Kylie B Peterman (NPI# 1790258788, PAC ID# 6305185356) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1790258788 |
| PAC ID by PECOS | 6305185356 |
| Professional Enrollment ID | I20190308001720 |
| Full Name | Kylie B Peterman |
| Organization Legal Name | FARZAD MASSOUDI MD INC |
| Address |
23961 Calle De La Magdalena Suite 504 Laguna Hills CA 92653-3665 |
| Phone Number | 9495885800 |
| Gender | F |
| Graduation Year | 2018 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 8820087521 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050567 | MISSION HOSPITAL REGIONAL MED CENTER |
| 050603 | SADDLEBACK MEMORIAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 23961 Calle De La Magdalena, Suite 504, Laguna Hills, CA 92653-3665 | 9495885800 | FARZAD MASSOUDI MD INC |
| Organization Legal Name | FARZAD MASSOUDI MD INC |
| Physicians | 1 |
| Street Address |
23961 CALLE DE LA MAGDALENA SUITE 504 |
| City | LAGUNA HILLS |
| State | CA |
| Zip | 92653-3665 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Robert J Jackson | Neurosurgery | Robert J Jackson M.d., Inc. | 23961 Calle De La Magdalena, Suite 504, Laguna Hills, CA 92653-3665 |
| David L Rodibaugh | Diagnostic Radiology | Beverly Radiology Medical Group IIi | 23961 Calle De La Magdalena, Suite 243, Laguna Hills, CA 92653-3600 |
| Esrafil Abedi | Otolaryngology | 23961 Calle De La Magdalena, Suite 430, Laguna Hills, CA 92653-3685 | |
| Ming H Robinson | Obstetrics/gynecology | 23961 Calle De La Magdalena, Suite 347, Laguna Hills, CA 92653-3665 | |
| Robert G Feldman | Internal Medicine | 23961 Calle De La Magdalena, Laguna Hills, CA 92653-3616 | |
| Karl D Bassler | Dermatology | 23961 Calle De La Magdalena, Suite 520, Laguna Hills, CA 92653-7622 | |
| Wesley M Nottage | Orthopedic Surgery | 23961 Calle De La Magdalena, Suite 229, Laguna Hills, CA 92653-3600 | |
| Darin E Johnson | Physician Assistant | Robert J Jackson M.d., Inc. | 23961 Calle De La Magdalena, Suite 504, Laguna Hills, CA 92653-3665 |
| Larry J Lindley | Physical Therapy | H2orthopedic Physical Therapy Inc | 23961 Calle De La Magdalena, Suite 119, Laguna Hills, CA 92653-3616 |
| Jason A Liauw | Neurosurgery | Beel Medical Inc | 23961 Calle De La Magdalena, Suite 405, Laguna Hills, CA 92653-3683 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| James C. Chang | Anesthesiology | West Coast Anesthesia of Pacific Hills | 24022 La Plata, Suite 180, Laguna Hills, CA 92653 |
| David G Woodward | Anesthesiology | West Coast Anesthesia of Pacific Hills | 24022 La Plata, Suite 180, Laguna Hills, CA 92653 |
| Jose D Fojas | Physical Therapy | Rehab Alliance | 22995 Mill Creek Dr, Suite A, Laguna Hills, CA 92653-1215 |
| Brooke Varon | Physical Therapy | Rehab Alliance | 22995 Mill Creek Dr, Suite A, Laguna Hills, CA 92653-1215 |
| Wendy U Tran | Optometry | 22972 Moulton Pkwy, Suite 104, Laguna Hills, CA 92653-1219 | |
| Sam Pourbabak | Endocrinology | Ku Juey Raymond Chang Inc. | 23141 Moulton Pkwy, Suite 102, Laguna Hills, CA 92653-1241 |
| Monica M Harms | General Practice | Ku Juey Raymond Chang Inc. | 23141 Moulton Pkwy, Suite 102, Laguna Hills, CA 92653-1241 |
| Yaseen Kady | Physician Assistant | Ku Juey Raymond Chang Inc. | 23141 Moulton Pkwy, Suite 102, Laguna Hills, CA 92653-1241 |
| Jill E Jones | Physician Assistant | Ku Juey Raymond Chang Inc. | 23141 Moulton Pkwy, Suite 102, Laguna Hills, CA 92653-1241 |
| Sam Nosrati | Podiatry | Artisan Foot and Ankle Podiatric Specialists Inc | 23141 Moulton Pkwy, Suite 109, Laguna Woods, CA 92653-1241 |
| Find all physicians in zip 92653 | |||
| City | LAGUNA HILLS |
| Zip Code | 92653 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | LAGUNA HILLS + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Kylie B Peterman.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.