ANI A KETABGIAN (NPI# 1710902523) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710902523 |
| Entity Type | Individual |
| Full Name | ANI A KETABGIAN |
| Credential | M.D. |
| Practice Address |
221 W. Fir Avenue Suite 101 Clovis CA 93611 |
| Mailing Address |
221 W Fir Ave Suite 101 Clovis CA 93611-0221 |
| Practice Telephone | 5592997294 |
| Practice Fax Number | 5592990641 |
| Mailing Telephone | 5592997294 |
| Mailing Fax Number | 5592990641 |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2010-09-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | A55268 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
221 W. FIR AVENUE SUITE 101 |
| City | CLOVIS |
| State | CA |
| Zip Code | 93611 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033773122 | Mao Thao | Pharmacist | 2133 Shaw Avenue, Clovis, CA 93611 | 2019-04-24 |
| 1326506098 | Lauren Moriah Horsley | Speech-Language Pathologist | 650 W. Alluvial Ave., Clovis, CA 93611 | 2019-03-12 |
| 1780171223 | Alamos Care | Skilled Nursing Facility | 2193 Alamos Ave, Clovis, CA 93611 | 2018-04-19 |
| 1346612215 | Aimee Rasch | Occupational Therapy Assistant | 650 West Alluvial Avenue, Clovis, CA 93611 | 2015-10-30 |
| 1356778302 | Jonathan Crosby | Physician Assistant | 729 N Medical Center Drive West Suite 101, Clovis, CA 93611 | 2013-10-07 |
| 1093142697 | Stacey Melissa Montes | Nurse Practitioner | 729 N Medical Ctr Dr West, Suite 205, Clovis, CA 93611 | 2013-09-27 |
| 1538594163 | Carly Bren Lepp | Physician Assistant | 2006 Shaw Avenue, Clovis, CA 93611 | 2013-09-13 |
| 1811246150 | Vishal Arya | Pharmacist | 2518 Austin Ave, Clovis, CA 93611 | 2012-08-31 |
| 1669757209 | Kiran V Atwal | Pharmacist | 1815 Herndon Ave--walgreens, Clovis, CA 93611 | 2011-10-14 |
| 1952615957 | Weight Away | Nutritionist | 1895 Herndon Ave, Suite 105, Clovis, CA 93611 | 2010-08-02 |
| Find all providers in zip 93611 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417388315 | Jai-joon Oh | Internal Medicine | 3236 E Via Monte Verdi Ave, Clovis, CA 93619-8387 | 2013-12-03 |
| 1093059925 | Ayyappa Mysore Rangaraju | Internal Medicine | 2421 W 21st St Ste B, Clovis, NM 88101-2006 | 2012-11-15 |
| 1285914531 | Balwinder Singh Kang | Internal Medicine | 2421 W 21st St Ste A, Clovis, NM 88101 | 2011-08-18 |
| 1881879617 | Hongwei Chen | Internal Medicine | 1700 Glen Dunbar Ln, Clovis, CA 93619-2868 | 2007-12-28 |
| 1760518245 | Mark V Godiksen | Internal Medicine | 688 Medical Center Dr E, Suite 106, Clovis, CA 93611-6807 | 2007-02-26 |
| 1952315848 | George C Molina | Internal Medicine | 685 Medical Center Dr W Ste 102, Clovis, CA 93611-6804 | 2006-07-28 |
| 1417906835 | Muhammad Mansoor Alam | Internal Medicine | 729 N. Medical Center Dr West, #221, Clovis, CA 93611 | 2006-05-10 |
| 1427049196 | Dhirendra Lamba | Internal Medicine | 1521 West 13th Street, Clovis, NM 88101 | 2005-11-02 |
| 1962496307 | Tobore Godwin Kokoricha | Internal Medicine | 2001 W 21st St, Clovis, NM 88101-4086 | 2005-08-31 |
| 1255330809 | Rustom F Damania | Internal Medicine | 255 W Bullard Ave, 113, Clovis, CA 93612-0861 | 2005-07-17 |
| Find all providers in CLOVIS | ||||
Please comment or provide details below to improve the information on ANI A KETABGIAN.
| 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.