Organization Active NPI

Abbas Kashani MD Inc

  • Otolaryngology/Facial Plastic Surgery Physician
  • Manteca, CA
National Provider Identifier
1063596625
Registry record updated Jul 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology/Facial Plastic Surgery PhysicianTaxonomy code 207YX0905X
Legal business name
ABBAS KASHANI MD INC
Practice address
1234 E North St
202
Manteca, CA 95336-4960
Phone
(209) 239-5665
Fax
(209) 239-5285
NPI assigned
Oct 24, 2006
Last updated
Jul 30, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Abbas Kashani, M.D.NPI 1649237884
Title
Officer
Phone
(209) 239-5665

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology/Facial Plastic Surgery Physician 207YX0905X Primary

Addresses

Primary practice location

1234 E North St
202
Manteca, CA 95336-4960

Mailing address

1234 E North St
Suite 202
Manteca, CA 95336-4960
Phone (209) 239-5665

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090403000537 CA Part B Supplier - Clinic/Group Practice 9830246057 Receives reassigned benefits from 3 practitioners
Practice locations: Manteca, CA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1248912000000",
    "number": "1063596625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1234 E NORTH ST",
            "address_2": "SUITE 202",
            "city": "MANTECA",
            "state": "CA",
            "postal_code": "953364960",
            "telephone_number": "209-239-5665",
            "fax_number": "209-239-5285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1234 E NORTH ST",
            "address_2": "202",
            "city": "MANTECA",
            "state": "CA",
            "postal_code": "953364960",
            "telephone_number": "209-239-5665",
            "fax_number": "209-239-5285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABBAS KASHANI MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-24",
        "last_updated": "2009-07-30",
        "status": "A",
        "authorized_official_last_name": "KASHANI",
        "authorized_official_first_name": "ABBAS",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "209-239-5665",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207YX0905X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Otolaryngology/Facial Plastic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manteca, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.