SIAMAK ETEHAD, MD, INC. A MEDICAL CORPORATION (NPI# 1730516303) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730516303 |
| Entity Type | Organization |
| Organization Name | SIAMAK ETEHAD, MD, INC. A MEDICAL CORPORATION |
| Practice Address |
17075 Devonshire St Ste 100 Northridge CA 91325-5405 |
| Mailing Address |
Po Box 280636 Northridge CA 91328-0636 |
| Practice Telephone | 8006738185 |
| Practice Fax Number | 3106269765 |
| Mailing Telephone | 8006738185 |
| Enumeration Date | 2013-09-27 |
| Last Update Date | 2013-09-27 |
| Authorized Official Name | DR. SIAMAK POUR ETEHAD (PRESIDENT) |
| Authorized Official Telephone | 8006738185 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | A43714 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00A437140 | 05 |
| Street Address |
17075 DEVONSHIRE ST STE 100 |
| City | NORTHRIDGE |
| State | CA |
| Zip Code | 91325-5405 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396346961 | Patricia Yamilet Morales | Registered Nurse | 18300 Roscoe Blvd Dignity Health- Northridge Hospital M, Northridge, CA 91325 | 2020-11-02 |
| 1790342897 | Northridge Kidney Center, LLC | Clinic/Center | 17710 Roscoe Blvd, Northridge, CA 91325 | 2019-05-23 |
| 1063078376 | Ozlem Alper | Student in an Organized Health Care Education/Training Program | 18497 Dearborn St, Unit 112, Northridge, CA 91325 | 2019-05-13 |
| 1144883489 | Better Sober | Clinic/Center | 9339 Louse Ave, Northridge, CA 91325 | 2019-04-22 |
| 1902383920 | Ntr Resources, LLC | Pathology | 17433 Nordhoff, Northridge, CA 91325 | 2018-07-23 |
| 1043713969 | Poly-med Pharmacy Inc | Pharmacy | 17313 Roscoe Blvd, Northridge, CA 91325 | 2018-03-16 |
| 1982151940 | Maria Dakessian | Dentist | 18250 Roscoe Blvd Ste 345, Northridge, CA 91325 | 2016-09-07 |
| 1487019469 | Beshoy Gerges | Pharmacist | 8254 White Oak Ave Unit 4, Northridge, CA 91325 | 2015-12-17 |
| 1235520305 | Gema Bautista | Social Worker | 8550 Balboa Blvd Ste 216, Northridge, CA 91325 | 2015-02-11 |
| 1083018873 | Sosann Haider | Pharmacist | 18444 Plummer St., Northridge, CA 91325 | 2014-10-22 |
| Find all providers in zip 91325 | ||||
| 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 |
|---|---|---|---|---|
| 1740669688 | Nkolika Christine Akpati | Internal Medicine | 18207 Chase St, Northridge, CA 91325-3731 | 2015-05-26 |
| 1760814917 | William Y Josephson, Md, Inc | Internal Medicine | 17075 Devonshire St Ste 100a, Northridge, CA 91325-5405 | 2013-07-30 |
| 1326481698 | Ali Ozhand | Internal Medicine | 8510 Balboa Blvd Ste 200, Northridge, CA 91325 | 2013-04-16 |
| 1932435047 | Southern California Physician Consultants Solutions, PC | Internal Medicine | 18300 Roscoe Blvd., Northridge, CA 91328 | 2009-10-23 |
| 1487802674 | Tam Thanh Huynh | Internal Medicine | 18638 Liggett St, Northridge, CA 91324-2922 | 2008-09-03 |
| 1669501409 | Alan Darush, M.d., A Professional Corporation | Internal Medicine | 8540 Reseda Blvd # 103, Northridge, CA 91324-4628 | 2007-03-05 |
| 1982752465 | Mohammed Sharjeel Farooqui | Internal Medicine | 18433 Roscoe Blvd Ste 202, Northridge, CA 91325-4134 | 2007-01-08 |
| 1376647651 | William Y Josephson | Internal Medicine | 17075 Devonshire, #100a, Northridge, CA 91325 | 2006-09-08 |
| 1093723595 | Buttelman Medical Corporation | Internal Medicine | 17075 Devonshire St Ste 209, Northridge, CA 91325-5411 | 2006-08-03 |
| 1275553679 | Lilly Liping Wilen | Internal Medicine | 17075 Devonshire St Ste 306, Northridge, CA 91325-5417 | 2006-07-20 |
| Find all providers in NORTHRIDGE | ||||
| City | NORTHRIDGE |
| Zip Code | 91325 |
Please comment or provide details below to improve the information on SIAMAK ETEHAD, MD, INC. A MEDICAL CORPORATION.
| 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.