MR. SHAHAB MOSTAFANIA (NPI# 1780643528) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780643528 |
| Entity Type | Individual |
| Full Name | MR. SHAHAB MOSTAFANIA |
| Other Name | MR. SHAWN MOSTAFANIA |
| Credential | PA-C |
| Practice Address |
45074 10th St W Suite 109 Lancaster CA 93534-2371 |
| Mailing Address |
26605 Thackery Ln Stevenson Ranch CA 91381-1470 |
| Practice Telephone | 6619422391 |
| Practice Fax Number | 6614270313 |
| Mailing Telephone | 6618570177 |
| Enumeration Date | 2006-03-21 |
| Last Update Date | 2019-04-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | PA16378 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA16378 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
45074 10TH ST W SUITE 109 |
| City | LANCASTER |
| State | CA |
| Zip Code | 93534-2371 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588957393 | Juliet Bringas | Dietitian, Registered | 45074 10th St W, Lancaster, CA 93534-2371 | 2011-05-26 |
| 1922399609 | Richard Francis Emanuel | Nurse Practitioner | 45074 10th St W, Suite 109, Lancaster, CA 93534-2371 | 2011-04-28 |
| 1548217680 | Karunyan Arulanantham | Internal Medicine | 45074 10th St W, Suite 109, Lancaster, CA 93534-2371 | 2006-05-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194346098 | Lori Ann Barlow Washington | Counselor | 921 W J Street, Lancaster, CA 93534 | 2020-05-01 |
| 1629698253 | Gisela Regalado Paredes | Surgery | Antelope Valley Hospital, 1600 West Ave J, Lancaster, CA 93534 | 2020-04-23 |
| 1124668470 | Latonya Jean Allen | Case Manager/Care Coordinator | 44443 10th St. West, Lancaster, CA 93534 | 2020-01-14 |
| 1629629746 | Korinna Fite | Occupational Therapy Assistant | 43860 10th St. W., Lancaster, CA 93534 | 2019-09-20 |
| 1114576105 | Victor Nemr Hass Md | Anesthesiology | Embassy Surgery Center, 42135 10th Street West 325, Lancaster, CA 93534 | 2019-09-11 |
| 1609421007 | Jaime A Mort | Nurse Practitioner | 43112 N 15st W, Lancaster, CA 93534 | 2019-08-03 |
| 1013560747 | Allyson Lods | Dietitian, Registered | 43115 15th Street West, Lancaster, CA 93534 | 2019-07-22 |
| 1144884123 | Nicole Breanne Palman | Speech-Language Pathologist | 43860 10th St. West, 1st Floor, Lancaster, CA 93534 | 2019-04-25 |
| 1841761475 | Vanessa Gonzalez | Case Manager/Care Coordinator | 44226 10th St West, Lancaster, CA 93534 | 2018-12-07 |
| 1760969265 | Marilyn Joy Pollack | Physical Therapy Assistant | 1306 W Avenue J Ste 2, Lancaster, CA 93534 | 2018-07-26 |
| Find all providers in zip 93534 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821697376 | Sidney Patel | Physician Assistant | 1834 Oregon Pike Ste 20, Lancaster, PA 17601-6463 | 2020-10-25 |
| 1114355104 | Charles Eugene Stream | Physician Assistant | 133 East Fredeick Street, Lancaster, PA 17602 | 2013-10-29 |
| 1982938593 | Kathleen M. Thatcher | Physician Assistant | 401 N. Ewing Street, Fairfield Emergency Physicians, Lancaster, OH 43130 | 2009-09-29 |
| 1033373014 | Rachel Leanne Thompson | Physician Assistant | 701 N Duke St, Lancaster, PA 17602-2019 | 2008-07-18 |
| 1659584746 | Sharon Kay Ashton | Physician Assistant | 1652 W Avenue J, Lancaster, CA 93534-2814 | 2007-05-07 |
| 1477662203 | Joaquin J Garcia | Physician Assistant | 2150 Noll Drive, Suite 100, Lancaster, PA 17603 | 2006-08-29 |
| 1467488072 | Kelly O'sullivan | Physician Assistant | 3 Silent Meadow Ln, Dept of Medicine, Lancaster, NY 14086-3430 | 2006-06-24 |
| 1891738001 | Paul Richard Leaman | Physician Assistant | 625 S. Duke St., Lancaster, PA 17602-0598 | 2006-06-14 |
| 1942249420 | Brian Andrew Martin | Physician Assistant | 2150 Noll Dr Ste 100, Lancaster, PA 17603-7605 | 2006-06-06 |
| 1891742755 | Christine N Kurpiel | Physician Assistant | 1861 Charter Ln, Suite 118, Lancaster, PA 17601-6736 | 2006-05-27 |
| Find all providers in LANCASTER | ||||
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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.