KESARA BORIRAKCHANYAVAT (NPI# 1962580506) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962580506 |
| Entity Type | Individual |
| Full Name | KESARA BORIRAKCHANYAVAT |
| Credential | MD |
| Practice Address |
13652 Cantara St Panorama City CA 91402-5423 |
| Mailing Address |
4285 Farmdale Ave Studio City CA 91604-2734 |
| Practice Telephone | 8183753030 |
| Mailing Telephone | 4153770999 |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2008-03-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | A76396 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00A763960 | 05 |
| Street Address |
13652 CANTARA ST |
| City | PANORAMA CITY |
| State | CA |
| Zip Code | 91402-5423 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578560496 | Daniel Tri Vu | Optometrist | 13652 Cantara St, Panorama City, CA 91402-5423 | 2005-07-07 |
| 1982201406 | Nabbin Sonny Chammachel | Physical Therapist | 13652 Cantara St, Panorama City, CA 91402-5423 | 2020-10-07 |
| 1467090092 | Yoo Kyung Hong | Pharmacist | 13652 Cantara St, Panorama City, CA 91402-5423 | 2019-12-13 |
| 1518513860 | Jane Therese Morejon | Social Worker | 13652 Cantara St, Panorama City, CA 91402-5423 | 2019-08-13 |
| 1023575206 | Kristina Steinbruner | Occupational Therapist | 13652 Cantara St, Panorama City, CA 91402-5423 | 2019-02-25 |
| 1437626272 | Michelle Harden | Respiratory Therapist, Registered | 13652 Cantara St, Panorama City, CA 91402-5423 | 2018-10-30 |
| 1548736861 | Vahe Ghazarian | Respiratory Therapist, Registered | 13652 Cantara St, Panorama City, CA 91402-5423 | 2018-10-15 |
| 1366917197 | Julie Yoo | Pharmacist | 13652 Cantara St, Panorama City, CA 91402-5423 | 2018-10-08 |
| 1801361639 | Flavius Lucian Baiesc | Pharmacist | 13652 Cantara St, Panorama City, CA 91402-5423 | 2018-10-08 |
| 1447725361 | Vikram Sehdev | Respiratory Therapist, Registered | 13652 Cantara St, Panorama City, CA 91402-5423 | 2018-10-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457900979 | Natalie Levine | Physician Assistant | 9140 Van Nuys Blvd Ste 207, Panorama City, CA 91402 | 2019-09-06 |
| 1609423912 | Jannet De La Torre | Student in an Organized Health Care Education/Training Program | 8018 Broadleaf Ave., Panorama City, CA 91402 | 2019-08-21 |
| 1659838258 | Carlota Andon | Psychologist | 14907 Willard St., Panorama City, CA 91402 | 2019-03-01 |
| 1477037471 | Lisa Diaz | Respiratory Therapist, Registered | 13651 Cantara St, Panorama City, CA 91402 | 2018-09-17 |
| 1124500665 | Luis Valentine Ascencio Jr. | Respiratory Therapist, Certified | Southern Calif. Kaiser Permanente Hospital, 8110 Woodman Ave Building 5, Panorama City, CA 91402 | 2018-08-31 |
| 1669951562 | Floyd Bailey | Respiratory Therapist, Registered | 8110 Woodman Ave Bldg 5, Panorama City, CA 91402 | 2018-08-10 |
| 1265910285 | St. Rita's Congregate, Inc. | Nursing Facility/Intermediate Care Facility | 7818 Allott Ave, Van Nuys, CA 91402 | 2018-08-01 |
| 1255834370 | Bishoy Saad | Student in an Organized Health Care Education/Training Program | 8435 Minuet Pl, Panorama City, CA 91402 | 2018-03-15 |
| 1376080309 | International Pre-diabetes Center Inc | Registered Nurse | 14500 Roscoe Blvd., 4th Floor, 4th Floor, Panorama City, CA 91402 | 2017-01-29 |
| 1023489176 | Jane Ryang | Pharmacist | 13652 Cantara Street, Mo4 Room 105, Panorama City, CA 91402 | 2015-10-15 |
| Find all providers in zip 91402 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942592266 | Jennifer Ang | Dermatology | 8120 Woodman Ave, Panorama City, CA 91402 | 2011-05-04 |
| 1568782100 | Adam Rees | Dermatology | 13652 Cantara St, South One Bldg, Area 187, Panorama City, CA 91402-5423 | 2010-06-06 |
| 1922156843 | Jonathan Carp | Dermatology | 13652 Cantara St, Panorama City, CA 91402-5423 | 2007-01-08 |
| 1740357631 | Nancy E. Jasso | Dermatology | 13652 Cantara St, Panorama City, CA 91402-5423 | 2006-11-29 |
| 1932299039 | Brian D Brosnan | Dermatology | 13652 Cantara St, South One Building Area 210, Panorama City, CA 91402 | 2006-10-13 |
| 1619902087 | Howard V Fletcher | Dermatology | 13652 Cantara St, Panorama City, CA 91402-5423 | 2006-07-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275144024 | Lumins Aesthetic and Wellness, Inc | Dermatology | 20281 Sw Birch St, Suite 201, Newport Beach, CA 92660 | 2020-08-14 |
| 1669081204 | Lucy Boyadzhian | Dermatology | 7472 Melrose Ave, Los Angeles, CA 90046-7524 | 2020-07-29 |
| 1033730981 | Adrianna Janell Browne, Md, Inc. | Dermatology | 8 Camino Encinas Ste 115, Orinda, CA 94563-3350 | 2020-05-01 |
| 1215564877 | Jasmine Khachatrian | Dermatology | 302 Sierra Woods Dr, Sierra Madre, CA 91024-1015 | 2020-03-24 |
| 1386277499 | Jessica Hsu, M.d.,inc | Dermatology | 1506 Chapman Avenue, Address Line 2, Orange, CA 92866 | 2020-02-17 |
| 1245862101 | Yuval Bibi, A Professional Corporation | Dermatology | 7266 Franklin Ave Apt 321, Los Angeles, CA 90046-8324 | 2020-02-09 |
| 1457982001 | Modesty Joy Isaguirre | Dermatology | 140 S Grand Ave, Glendora, CA 91741-4259 | 2020-02-03 |
| 1790322063 | Mfc Dermatology | Dermatology | 3655 Lomita Blvd Ste 221, Torrance, CA 90505-1918 | 2019-12-05 |
| 1336784206 | Barbara Kinkle Pa Inc., A Physician Assistant Corporation | Dermatology | 24575 Hunt Ave, Corning, CA 96021-8607 | 2019-11-14 |
| 1497399141 | Dermatology Specialists Inc | Dermatology | 4765 Carmel Mountain Rd Ste 201, San Diego, CA 92130-6657 | 2019-11-05 |
| Find all providers with the same taxonomy | ||||
| City | PANORAMA CITY |
| Zip Code | 91402 |
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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.