KHURAM AKBAR SIAL, M.D., PC (NPI# 1730121484) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1730121484 |
Entity Type | Organization |
Organization Name | KHURAM AKBAR SIAL, M.D., PC |
Practice Address |
1810 Fullerton Ave Suite 104 Corona CA 92881-3103 |
Mailing Address |
25568 Via Sarah Wildomar CA 92595-7405 |
Practice Telephone | 9517347246 |
Practice Fax Number | 9517347245 |
Mailing Telephone | 9512401418 |
Enumeration Date | 2006-06-10 |
Last Update Date | 2012-07-09 |
Authorized Official Name | KHURAM AKBAR SIAL (OWNER MEDICAL DIRECTOR) |
Authorized Official Telephone | 9512401418 |
Authorized Official Credential | MD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2081P2900X |
Physical Medicine & Rehabilitation Specialization: Pain Medicine |
Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CA | STATE LICENSE | A90421 | 01 |
CA | MEDICARE | ZZZ30944Z | 01 |
CA | DEA | BS8877156/XS8877156 | 01 |
Street Address |
1810 FULLERTON AVE SUITE 104 |
City | CORONA |
State | CA |
Zip Code | 92881-3103 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1508825381 | Khuram A. Sial | Physical Medicine & Rehabilitation | 1810 Fullerton Ave, Suite 104, Corona, CA 92881-3103 | 2006-03-21 |
1972961803 | United Surgery of America | Internal Medicine | 1810 Fullerton Ave, Suite #103, Corona, CA 92881-3103 | 2016-02-06 |
1568857274 | Nurturing You Women's Health & Wellness, Inc. | Clinic/Center | 1810 Fullerton Ave, Suite 203, Corona, CA 92881-3103 | 2015-03-30 |
1821426305 | American Spine PC | Pain Medicine | 1810 Fullerton Ave, Suite #104, Corona, CA 92881-3103 | 2013-10-21 |
1992141469 | Fred M Watkins Md PC | Family Medicine | 1810 Fullerton Ave, Suite #104, Corona, CA 92881-3103 | 2013-05-10 |
1376987552 | Inland Empire Anesthesia Services PC | Anesthesiology | 1810 Fullerton Ave, #104, Corona, CA 92881-3103 | 2013-04-18 |
1336492586 | Brett P. Bowman Od., Professional Optometry Corporation | Optometrist | 1810 Fullerton Ave, Suite 201, Corona, CA 92881-3103 | 2012-10-24 |
1871841692 | Mmj Medical Inc | Internal Medicine | 1810 Fullerton Ave, Suite 203, Corona, CA 92881 | 2012-08-28 |
1760740674 | Corona Pain Management Center | Clinic/Center | 1810 Fullerton Ave, Suite 103, Corona, CA 92881-3103 | 2012-04-27 |
1831490580 | Jun Yuan, M.d., Inc. | Internal Medicine | 1810 Fullerton Ave, Suite 102, Corona, CA 92881-3103 | 2010-11-11 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326682519 | Kadour and Hattar Inc | Pharmacy | 1973 Foothill Pkwy, Bldg F, Ste 106, Corona, CA 92881 | 2019-10-31 |
1861034944 | Jongguon Kim Dds Dental Corporation | Clinic/Center | 1973 Foothill Parkway, Suite 102, Corona, CA 92881 | 2019-10-10 |
1952874968 | Sasha M Dunn | Behavior Technician | 2144 Wembley Lane, Corona, Corona, CA 92881 | 2019-01-03 |
1053880450 | Tori Bissett Bowyer | Behavioral Analyst | 3439 White Sage St, Corona, CA 92881 | 2018-11-15 |
1104351097 | Victoria S. Brown | Family Medicine | 2071 Compton Ave #103, Corona, CA 92881 | 2017-04-27 |
1740695493 | Zoha Fazel | Counselor | 1240 E Ontario Ave Ste 102-182, Corona, CA 92881 | 2014-06-20 |
1720347222 | Neda Arjomandi | Podiatrist | 1881 California Ave Ste 102, Corona, CA 92881 | 2012-05-03 |
