 | Faculty Physicians and Surgeons of Llusm | Neurological Surgery | 35400 Bob Hope Dr Ste 110, Rancho Mirage, CA 92270-1772 | 2020-11-04 |
| 1154386399 | Farhad M Limonadi | Neurological Surgery | 72780 Country Club Dr Ste 104, Rancho Mirage, CA 92270-4150 | 2006-04-19 |
| 1053302653 | Farhad M Limonadi Md Inc | Neurological Surgery | 72780 Country Club Dr Ste A104, Rancho Mirage, CA 92270 | 2005-11-02 |
| 1194721308 | Shahin Etebar | Neurological Surgery | 72780 Country Club Dr, Suite A104, Rancho Mirage, CA 92270-4126 | 2005-06-22 |
| 1598038937 | Desert Spine and Neurosurgical Institute, Inc | Neurological Surgery | 72780 Country Club Dr, Suite A104, Rancho Mirage, CA 92270-4126 | 2012-02-15 |
| 1730266990 | Alfred C Shen Medical Corporation | Neurological Surgery | 72780 Country Club Dr, Suite A-104, Rancho Mirage, CA 92270-4126 | 2006-11-01 |
| 1598879595 | Alfred C. Shen | Neurological Surgery | 72780 Country Club Dr Ste A104, Rancho Mirage, CA 92270-4150 | 2006-08-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013524123 | Hubert Tsun-yin Lee | Neurological Surgery | 1201 Welch Road, Stanford, CA 94305-5327 | 2020-09-24 |
| 1811500267 | Chaparral Medical Group, Inc. | Neurological Surgery | 9120 Haven Ave Ste 201, Rancho Cucamonga, CA 91730-5413 | 2020-08-26 |
| 1982259461 | Mauricio Mandel Brigido | Neurological Surgery | 300 Pasteur Dr # R281, Stanford, CA 94305-2200 | 2019-08-01 |
| 1538713227 | Sylvain Palmer Md Inc | Neurological Surgery | 26732 Crown Valley Pkwy Ste 541, Mission Viejo, CA 92691-6376 | 2019-07-31 |
| 1851945877 | X.sean Xin, Do Inc. | Neurological Surgery | 7230 Med Ctr Dr Ste 600, West Hills, CA 91307-4017 | 2019-07-29 |
| 1154974525 | Jan M. Eckermann, Md Inc. | Neurological Surgery | 1617 W Cliff Dr, Ste 203, Newport Beach, CA 92660 | 2019-07-24 |
| 1598317711 | Newport Beach Neurosurgical Institute | Neurological Surgery | 1501 Superior Ave Ste 214b, Newport Beach, CA 92663-3600 | 2019-07-09 |
| 1609438761 | Py26 Neurosurgery, PC | Neurological Surgery | 120 S Spalding Dr Ste 305, Beverly Hills, CA 90212-1800 | 2019-06-28 |
| 1679133664 | Sequoia Neurosurgery, Inc. | Neurological Surgery | 306 N Conyer St Ste A, Visalia, CA 93291-4704 | 2019-06-20 |
| 1780146019 | Chaparral Medical Group Inc. | Neurological Surgery | 811 E. 11th Street #208 & #207, Upland, CA 91786-4872 | 2019-04-04 |
| Find all providers with the same taxonomy | ||||
| City | RANCHO MIRAGE |
| Zip Code | 92270 |
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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.