| 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 |
| Medicare PECOS PAC ID | 1052655628 |
|---|---|
| Medicare Enrollment ID | O20181208000197 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558844019 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | 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 | Julie Wood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174977292 PECOS PAC ID: 8022317171 Enrollment ID: I20160425001468 |
| Provider Name | Mohamed K Hassanein |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164794673 PECOS PAC ID: 3173812112 Enrollment ID: I20160516000949 |
| Provider Name | Manuel Robert Brasley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083127088 PECOS PAC ID: 3678833340 Enrollment ID: I20180129002245 |
| Provider Name | My Van Luu Thi Nguyen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598383689 PECOS PAC ID: 8921496910 Enrollment ID: I20211025000764 |
| Provider Name | Rachelle Luceil Enz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942980255 PECOS PAC ID: 6204297211 Enrollment ID: I20230807001461 |
| Provider Name | Evangeline Balila Cole |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821786955 PECOS PAC ID: 5395182950 Enrollment ID: I20240319002773 |
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