| Anvar Medical Group | |
|
9335 Reseda Blvd Ste 100 Northridge CA 91324 | |
| (310) 445-5999 | |
| (310) 445-6622 |
| Full Name | Anvar Medical Group |
|---|---|
| Speciality | Clinic/Center |
| Location | 9335 Reseda Blvd Ste 100, Northridge, California |
| Authorized Official Name and Position | Bardia Anvar (PRESIDENT) |
| Authorized Official Contact | 3104455999 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Anvar Medical Group 12021 Wilshire Blvd # 745 Los Angeles CA 90025-1206 Ph: (310) 445-5999 | Anvar Medical Group 9335 Reseda Blvd Ste 100 Northridge CA 91324 Ph: (310) 445-5999 |
| NPI Number | 1831539485 |
|---|---|
| Provider Enumeration Date | 06/27/2013 |
| Last Update Date | 11/26/2024 |
| Certification Date | 11/26/2024 |
| Medicare PECOS PAC ID | 4284875451 |
|---|---|
| Medicare Enrollment ID | O20130731000072 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831539485 | NPI | - | NPPES |
| Provider Name | Jay P Lee |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1508881574 PECOS PAC ID: 6204852262 Enrollment ID: I20051019000214 |
| Provider Name | Bardia Aaron Anvar |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1679516314 PECOS PAC ID: 0941392443 Enrollment ID: I20081213000023 |
| Provider Name | Surinder Puri |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477689651 PECOS PAC ID: 4981756780 Enrollment ID: I20090708000532 |
| Provider Name | Oluwole Fajolu |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1376602953 PECOS PAC ID: 4082800784 Enrollment ID: I20101119000967 |
| Provider Name | Bekele T Haimanot |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1811207632 PECOS PAC ID: 7416145966 Enrollment ID: I20101228000093 |
| Provider Name | Amy Ibach |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1609888478 PECOS PAC ID: 2466636139 Enrollment ID: I20110405000883 |
| Provider Name | Justin Young |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1033370945 PECOS PAC ID: 8628201506 Enrollment ID: I20140429002193 |
| Provider Name | Jamie S Kim |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1053658005 PECOS PAC ID: 3072837640 Enrollment ID: I20150130002122 |
| Provider Name | Martha G Morris |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1578800827 PECOS PAC ID: 2668789645 Enrollment ID: I20150923003408 |
| Provider Name | Daniel Eshaghian |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497015085 PECOS PAC ID: 2961701339 Enrollment ID: I20160506000633 |
| Provider Name | Lorena Del Valle |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1972840338 PECOS PAC ID: 1355630484 Enrollment ID: I20160512002381 |
| Provider Name | Vanessa P Guzman |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1588190664 PECOS PAC ID: 6709142854 Enrollment ID: I20171107001067 |
| Provider Name | Rebecca Zaghi |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1598237471 PECOS PAC ID: 7719212976 Enrollment ID: I20190710000918 |
| Provider Name | Aldo David Espinoza |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336707496 PECOS PAC ID: 2365877537 Enrollment ID: I20200115003083 |
| Provider Name | Audrey Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639653447 PECOS PAC ID: 8426486655 Enrollment ID: I20200320002281 |
| Provider Name | Ernie Hernandez |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1306471560 PECOS PAC ID: 8820418015 Enrollment ID: I20201008001604 |
| Provider Name | Hilda a Fujimoto |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881212066 PECOS PAC ID: 8123431616 Enrollment ID: I20201229003076 |
| Provider Name | Karapet Mirakyan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194318014 PECOS PAC ID: 5294134847 Enrollment ID: I20210601002604 |
| Provider Name | Mikey Thanteraphong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437795333 PECOS PAC ID: 6507137684 Enrollment ID: I20211027002125 |
| Provider Name | Min Kim |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053088849 PECOS PAC ID: 1850778176 Enrollment ID: I20220506000649 |
| Provider Name | Thirat Chakavanmongkol |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265188221 PECOS PAC ID: 1153796164 Enrollment ID: I20230405000578 |
| Provider Name | Margaret Lisa Atmodjo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437926771 PECOS PAC ID: 6709300015 Enrollment ID: I20250408002915 |
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Moore Care Providers Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8860 Corbin Ave, Ste 386, Northridge, CA 91324 Phone: 818-428-7521 |
Rahil Khan MD, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8349 Reseda Blvd, Northridge, CA 91324 Phone: 818-280-6816 Fax: 818-280-6859 |
El Proyecto Del Barrio,inc Northridge Community Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 18250 Roscoe Blvd Ste 200, Northridge, CA 91325 Phone: 818-721-4800 Fax: 818-721-4825 |