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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208VP0014X |
Pain Medicine Specialization: Interventional Pain Medicine |
CA | Allopathic & Osteopathic Physicians |
Street Address |
1127 WILSHIRE BLVD STE 820 |
City | LOS ANGELES |
State | CA |
Zip Code | 90017-3901 |
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 |
Find all providers in the same location |
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 |
Find all providers in zip 90017 |
Taxonomy Code | 208VP0014X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Pain Medicine |
Specialization | Interventional Pain Medicine |
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. |
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 |
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 |
Find all providers with the same taxonomy |
City | LOS ANGELES |
Zip Code | 90017 |
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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.