Khosrow Afsari, FACP MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

A30573 Issued in CA

Practice address

2089 Vale Rd
#21
San Pablo, CA 94806

Phone

(510) 232-9065

Fax

(510) 232-0805

NPI assigned

Sep 8, 2006

Last updated

Aug 10, 2012By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1157673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1344556800000",
    "number": "1144324351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2089 VALE RD",
            "address_2": "#21",
            "city": "SAN PABLO",
            "state": "CA",
            "postal_code": "94806",
            "telephone_number": "510-232-9065",
            "fax_number": "510-232-0805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2089 VALE RD",
            "address_2": "#21",
            "city": "SAN PABLO",
            "state": "CA",
            "postal_code": "94806",
            "telephone_number": "510-232-9065",
            "fax_number": "510-232-0805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AFSARI",
        "first_name": "KHOSROW",
        "name_prefix": "Dr.",
        "credential": "FACP MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-08",
        "last_updated": "2012-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A30573",
            "primary": true
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "CA",
            "license": "A 30573",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A30573",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• A&a Health Services San Pablo
• Ac Medical Express LLC
• Rosa M. Acosta
• Yvonne Stacy Adams Shepard
• Susan M Afsari, MA
• Robert Agee, MD
• Frances Aguilar
• Gabriel R Aguilar, PA-C
• Ahcs San Pablo, LLC (AHCS Vale Road Pharmacy)

• Internal Medicine Physician in San Pablo, CA
• Providers in San Pablo, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.