SAN CRISTOBAL MEDICAL GROUP, INC


Address: 1127 Wilshire Blvd, Ste 820, Los Angeles, CA 90017-3901
Phone: 2134134203

SAN CRISTOBAL MEDICAL GROUP, INC (NPI# 1033436464) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1033436464
Entity Type Organization
Organization Name SAN CRISTOBAL MEDICAL GROUP, INC
Practice Address 1127 Wilshire Blvd
Ste 820
Los Angeles
CA 90017-3901
Practice Telephone 2134134203
Mailing Telephone 2134134203
Enumeration Date 2010-04-25
Last Update Date 2010-04-25
Authorized Official Name DR. ERNESTO Y CASILLAS (MEDICAL DIRECTOR)
Authorized Official Telephone 2134134203
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208VP0014X Pain Medicine
Specialization: Interventional Pain Medicine
CA Allopathic & Osteopathic Physicians

Office Location

Street Address 1127 WILSHIRE BLVD
STE 820
City LOS ANGELES
State CA
Zip Code 90017-3901

Providers in the same location

NPI Name Taxonomy Address Enumeration
1114926730 Jeffrey Merrick Sage Ophthalmology 1127 Wilshire Blvd, Suite 1600, Los Angeles, CA 90017-3901 2005-07-15
1225563281 Jeffrey M Sage D.o. Inc. Ophthalmology 1127 Wilshire Blvd, Suite 1600, Los Angeles, CA 90017-3901 2017-04-27
1467996793 Select Surgical, LLC Clinic/Center 1127 Wilshire Blvd, Suite 1000, Los Angeles, CA 90017-3901 2016-12-06
1427509140 Soha Dolatabadi Md A Professional Corporation Internal Medicine 1127 Wilshire Blvd, Suite 708, Los Angeles, CA 90017-3901 2016-10-18
1558810754 Elan Allison Orthotist 1127 Wilshire Blvd, 310, Los Angeles, CA 90017-3901 2016-09-28
1811355134 Natasha Pejman-gonzalez Student in an Organized Health Care Education/Training Program 1127 Wilshire Blvd, Suite 1504, Los Angeles, CA 90017-3901 2016-02-01
1790158921 Los Angeles Kidney Center A Professional Corporation Internal Medicine 1127 Wilshire Blvd, Suite 510, Los Angeles, CA 90017-3901 2015-11-10
1295110294 Carlos S Martinez Md Inc Internal Medicine 1127 Wilshire Blvd, Ste 1100, Los Angeles, CA 90017-3901 2015-07-21
1114308905 Connect Hearing, Inc. Audiologist 1127 Wilshire Blvd, Ste 1202, Los Angeles, CA 90017-4003 2015-06-17
1699173922 Jah Hand Surgery Orthopaedic Surgery 1127 Wilshire Blvd, Suite 510, Los Angeles, CA 90017-3901 2014-12-19
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1144833617 Guadalupe Vallejo Licensed Vocational Nurse 515 Columbia Avenue, #200, 515 Columbia Avenue, Los Angeles, CA 90017 2020-08-25
1376181768 Nirlok Corporation Optometrist 750 West 7th Street, Los Angeles, CA 90017 2019-12-16
1689228223 Marycarmen Beltran Student in an Organized Health Care Education/Training Program 333 S. Beaudry Ave., Los Angeles, CA 90017 2019-08-01
1639661465 Robin B Horowitz Counselor 333 South Beaudry Avenue, Los Angeles, CA 90017 2018-06-06
1710483797 Rose Jadidian Pharmacist 701 S. Flower, Ste. 3150, Los Angeles, CA 90017 2018-03-30
1417469875 Marykarla Gallegos Case Manager/Care Coordinator 1125 W. 6th St., Suite 103, Los Angeles, CA 90017 2017-10-25
1134646516 Maria Salas Rehabilitation Practitioner 333 S Beaudry Ave., Los Angeles, CA 90017 2017-08-25
1932638202 Butterfli Technologies Inc Transportation Broker 865 S Figueroa St Ste 2750, Los Angeles, CA 90017 2017-06-08
1316493125 Phamily Love Foundation Community/Behavioral Health 626 Wilshire Blvd ., Suite 910, Los Angeles, CA 90017 2016-08-31
1215392188 Jessica R. Garcia-hillard Specialist/Technologist 1111 W. 6th St., Suite 111, Los Angeles, CA 90017 2015-12-21
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Taxonomy Information

Taxonomy Code 208VP0014X
Grouping Allopathic & Osteopathic Physicians
Classification Pain Medicine
Specialization Interventional Pain Medicine

Taxonomy Definition

Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1912225673 Eugene Kim Pain Medicine 4650 Sunset Blvd, Ms #3, Children's Hospial Los Angeles, Dept of Anesthesia, Los Angeles, CA 90027 2010-05-05
1801992102 Lonnie Kaye Zeltzer Pain Medicine 200 Med Plaza Suite 265, Los Angeles, CA 90095 2006-09-15
1770585606 Rebecca Kerr Pain Medicine 8610 S Sepulveda Blvd, Suite 207, Los Angeles, CA 90045-4012 2005-08-11
1033119250 Jason A Berkley Pain Medicine 444 S San Vicente Blvd, 800, Los Angeles, CA 90048-4165 2005-07-29
1245888775 La Pain and Performance Pain Medicine 6363 Wilshire Blvd Ste 516, Los Angeles, CA 90048-5726 2019-08-28
1538596457 Aju Medical and Wellness Center A Professional Corp Pain Medicine 2560 W Olympic Blvd, Suite 205, Los Angeles, CA 90006-2998 2013-10-09
1972937001 Beverly Hills Spine and Pain Inc Pain Medicine 444 S San Vicente Blvd, Suite #800, Los Angeles, CA 90048-4165 2013-08-26
1174899686 Advanced Interventional Pain Center La Pain Medicine 11645 Wilshire Blvd, Suite 852, Los Angeles, CA 90025-6808 2012-03-29

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1538795836 John Qian M.d. Inc. Pain Medicine 5360 Jackson Dr Ste 100, La Mesa, CA 91942-3012 2020-03-18
1831751403 Abigail Howe Pain Medicine 2421 Park Blvd # B205, Palo Alto, CA 94306-1998 2019-07-03
1144781519 Central Coast Functional Restoration Program Inc Pain Medicine 1260 41st Ave Ste D, Capitola, CA 95010-3929 2019-03-28
1497226419 Birladeanu Medical Corp Pain Medicine 5255 Elkhorn Blvd Ste A, Sacramento, CA 95842-2506 2018-12-17
1033649413 Latora Subani Pain Medicine 16179 Siskiyou Rd, Apple Valley, CA 92307-1314 2017-06-18
1982061354 Hilary J Fausett, M.d. A Medical Corporation Pain Medicine 39 Congress St Ste 303, Pasadena, CA 91105-3022 2016-01-15
1346616695 Nuvation Pain Group Pain Medicine 5832 Beach Blvd Unit 208, Buena Park, CA 90621-5501 2015-08-20
1740674050 Guardian Headache and Pain Management Institute LLC Pain Medicine 3747 Franklin Ave, Suite 200, Long Beach, CA 90808-1334 2015-03-25
1659764397 Integrated Pain Treatment Center Pain Medicine 4312 Feather River Drive, Suite C, Stockton, CA 95219 2015-03-05
1659772606 Sonny Rubin, M.d. Inc Pain Medicine 455 Old Newport Blvd, Suite 101, Newport Beach, CA 92663-4241 2014-09-09
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Competitor

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City LOS ANGELES
Zip Code 90017

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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