Active NPI
Abbas Kashani, M.D.
- Otolaryngology/Facial Plastic Surgery Physician
- Manteca, CA
National Provider Identifier
1649237884
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology/Facial Plastic Surgery Physician
- License
- A82220
- Practice address
- 1234 E North St
Suite # 202
Manteca, CA 95336-4960 - Phone
- (209) 239-5665
- Fax
- (209) 239-5285
- NPI assigned
- May 1, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | 203671 | NY | |
| Otolaryngology/Facial Plastic Surgery Physician | 207YX0905X | A82220 | CA | Primary |
Addresses
Primary practice location
1234 E North St
Suite # 202
Manteca, CA 95336-4960
Mailing address
1234 E North St
Suite # 202
Manteca, CA 95336-4960
Phone (209) 239-5665
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 264114805 | Other | CA | TAX ID |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Otolaryngology
- Education
- New York Medical College, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1234 E N St
Suite 202
Manteca, CA 95336-4948
Phone (209) 239-5665
Hospital & facility affiliations
- Doctors Hospital of Manteca
Merit-based Incentive Payment System (MIPS)
- Final score
- 0 of 100
- Quality
- 0
- Improvement activities
- 0
- Cost
- 0
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 82220 | CA | MD | Marriage & Family Therapist |
| A82220 | CA | MD | Otolaryngology/Facial Plastic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Abbas Kashani MD Inc | Otolaryngology/Facial Plastic Surgery | Current | Accepting new patients |
| Wyckoff Heights Medical Center | Past | Accepting new patients | |
| Doctors Hospital of Manteca, Inc. | Past | Accepting new patients |
Locations
1234 E North St
Ste 202
Manteca, CA 95336
Phone (209) 239-5665
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Otolaryngology/Facial Plastic Surgery Physician
- Manteca, CA
- NPI 1063596625
-
- General Acute Care Hospital
- Manteca, CA
- NPI 1992736599
-
- General Acute Care Hospital
- Brooklyn, NY
- NPI 1700886322
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Manteca, CA
- NPI 1992736599
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146441600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1347840000000",
"number": "1649237884",
"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": "SUITE # 202",
"city": "MANTECA",
"state": "CA",
"postal_code": "953364960",
"telephone_number": "209-239-5665",
"fax_number": "209-239-5285"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KASHANI",
"first_name": "ABBAS",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-05-01",
"last_updated": "2012-09-17",
"status": "A"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "NY",
"license": "203671",
"primary": false
},
{
"code": "207YX0905X",
"taxonomy_group": "",
"desc": "Otolaryngology, Otolaryngology/Facial Plastic Surgery",
"state": "CA",
"license": "A82220",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAX ID",
"identifier": "264114805",
"state": "CA"
}
],
"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 Sep 17, 2012; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.