| Farschad Birdjandi MD Inc | |
|
6655 Alvarado Rd San Diego CA 92120-5208 | |
| (619) 287-3270 | |
| Not Available |
| Full Name | Farschad Birdjandi MD Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 6655 Alvarado Rd, San Diego, California |
| Authorized Official Name and Position | Farschad Birdjandi (MD) |
| Authorized Official Contact | 8582466214 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Farschad Birdjandi MD Inc 5412 Thunderbird Ln La Jolla CA 92037-7056 Ph: (858) 246-6214 | Farschad Birdjandi MD Inc 6655 Alvarado Rd San Diego CA 92120-5208 Ph: (619) 287-3270 |
| NPI Number | 1558844019 |
|---|---|
| Provider Enumeration Date | 09/11/2018 |
| Last Update Date | 10/28/2024 |
| Certification Date | 10/28/2024 |
| Medicare PECOS PAC ID | 1052655628 |
|---|---|
| Medicare Enrollment ID | O20181208000197 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558844019 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (NU) | Primary |
| Provider Name | Farschad K Birdjandi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205823929 PECOS PAC ID: 5395700918 Enrollment ID: I20110329000540 |
| Provider Name | Jatinder Kaur |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912141391 PECOS PAC ID: 5496079196 Enrollment ID: I20150129001644 |
| Provider Name | Athir J Hajjar |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1164476362 PECOS PAC ID: 0446239198 Enrollment ID: I20150306000259 |
| Provider Name | Russell Lopez Simon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659624948 PECOS PAC ID: 8224390380 Enrollment ID: I20180329002126 |
| Provider Name | Ujjala Moolani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528221421 PECOS PAC ID: 2163609900 Enrollment ID: I20210511002851 |
| Provider Name | Rachelle Luceil Enz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942980255 PECOS PAC ID: 6204297211 Enrollment ID: I20230807001461 |
| Provider Name | Nancy Chia Mcgrogan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477322329 PECOS PAC ID: 2567806631 Enrollment ID: I20240216000564 |
| Provider Name | Evangeline Balila Cole |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821786955 PECOS PAC ID: 5395182950 Enrollment ID: I20240319002773 |
| Provider Name | Mandeep Kaur Jaggi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609698091 PECOS PAC ID: 4486183803 Enrollment ID: I20250129002311 |
| Provider Name | Jenna Lauren Tibbitts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912711375 PECOS PAC ID: 2466976667 Enrollment ID: I20250409002233 |
| Provider Name | Mariz Cayetano |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922972660 PECOS PAC ID: 2365938321 Enrollment ID: I20251230001680 |
| Provider Name | Olivia C Kramm |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184595787 PECOS PAC ID: 3678064680 Enrollment ID: I20260130002950 |
| Provider Name | Jibran Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629790423 PECOS PAC ID: 5395118038 Enrollment ID: I20260304001582 |
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