Khashayar Dashtipour, MD | |
11370 Anderson St, Suite 2400, Loma Linda, CA 92354-3450 | |
(909) 558-2880 | |
Not Available |
Full Name | Khashayar Dashtipour |
---|---|
Gender | Male |
Speciality | Neurology |
Experience | 28 Years |
Location | 11370 Anderson St, Loma Linda, 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 |
---|---|---|---|
1053358457 | NPI | - | NPPES |
00A852500 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084N0400X | Psychiatry & Neurology - Neurology | A85250 (California) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Loma Linda University Medical Center | Loma linda, CA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Faculty Physicians And Surgeons Of Llusm | 1153227814 | 1065 |
Entity Name | Faculty Physicians And Surgeons Of Llusm |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1205009917 PECOS PAC ID: 1153227814 Enrollment ID: O20031211000981 |
Entity Name | Faculty Physicians And Surgeons Of Llusm |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1508255175 PECOS PAC ID: 1153227814 Enrollment ID: O20160216002196 |
Mailing Address | Practice Location Address |
---|---|
Khashayar Dashtipour, MD File Number 54701, Los Angeles, CA 90074-0001 Ph: (909) 558-3111 | Khashayar Dashtipour, MD 11370 Anderson St, Suite 2400, Loma Linda, CA 92354-3450 Ph: (909) 558-2880 |
Edward R Verde, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 11374 Mountain View Ave, Suite A, Loma Linda, CA 92354 Phone: 909-558-4505 | |
Dr. Frank Randall, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 11234 Anderson St, House Staff Office Cp21005, Loma Linda, CA 92354 Phone: 818-635-7623 | |
Shauna Chi-yee Cheung, Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 11370 Anderson St Ste B-100, Loma Linda, CA 92354 Phone: 909-558-2880 | |
Dr. Carmen Protesta Gonzales-nate, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 11660 Emerald Dr, Loma Linda, CA 92354 Phone: 909-799-6343 Fax: 909-799-6343 | |
Dr. Firas Bannout, M.D Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 11370 Anderson St, Suite B-100, Loma Linda, CA 92354 Phone: 909-558-2880 | |
Theresa L Labarte, D.O. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 11370 Anderson St Ste B-100, Loma Linda, CA 92354 Phone: 909-558-2880 |