1891067864 | Valley Laparoscopic Surgical Associates, Inc. | Specialist | 2083 Compton Ave Ste 104, Corona, CA 92881 | 2012-02-06 |
1922396191 | Michelle Ann Mueller | Dietitian, Registered | 1800 Firethorne Plance, Apt. 108, Corona, CA 92881 | 2011-07-21 |
1558668772 | Jenna Lalas Eugenio | Physician Assistant | 2097 Compton Ave Ste 103, Corona, CA 92881 | 2011-02-24 |
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Taxonomy Code | 2081P2900X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Physical Medicine & Rehabilitation |
Specialization | Pain Medicine |
A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source changed] Additional Resources: American Board of Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. A subspecialty certificate was approved by the ABMS in 1999. ACGME Accredited Residency Program Requirements: Proposal under development. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1659678274 | Balbas Medical, P.c | Physical Medicine & Rehabilitation | 1150 El Camino Ave, Suite108, Corona, CA 92879-1784 | 2011-02-16 |
1730336413 | All In One Medical Care PC | Physical Medicine & Rehabilitation | 5515 Van Cleef St, Corona, NY 11368-3907 | 2008-08-25 |
1508825381 | Khuram A. Sial | Physical Medicine & Rehabilitation | 1810 Fullerton Ave, Suite 104, Corona, CA 92881-3103 | 2006-03-21 |
1912459397 | Corona Superior Medicine, Inc. | Physical Medicine & Rehabilitation | 1150 El Camino Ave, Suite 108, Corona, CA 92879-1784 | 2016-11-01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1881295608 | San Diego Comprehensive Pain Management Center, Inc | Physical Medicine & Rehabilitation | 1575 W Main St, El Centro, CA 92243-2211 | 2020-11-06 |
1760013536 | Aveva Medical Aesthetics Inc. | Physical Medicine & Rehabilitation | 4702 W 1st St Ste C, Santa Ana, CA 92703-3100 | 2020-01-30 |
1902445620 | Irina L Melnik, Md Professional Corporation | Physical Medicine & Rehabilitation | 655 Redwood Hwy Frontage Rd Ste 203, Mill Valley, CA 94941-3025 | 2019-12-27 |
1124669544 | Algos Inc., A Medical Corporation | Physical Medicine & Rehabilitation | 26357 Mcbean Pkwy Ste 210, Santa Clarita, CA 91355-4497 | 2019-10-07 |
1174084578 | Lags Spine and Sportscare Medical Centers, Inc. | Physical Medicine & Rehabilitation | 802 Iowa Ave, Los Banos, CA 93635-3450 | 2019-03-28 |
1083175483 | Lags Spine and Sportscare Medical Centers, Inc. | Physical Medicine & Rehabilitation | 777 S Ham Ln Ste G, Lodi, CA 95242-3593 | 2019-03-28 |
1679031611 | Jesus H. Lao Md Inc | Physical Medicine & Rehabilitation | 6699 Alvarado Rd Ste 2304, San Diego, CA 92120-5241 | 2019-03-08 |
1316404262 | Advanced Pain Diagnostic & Solutions, Inc. | Physical Medicine & Rehabilitation | 1921 Sycamore Ln, Davis, CA 95616-0844 | 2019-02-27 |
1689157059 | Lags Spine and Sportscare Medical Centers, Inc. | Physical Medicine & Rehabilitation | 801 E Chapel St Ste 6, Santa Maria, CA 93454-4607 | 2018-09-12 |
1588147094 | Lags Spine and Sportscare Medical Centers, Inc. | Physical Medicine & Rehabilitation | 803 Coffee Rd Ste 11, Modesto, CA 95355-4244 | 2018-09-11 |
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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.