Elite Medical Services

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

6223 Issued in CA

Legal business name

ELITE MEDICAL SERVICES

Practice address

1860 Mowry Ave
Suite 402
Fremont, CA 94538-1730

Phone

(510) 556-1000

Fax

(888) 876-1676

NPI assigned

Apr 20, 2015

Organization subpart

No

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

Authorized official

Name

Nosrat Khajavi, DO

Title

Owner

Phone

(510) 556-1000

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1429488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429488000000",
    "number": "1265829006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39120 ARGONAUT WAY",
            "address_2": "SUITE 706",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945381304",
            "telephone_number": "510-556-1000",
            "fax_number": "888-876-1676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1860 MOWRY AVE",
            "address_2": "SUITE 402",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945381730",
            "telephone_number": "510-556-1000",
            "fax_number": "888-876-1676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE MEDICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-20",
        "last_updated": "2015-04-20",
        "status": "A",
        "authorized_official_last_name": "KHAJAVI",
        "authorized_official_first_name": "NOSRAT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "510-556-1000",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "6223",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lilly R Elfers
• Kathy Elgohary
• Eli Acupuncture Inc.
• Christine Nguyen Elias, M.D.
• Ana M. Elisei, MD
• Elite Surgical Services
• Benjamin G. Ellenbogen, MD
• Dale Allan Elleson, DO
• Laurence Steven Ellner, DPM
• Allison Elwood, LMFT

• Family Medicine Physician in Fremont, CA
• Providers in Fremont, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2015; 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.