Hanan Kashkoul

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA64596 Issued in CA

Practice address

718 4TH St
San Rafael, CA 94901-3213

Phone

(415) 532-1127

NPI assigned

May 24, 2023

Last updated

Dec 9, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Central Coast Behavioral Health, Inc.

  • Psychiatry Physician
  • Arroyo Grande, CA
  • NPI 1699112698
  Medicare reassignment
• Palm Desert Psychiatry Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Palm Desert, CA
  • NPI 1487277257
  NPD (past)

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

{
    "created_epoch": "1684886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733702400000",
    "number": "1386336576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1265 WELCH RD STE 100",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943055102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "718 4TH ST",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949013213",
            "telephone_number": "415-532-1127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KASHKOUL",
        "first_name": "HANAN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-05-24",
        "last_updated": "2024-12-09",
        "certification_date": "2024-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA64596",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexandra Karagosian
• Angela Waithera Karanja-Schmid, RN
• Ehsan Karimian, EHSAN KARIMIAN
• Gregory Karney, PT. DPT
• Haleh Kashani, PH.D.
• Kathryn K. Najafit-Tagol, M.D.
• Kathryn Najafi Tagol MD a Professional Corporation (Eye Institute Of Marin)
• Barbra Anne Katz
• Paul H. Katz, MD
• Stephanie E Katz, AMFT

• Physician Assistant in San Rafael, CA
• Providers in San Rafael, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.