BAYAN AGHDASI (NPI# 1225476500) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225476500 |
| Entity Type | Individual |
| Full Name | BAYAN AGHDASI |
| Gender | Male |
| Credential | M.D. |
| Practice Address | 2545 W Hammer Ln Stockton CA 95209-2839 |
| Practice Telephone | 2099481641 |
| Mailing Address | Po Box 255228 Sacramento CA 95865-5228 |
| Certification Date | 2020-09-11 |
| Enumeration Date | 2013-06-10 |
| Last Update Date | 2020-09-11 |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | Taxonomy Group | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|---|
| N | 207X00000X | Orthopaedic Surgery | D87120 | MD | Allopathic & Osteopathic Physicians | |
| N | 207X00000X | Orthopaedic Surgery | A168885 | CA | Allopathic & Osteopathic Physicians | |
| Y | 207XS0117X | Orthopaedic Surgery Specialization: Orthopaedic Surgery of the Spine | A168885 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | LICENSE | D87120 | Other |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 6565 Fannin St # Sm2500, Houston, TX 770302703 | 7134413556 | |
| 600 N Wolfe St, Baltimore, MD 21287 | 4109555000 |
| Street Address | 2545 W HAMMER LN |
| City | STOCKTON |
| State | CA |
| Zip Code | 95209-2839 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720085921 | Victor William Macko | Orthopaedic Surgery | 2545 W Hammer Ln, Stockton, CA 95209-2839 | 2005-07-01 |
| 1720602709 | Helena Astani | Physician Assistant | 2545 W Hammer Ln, Stockton, CA 95209-2839 | 2020-06-04 |
| 1881143832 | Stephanie Borja-Johnson | Audiologist | 2545 W Hammer Ln, Stockton, CA 95209-2839 | 2016-09-30 |
| 1063887883 | Sutter Valley Medical Foundation · Stockton Medical Plaza Specialty Care | Dermatology | 2545 W Hammer Ln, Stockton, CA 95209-2839 | 2015-12-04 |
| 1740690718 | Nataliya Vang | Student in an Organized Health Care Education/Training Program | 2545 W Hammer Ln, Stockton, CA 95209-2839 | 2014-04-30 |
| 1811317241 | Lee Mullen | Nurse Practitioner | 2545 W Hammer Ln, Stockton, CA 95209-2839 | 2014-04-24 |
| 1194147645 | Sandar Linn | Internal Medicine · Gastroenterology | 2545 W Hammer Ln, Stockton, CA 95209-2839 | 2014-01-16 |
| 1669817011 | Lauren Henderson Lomax · Lauren Iman Henderson | Dermatology | 2545 W Hammer Ln, Stockton, CA 95209-2839 | 2013-04-29 |
| 1548525967 | Hazel-Kay Yurong | Nurse Practitioner · Family | 2545 W Hammer Ln, Stockton, CA 95209-2839 | 2012-07-11 |
| 1104100221 | Seiha Thorng | Podiatrist · Foot & Ankle Surgery | 2545 W Hammer Ln, Stockton, CA 95209-2839 | 2011-10-07 |
| Find all providers in the same address | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609464114 | Normita Raquel Velasquez Rosales | Licensed Psychiatric Technician | 1947 N California St Ste Bandc, Stockton, CA 95204-6029 | 2021-01-10 |
| 1629666250 | Kristina E Neuner | Licensed Psychiatric Technician | 731 Garner Ln, Stockton, CA 95207-4806 | 2021-01-08 |
| 1659969400 | Tammy M Rodriguez | Pharmacist | 328 E Lancaster Dr, Stockton, CA 95207-5821 | 2021-01-07 |
| 1104414028 | Uyayi Acupuncture & Herbal Medicine: A Professional Corporation | Acupuncturist | 415 W Benjamin Holt Dr Ste B3, Stockton, CA 95207-3958 | 2021-01-06 |
| 1437747359 | Guadalupe R Gomez | Social Worker | 2156 Picasso Way, Stockton, CA 95206-6055 | 2021-01-06 |
| 1336736750 | Yonathan Gamboa | Clinic/Center · Dental | 966 W Mariposa Ave, Stockton, CA 95204-3017 | 2020-12-31 |
| 1265029128 | Physiosport: Performance and Physical Therapy Inc. | Durable Medical Equipment & Medical Supplies | 4929 Franco Ave, Stockton, CA 95212-1909 | 2020-12-27 |
| 1003403007 | Lalitkumar Sukhram Singh Rajora | Pharmacist | 1801 E March Ln Ste B270, Stockton, CA 95210-6629 | 2020-12-23 |
