Individual provider Active NPI

Abbas Kashani, M.D.

  • Otolaryngology/Facial Plastic Surgery Physician
  • Manteca, CA
National Provider Identifier
1649237884
Registry record updated Sep 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology/Facial Plastic Surgery PhysicianTaxonomy code 207YX0905X
License
A82220 Issued in CA
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

Updated by the provider on Sep 17, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
264114805OtherCATAX 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090403000533 CA Practitioner - OtolaryngologyPractitioner - Plastic and Reconstructive Surgery 2860384344 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
OtolaryngologyAlso: Plastic and Reconstructive Surgery
Education
New York Medical College, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Abbas Kashani MD IncGroup PAC ID 9830246057, 2 clinicians

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 Hospital, Manteca, CA, CCN 050118

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
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. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
82220CAMDMarriage & Family Therapist
A82220CAMDOtolaryngology/Facial Plastic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Abbas Kashani MD Inc Otolaryngology/Facial Plastic Surgery CurrentSince Feb 2, 2009 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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.