BAYAN AGHDASI
Orthopaedic Surgery

Address: 2545 W Hammer Ln, Stockton, CA 95209-2839

BAYAN AGHDASI (NPI# 1225476500) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

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

Taxonomy

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

Other Provider Identifier

State Issuer Identifier Type Code
MD LICENSE D87120 Other

Provider Secondary Practice Locations

Address Telephone Number Fax Number
6565 Fannin St # Sm2500, Houston, TX 770302703 7134413556
600 N Wolfe St, Baltimore, MD 21287 4109555000

Office Location

Street Address 2545 W HAMMER LN
City STOCKTON
State CA
Zip Code 95209-2839

Providers in the same location

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
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Providers in the same city

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
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Taxonomy Information

Taxonomy Code 207XS0117X
Grouping Allopathic & Osteopathic Physicians
Classification Orthopaedic Surgery
Specialization Orthopaedic Surgery of the Spine

Taxonomy Definition

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.

Providers in the same taxonomy and state

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
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Competitor

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City STOCKTON
Zip Code 95209

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Dataset Information

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.