DR. SANJAY KEDHAR (NPI# 1700833951) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700833951 |
| Entity Type | Individual |
| Full Name | DR. SANJAY KEDHAR |
| Credential | M.D. |
| Practice Address |
850 Health Sciences Rd Irvine CA 92697-6831 |
| Mailing Address |
Po Box 631568 Baltimore MD 21263-1568 |
| Practice Telephone | 9498442020 |
| Enumeration Date | 2006-05-30 |
| Last Update Date | 2020-02-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207W00000X | Ophthalmology | D60540 | MD | Allopathic & Osteopathic Physicians |
| N | 207WX0108X |
Ophthalmology Specialization: Uveitis and Ocular Inflammatory Disease |
141299 | CA | Allopathic & Osteopathic Physicians |
| Y | 207WX0120X |
Ophthalmology Specialization: Cornea and External Diseases Specialist |
141299 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 769191200 | 05 |
| Street Address |
850 HEALTH SCIENCES RD |
| City | IRVINE |
| State | CA |
| Zip Code | 92697-6831 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841292257 | Jeremiah Tao | Ophthalmology | 850 Health Sciences Rd, Irvine, CA 92697-4375 | 2005-08-15 |
| 1164913539 | Mohammad Riazi Esfahani | Ophthalmology | 850 Health Sciences Rd, Irvine, CA 92617-3058 | 2018-05-22 |
| 1861925026 | Jordan R Conger | Student in an Organized Health Care Education/Training Program | 850 Health Sciences Rd, Irvine, CA 92697-2051 | 2017-04-05 |
| 1699126425 | Aman Mittal | Ophthalmology | 850 Health Sciences Rd, Irvine, CA 92617-3058 | 2016-06-22 |
| 1104251222 | Gavin Herbert Eye Institute | Optometrist | 850 Health Sciences Rd, Irvine, CA 92697-0001 | 2013-09-09 |
| 1942635313 | Gavin Herbert Eye Institute | Technician/Technologist | 850 Health Sciences Rd, Irvine, CA 92697-0001 | 2013-09-04 |
| 1609116474 | Sidharth Puri | Ophthalmology | 850 Health Sciences Rd, Irvine, CA 92697 | 2013-02-15 |
| 1346501137 | Kevin Jwo | Ophthalmology | 850 Health Sciences Rd, Irvine, CA 92617-3058 | 2012-06-07 |
| 1841550217 | Sean Tsao | Ophthalmology | 850 Health Sciences Rd, Irvine, CA 92617-3058 | 2012-05-20 |
| 1003101874 | Grace L. Kim | Ophthalmology | 850 Health Sciences Rd, Irvine, CA 92697-4375 | 2011-06-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174001507 | Melanie Bernus Tallakson | Nurse Practitioner | 1100 Gottschalk Medical Plaza, Irvine, CA 92697 | 2018-07-28 |
| 1134514888 | Jessica Shiu | Dermatology | 118 Medical Surge 1, Irvine, CA 92697 | 2015-03-31 |
| 1649513508 | Melissa Shive | Dermatology | Uci Dermatology 1 Medical Plaza Drive, Irvine, CA 92697 | 2013-03-29 |
| 1760740526 | Adam Mason | Anesthesiology | 101 The City Dr. S., Uci Department of Anesthesiology, Anaheim, CA 92697 | 2012-04-30 |
| 1295966489 | Thu Michelle Tran | Nurse Practitioner | C240 Medical Science I, Uci Infusion Center, Irvine, CA 92697 | 2009-08-05 |
| 1760667554 | Catherine Marie Mcadams-ortiz | Nurse Practitioner | 1100 Gottschalk Medical Plaza Drive, University of California, Irvine, Irvine, CA 92697 | 2007-12-31 |
| 1386767630 | Gary W Cole | Dermatology | Dept. of Dermatology, Univ. of Calif., Irvine, Medical Sciences 1, Rm C340, Irvine, CA 92697 | 2007-04-09 |
| 1982729786 | Helen C. Tseng | Ophthalmology | 118 Med Surge 1 Attn Karen Tighe, Uc Irvine, Dept of Ophthalmology, Irvine, CA 92697 | 2007-03-20 |
| 1710065453 | Ronald Kurtz | Ophthalmology | 118 Med Surge 1, University of California, Irvine, Irvine, CA 92697 | 2006-11-01 |
| 1871509026 | Vivien Chan | Psychiatry & Neurology | 501 Student Health, Irvine, CA 92697 | 2006-07-31 |
| Find all providers in zip 92697 | ||||
| Taxonomy Code | 207WX0120X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| Specialization | Cornea and External Diseases Specialist |
| An ophthalmologist who specializes in diseases of the cornea, sclera, eyelids, conjunctiva, and anterior segment of the eye. |
| Notes: Source: American Academy of Ophthalmology, www.aao.org [1/1/2018: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790339364 | David J. Fuerst, M.d., Inc | Ophthalmology | 1808 Verdugo Blvd Suite 103, Glendale, CA 91208-1482 | 2019-07-31 |
| 1720630833 | Milad Modabber | Ophthalmology | 4860 Y St # 2400, Sacramento, CA 95817-2307 | 2019-07-10 |
| 1295170678 | Saujanya Vadoothker | Ophthalmology | 480 Fourth Ave, Chula Vista, CA 91910-4410 | 2013-04-30 |
| 1326304809 | Lucy Yingxin Zhang | Ophthalmology | 900 S Eliseo Dr Ste 102, Greenbrae, CA 94904 | 2012-04-09 |
| 1285270900 | East-west Eye Institute A Medical Corporation | Ophthalmology | 475 W Badillo St, Covina, CA 91723-1834 | 2019-11-18 |
| 1649823618 | Sand Pacific Eye Group | Ophthalmology | 1964 Westwood Blvd Ste 125, Los Angeles, CA 90025-8405 | 2019-07-19 |
| 1255598819 | Michael Jeremy Savetsky | Ophthalmology | 2446 W Whittier Blvd, Montebello, CA 90640-3041 | 2008-05-21 |
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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.