Ardeshir Khosraviani, MD | |
3989 W Stetson Ave, Suite 202, Hemet, CA 92545-9695 | |
(951) 652-3558 | |
(951) 652-5547 |
Full Name | Ardeshir Khosraviani |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Experience | 18 Years |
Location | 3989 W Stetson Ave, Hemet, California |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1346569779 | NPI | - | NPPES |
1346569779 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | A122319 (California) | Secondary |
207RN0300X | Internal Medicine - Nephrology | A122319 (California) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Kaiser Foundation Hospital, Riverside | Riverside, CA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Southern California Permanente Medical Group | 6002729175 | 8172 |
Entity Name | Southern California Permanente Medical Group |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678 |
Entity Name | Southern California Permanente Medical Group |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1316979834 PECOS PAC ID: 6002729175 Enrollment ID: O20040126000823 |
Mailing Address | Practice Location Address |
---|---|
Ardeshir Khosraviani, MD Po Box 54130, Los Angeles, CA 90054-0130 Ph: (951) 687-3200 | Ardeshir Khosraviani, MD 3989 W Stetson Ave, Suite 202, Hemet, CA 92545-9695 Ph: (951) 652-3558 |
Marvi Hussain, MD Nephrology Medicare: Medicare Enrolled Practice Location: 255 N Gilbert St Bldg B4, Hemet, CA 92543 Phone: 951-652-0060 | |
Dr. M Michael Boldy, MD Nephrology Medicare: Not Enrolled in Medicare Practice Location: 1275 E Latham Ave Ste A, Hemet, CA 92543 Phone: 951-652-5555 | |
Chong-ping Carl Lu, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 1000 E Latham Ave Ste E, Hemet, CA 92543 Phone: 951-925-7653 Fax: 951-925-1122 | |
Darshan Kumar Dhiman, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 3989 W Stetson Ave Ste 202, Hemet, CA 92545 Phone: 951-652-3558 Fax: 951-652-5547 | |
Subbarayan Krishnan, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 1850 W Florida Ave, Hemet, CA 92545 Phone: 951-438-2200 Fax: 909-605-8160 | |
Dr. Yurzul N Dhanani, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 1275 E Latham Ave Ste C, Hemet, CA 92543 Phone: 951-652-5132 Fax: 951-652-6070 | |
Nityanand Singh, M.D. Nephrology Medicare: Not Enrolled in Medicare Practice Location: 850 E Latham Ave, # E, Hemet, CA 92543 Phone: 951-929-6260 |