| 1245827260 | Savanah J Sanchez | Behavior Technician | 516 W Park St, Stockton, CA 95203-2415 | 2020-12-23 |
| 1679169924 | Samra Dds Inc. | Dentist · Oral and Maxillofacial Surgery | 2431 W March Ln Ste 100-A, Stockton, CA 95207-8211 | 2020-12-20 |
| Find all providers in STOCKTON | ||||
| Taxonomy Code | 207XS0117X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Orthopaedic Surgery of the Spine |
| Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Separate board certification is not currently offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720649940 | Travis Loidolt D.o. Inc | 584 N. Sunrise Ave., Suite 100, Roseville, CA 95661-2862 | 2019-06-27 | |
| 1528629185 | Kushagra Verma Md Inc | 2006 Bataan Rd Unit A, Redondo Beach, CA 90278-1306 | 2019-06-25 | |
| 1144888348 | Borys Gvozdyev Md A Professional Medical Corporation | 18035 Brookhurst St # 1200, Fountain Valley, CA 92708-6738 | 2019-06-03 | |
| 1992369227 | Veronica Donato | 1245 Wilshire Blvd Ste 770, Los Angeles, CA 90017-4881 | 2019-04-22 | |
| 1134681232 | Sca Care of Ca, LLC | 533 Airport Blvd Ste 420, Burlingame, CA 94010-2018 | 2019-04-05 | |
| 1528557568 | James Alfred Aicardi | 3838 California St Rm 715, San Francisco, CA 94118-1509 | 2018-05-04 | |
| 1457850661 | Ravi Ramachandran Md Inc | 2330 E Bidwell St Ste 100, Folsom, CA 95630-3897 | 2018-02-03 | |
| 1386153252 | Montesano Spine & Sport West, P.C. · Montesano Spine & Sport West, Inc. | 450 N Roxbury Dr Ste 602, Beverly Hills, CA 90210-4220 | 2017-09-23 | |
| 1831599802 | Spine Group Beverly Hills Inc | 8929 Wilshire Blvd, Suite 302, Bevelry Hills, CA 90211 | 2014-08-27 | |
| 1245641265 | Bradley Curtis Johnson | 39 Congress St Fl 2, Pasadena, CA 91105-3024 | 2014-05-13 | |
| Find all providers in the same taxonomy | ||||
| City | STOCKTON |
| Zip Code | 95209 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568712065 | Roxanne Bayan Dzierzewski · Roxanne Nona Bayan | Psychologist · Clinical | 1901 Huguenot Rd Ste 305, North Chesterfield, VA 23235 | 2012-09-12 |
| 1558476630 | Soheila Aghdasi | Pharmacist | 1 Freedom Way (114), Augusta, GA 30904-6258 | 2006-08-20 |
| 1710413679 | Ozheh Aghdasi | Student in an Organized Health Care Education/Training Program | 320 E North Ave, Pittsburgh, PA 15212-4756 | 2017-05-11 |
| 1922253657 | Iraj Aghdasi, Md PC | Internal Medicine | 851 Main St, Suite 24, Weymouth, MA 02190-1612 | 2008-11-21 |
| 1154405934 | Iraj Aghdasi | Internal Medicine | 851 Main St, Suite # 24, South Weymouth, MA 02190-1612 | 2006-10-25 |
| 1821405713 | Zina Sarah Irwin Aghdasi | Lactation Consultant, Non-RN | 285 Brush Hill Rd, Milton, MA 02186-1011 | 2014-07-13 |
| 1952962789 | Bayan Alramini | Student in an Organized Health Care Education/Training Program | 900 S Caton Ave, Baltimore, MD 21229-5295 | 2019-06-24 |
| 1710543012 | Rhea Bayan | Licensed Psychiatric Technician | 679 S New Hampshire Ave, Los Angeles, CA 90005-1355 | 2019-05-13 |
| 1306192976 | Bayan Mesmar | Internal Medicine · Endocrinology, Diabetes & Metabolism | 219 S Washington St, Easton, MD 21601 | 2012-07-31 |
| 1710473939 | Bayan A Alzumaili | Student in an Organized Health Care Education/Training Program | 10 Amsterdam Ave, New York, NY 10023-7464 | 2018-07-11 |
Please provide details on BAYAN AGHDASI by submitting the form below, or post on facebook comments.
Note that the information provided will be posted publicly on this web page. Please do not leave private contact information here. If you would like to contact us, please use this form.
| 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.