| Matin Khoshnevis Md Inc | |
|
5773 Greenback Lane, Sacramento, CA 95841 | |
| (916) 863-3143 | |
| (916) 863-3148 |
| Full Name | Matin Khoshnevis Md Inc |
|---|---|
| Type | Facility |
| Speciality | Ophthalmology |
| Location | 5773 Greenback Lane, Sacramento, California |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134173099 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | (* (Not Available)) | Secondary |
| 207W00000X | Ophthalmology | (* (Not Available)) | Primary |
| Provider Name | Rebecca D Kennedy |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1831120153 PECOS PAC ID: 0042110025 Enrollment ID: I20040113000735 |
| Provider Name | Stephanie A Yoshimura |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1356435697 PECOS PAC ID: 4183518483 Enrollment ID: I20040209000881 |
| Provider Name | Jerome L Brendel |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1831189620 PECOS PAC ID: 4789604158 Enrollment ID: I20051130000300 |
| Provider Name | Edwin M Cook |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1790166734 PECOS PAC ID: 5395035307 Enrollment ID: I20160603000731 |
| Provider Name | Justin P Kozloski |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1407305097 PECOS PAC ID: 7911287586 Enrollment ID: I20170609001993 |
| Provider Name | Vu Nguyen |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1760971402 PECOS PAC ID: 6002169166 Enrollment ID: I20181019001512 |
| Provider Name | Matin Khoshnevis |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1477907020 PECOS PAC ID: 0648557447 Enrollment ID: I20200716002334 |
| Provider Name | Thi Phuong Thuy Phung |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1922699271 PECOS PAC ID: 2668887894 Enrollment ID: I20210219001324 |
| Provider Name | Aruj Ali |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1265174254 PECOS PAC ID: 9133505118 Enrollment ID: I20220928001369 |
| Mailing Address | Practice Location Address |
|---|---|
| Matin Khoshnevis Md Inc 5773 Greenback Lane, Sacramento, CA 95841 Ph: (916) 863-3143 | Matin Khoshnevis Md Inc 5773 Greenback Lane, Sacramento, CA 95841 Ph: (916) 863-3143 |