Sahand Golshan-Khalili, D.P.M

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

E5163 Issued in CA

Practice address

4843 Arlington Ave
Riverside, CA 92504-2760

Phone

(951) 405-8500

Fax

(951) 405-8555

NPI assigned

Jul 9, 2012

Sex

Male

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Podiatry

Education

California School of Podiatric Medicine, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Qarmon PCGroup PAC ID 1052690260, 3 clinicians

JWCH Institute IncGroup PAC ID 1850394123, shared by 28 NPIs, 27 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

• Direct secure messaging: sahand.golshan@cfaac-ca.direct.office.nextgen.com
• Direct secure messaging: golshankhalilidpm.sahand.p1@direct.jwch.nextgenshare.com

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.

• Qarmon PC

  • Foot & Ankle Surgery Podiatrist
  • Riverside, CA
  • NPI 1376935163
  Medicare reassignment Care Compare group Authorized official
• Convalescent Podiatry Care

  • Podiatrist
  • Lakewood, CA
  • NPI 1568576528
  NPD (past)
• James F Eggold

  • Podiatrist
  • Riverside, CA
  • NPI 1720276058
  NPD (past)
• Riverside Healthcare System, L.P.

  • Rehabilitation Hospital Unit
  • Riverside, CA
  • NPI 1053358010
  NPD (past)

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

{
    "created_epoch": "1341792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694649600000",
    "number": "1932464641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "280 S LEMON AVE UNIT 210",
            "city": "WALNUT",
            "state": "CA",
            "postal_code": "917882608",
            "telephone_number": "951-405-8500",
            "fax_number": "951-405-8555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4843 ARLINGTON AVE",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925042760",
            "telephone_number": "951-405-8500",
            "fax_number": "951-405-8555"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8283 Grove Ave Ste 207B",
            "address_purpose": "LOCATION",
            "city": "Rancho Cucamonga",
            "state": "CA",
            "postal_code": "917303137",
            "country_code": "US",
            "telephone_number": "951-405-8500",
            "fax_number": "951-405-8555",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOLSHAN-KHALILI",
        "first_name": "SAHAND",
        "credential": "D.P.M",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-07-09",
        "last_updated": "2023-09-14",
        "certification_date": "2023-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CA",
            "license": "E5163",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ronald Goldsmith Sr., PTA
• Batis Golestany, MD
• Salina Golightly-Mondragon, MSW, LCSW
• Lauren Golino
• Christian Nouno Andruue Golose, MS, MA
• Pouyan Golshani, M.D.
• Adia Gomes
• Luiz Enrique Gomez Benavides
• Aylin Gomez Diaz
• Lizbeth Gomez Haro

• Foot & Ankle Surgery Podiatrist in Riverside, CA
• Providers in Riverside, CA by specialty
• Foot & Ankle Surgery Podiatrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2023; 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.

Verify at the official NPI Registry.