MEHRAN ROUHANI SISAN (NPI# 1841579489) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841579489 |
| Entity Type | Individual |
| Full Name | MEHRAN ROUHANI SISAN |
| Credential | M.D. |
| Practice Address |
501 S Idaho St Suite 100 La Habra CA 90631-6047 |
| Mailing Address |
501 S Idaho St Suite 260 La Habra CA 90631-6047 |
| Practice Telephone | 5626900400 |
| Practice Fax Number | 5625011198 |
| Mailing Telephone | 5625011720 |
| Mailing Fax Number | 5625011198 |
| Enumeration Date | 2011-08-14 |
| Last Update Date | 2016-11-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | A126959 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
501 S IDAHO ST SUITE 100 |
| City | LA HABRA |
| State | CA |
| Zip Code | 90631-6047 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538123443 | Thomas W. Shaw | Psychologist | 501 S Idaho St, Suite 250, La Habra, CA 90631-6047 | 2006-04-17 |
| 1508286915 | Kevin Gan | Internal Medicine | 501 S Idaho St, La Habra, CA 90631-6047 | 2014-04-24 |
| 1710271143 | Diba Farah | Pediatrics | 501 S Idaho St, Suite 190, La Habra, CA 90631-6047 | 2011-06-02 |
| 1568778181 | Albert Barnett | Family Medicine | 501 S Idaho St, Suite 300, La Habra, CA 90631-6047 | 2010-08-19 |
| 1871818138 | Friends of Family Health Center | Pediatrics | 501 S Idaho St, Suite 100, La Habra, CA 90631-6047 | 2010-03-30 |
| 1073794152 | Esther Guardado | Physician Assistant | 501 S Idaho St, 100, La Habra, CA 90631 | 2007-11-17 |
| 1447449343 | Varona Nikore | Specialist | 501 S Idaho St, Suite 190, La Habra, CA 90631-6047 | 2007-10-17 |
| 1104015981 | Betty Yang | Dentist | 501 S Idaho St, La Habra, CA 90631-6047 | 2007-10-17 |
| 1356538490 | Friends of Children Health Center | Clinic/Center | 501 S Idaho St, La Habra, CA 90631-6047 | 2007-10-03 |
| 1366584146 | Eduardo Vasquez | Dentist | 501 S Idaho St, Suite 120, La Habra, CA 90631-6047 | 2007-02-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174163323 | Knowledge of Autism & Other Developmental Disabilities, LLC. | Assistant Behavior Analyst | 890 Whitebook Drive, La Habra, CA 90631 | 2020-01-15 |
| 1215572417 | Anthony Alonzo Favot | Physician Assistant | 2500 Sidon Ave., La Habra, CA 90631 | 2019-11-12 |
| 1487123618 | Adrian Acosta Dds A Prof Dental Corp | Dentist | 901 W. Whittier Blvd, La Habra, CA 90631 | 2018-11-16 |
| 1669961587 | La Habra Villa, LLC | Assisted Living Facility | 1100 E.whittier Blvd, La Habra, CA 90631 | 2018-05-07 |
| 1679089767 | Alicia Igarta | Behavioral Analyst | 890 Whitebook Dr, La Habra, CA 90631 | 2017-12-27 |
| 1609386564 | Antoinette Marie Burgonio | Counselor | 820 Buena Vista Ave, La Habra, CA 90631 | 2017-10-05 |
| 1023527710 | Sharon Rose Stines | Counselor | 271 W. Imperial Hwy, Suite C, La Habra, CA 90631 | 2017-09-25 |
| 1275050999 | Ivan Andro Simunovic | Physician Assistant | 1341 Brookdale Ave., La Habra, CA 90631 | 2017-08-23 |
| 1730609645 | Lorraine Danielle Granado | Specialist/Technologist | 2301 Las Palomas Dr, La Habra Heights, CA 90631 | 2017-06-21 |
| 1649717844 | Marzieh Simonton | Nurse Practitioner | 921 Donnybrook Ave, La Habra, CA 90631 | 2017-01-25 |
| Find all providers in zip 90631 | ||||
| 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 |
|---|---|---|---|---|
| 1912360918 | Dennis Chang | Internal Medicine | 1131 Brookdale Ave, La Habra, CA 90631-3115 | 2016-03-29 |
| 1821316209 | Simon Baek | Internal Medicine | 2151 W. Toledo Place, La Habra, CA 90631 | 2010-05-11 |
| 1316042567 | Shubhangi Sudhir Godbole | Internal Medicine | 501 S Idaho St Ste 100, La Habra, CA 90631-6047 | 2006-09-13 |
| 1922049279 | Daniel Uribe | Internal Medicine | 121 N Euclid St, La Habra, CA 90631-4614 | 2006-06-09 |
| 1508286915 | Kevin Gan | Internal Medicine | 501 S Idaho St, La Habra, CA 90631-6047 | 2014-04-24 |
| 1700125127 | Walter Jayasinghe M.d. A Professional Corp | Internal Medicine | 200 S Beach Blvd, Suite C, La Habra, CA 90631-5180 | 2013-02-05 |
| 1841556818 | Kavosh Rahimi | Internal Medicine | 501 S Idaho St Ste 100, La Habra, CA 90631-6047 | 2012-04-04 |
| 1235315391 | Daniel Uribe Md | Internal Medicine | 121 N Euclid St, La Habra, CA 90631-4614 | 2008-01-18 |
| 1508916966 | Institute for Healthcare Advancement | Internal Medicine | 501 S Idaho St, Suite #190, La Habra, CA 90631-6047 | 2007-01-10 |
| 1750484309 | Ameri-west Health Associates Inc | Internal Medicine | 202 W La Habra Blvd, La Habra, CA 90631-5404 | 2006-09-07 |
| Find all providers in LA HABRA | ||||
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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.