ANOUSHIRAVAN BOGHAIRI MD (NPI# 1972704054) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972704054 |
| Entity Type | Organization |
| Organization Name | ANOUSHIRAVAN BOGHAIRI MD |
| Practice Address |
5565 Grossmont Center Drive Bldg 1 Ste 115 La Mesa CA 91942 |
| Practice Telephone | 6196986667 |
| Practice Fax Number | 6196986684 |
| Mailing Telephone | 6196986667 |
| Mailing Fax Number | 6196986684 |
| Enumeration Date | 2007-05-29 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | ANOUSHIRAVAN BOGHAIRI (PRESIDENT) |
| Authorized Official Telephone | 6196986667 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
Allopathic & Osteopathic Physicians |
| Street Address |
5565 GROSSMONT CENTER DRIVE BLDG 1 STE 115 |
| City | LA MESA |
| State | CA |
| Zip Code | 91942 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811992761 | Ear Nose and Throat Associates of San Diego A Medical Corp | Specialist | 5565 Grossmont Center Drive, Bldg 3, Suite 101, La Mesa, CA 91942-3021 | 2005-06-16 |
| 1043445398 | Simon Lavotshkin | Surgery | 5565 Grossmont Center Drive, Bld #1 Suite 221, La Mesa, CA 91942 | 2009-05-15 |
| 1932309200 | Talita Cila Bolomey | Physical Therapist | 5565 Grossmont Center Drive, Suite 360, La Mesa, CA 91942 | 2007-07-24 |
| 1255549184 | Anoushiravan Boghairi | Internal Medicine | 5565 Grossmont Center Drive, Bldg 1 Ste 115, La Mesa, CA 91942 | 2007-05-21 |
| 1144340449 | Ben A Anella | Dentist | 5565 Grossmont Center Drive, #356, La Mesa, CA 91942 | 2007-03-30 |
| 1770673238 | Geoffrey Barrett Pitzer | Otolaryngology | 5565 Grossmont Center Drive, Building 3 Suite 101, La Mesa, CA 29425-0001 | 2006-10-13 |
| 1295827830 | Grossmont Surgical Associates,inc | Surgery | 5565 Grossmont Center Drive, Suite 1-221, La Mesa, CA 91942-3020 | 2006-09-29 |
| 1811095136 | Grossmont Outpatient Surgical Center | Clinic/Center | 5565 Grossmont Center Drive, Bldg. 3 Suite 250, La Mesa, CA 91942-3026 | 2006-09-20 |
| 1770596413 | Michael E Musicant Md | Surgery | 5565 Grossmont Center Drive, Building 1 Suite 221, La Mesa, CA 91942-3022 | 2006-08-14 |
| 1730195694 | Carl Eric Orr | Surgery | 5565 Grossmont Center Drive, Building 1 Suite 221, La Mesa, CA 91942 | 2006-07-31 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902453723 | Nicole V Zappelli | Case Manager/Care Coordinator | 4990 William Ave., La Mesa, CA 91942 | 2019-08-26 |
| 1770059834 | Natalie Ngoc Nguyen | Physician Assistant | 5555 Grosmont Center Dr., La Mesa, CA 91942 | 2018-10-16 |
| 1194204297 | Courtney Pietsch | Nurse Practitioner | 8851 Health Center Circle, Suite #603, La Mesa, CA 91942 | 2018-08-09 |
| 1295214773 | Megan Gordon | Behavior Technician | 6116 Horton Dr, La Mesa, CA 91942 | 2018-08-07 |
| 1356836548 | Kimberly Denise Davis | Counselor | 3845 Avocado School Road, El Cajon, CA 91942 | 2018-06-29 |
| 1366932113 | Melanie Joyce Shepard | Physician Assistant | 7051 Alvarado Road, Suite 201, La Mesa, CA 91942 | 2018-05-17 |
| 1871013532 | Low Dental, A.p.c. | Public Health or Welfare | 7872 La Mesa Blvd., La Mesa, CA 91942 | 2017-06-23 |
| 1275069437 | Ardel Ayala | Respiratory Therapist, Registered | 5800 Lake Murray Blvd. Unit 15, La Mesa, CA 91942 | 2017-05-10 |
| 1285007583 | Counseling & Behavioral Specialists | Marriage & Family Therapist | 5520 Wellesley Street, Ste 204, La Mesa, CA 91942 | 2015-11-09 |
| 1285001875 | Emily Shozaki Rizo | Nurse Practitioner | 6285 Meadowcrest Drive, La Mesa, CA 91942 | 2015-08-31 |
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| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://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 |
|---|---|---|---|---|
| 1396259362 | Ronald K Goldberg Md Inc | Internal Medicine | 5565 Grossmont Center Dr Ste 455, La Mesa, CA 91942-3073 | 2017-11-28 |
| 1073768891 | Genaro Fernandez | Internal Medicine | 8851 Center Dr Ste 304, La Mesa, CA 91942 | 2008-11-20 |
| 1104884790 | Michael H Michalski | Internal Medicine | 5358 Jackson Dr, Suite 1, La Mesa, CA 91942-3040 | 2006-05-03 |
| 1316913833 | Peter H Belott | Internal Medicine | 8851 Center Dr Ste 305, La Mesa, CA 91942-3048 | 2006-02-24 |
| 1366438764 | Nassir A Azimi | Internal Medicine | 5565 Grossmont Center Dr Ste 444, La Mesa, CA 91942-3020 | 2005-09-21 |
| 1780227694 | Nassir A Azimi, Md, A Professional Corporation | Internal Medicine | 5565 Grossmont Center Dr, Bldg 3, Suite 444, La Mesa, CA 91942-3020 | 2019-10-23 |
| 1316347040 | Bryant Nguyen, Md, PC | Internal Medicine | 8851 Center Dr, Suite 304, La Mesa, CA 91942-3017 | 2014-08-29 |
| 1538571864 | Sherev Heart and Vascular Clinic, Inc. | Internal Medicine | 8851 Center Dr, Ste 304, La Mesa, CA 91942-3017 | 2014-05-21 |
| 1306197447 | Payam Mehranpour, Inc. | Internal Medicine | 8851 Center Dr Ste 405, La Mesa, CA 91942-3198 | 2012-09-28 |
| 1346509031 | Reddiwandla Seenu Reddy, M.d., Inc. | Internal Medicine | 8881 Fletcher Pkwy, Ste #240, La Mesa, CA 91942-3134 | 2012-05-15 |
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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.