JEAN GRANT HAWKINS (NPI# 1043328750) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043328750 |
| Entity Type | Individual |
| Full Name | JEAN GRANT HAWKINS |
| Credential | MD FCCP |
| Practice Address |
18546 Roscoe Blvd #308 Northridge CA 91324 |
| Practice Telephone | 8183492931 |
| Practice Fax Number | 8183497930 |
| Mailing Telephone | 8183492931 |
| Mailing Fax Number | 8183497930 |
| Enumeration Date | 2006-08-25 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
G43200 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| BLUE CROSS BLUE SHIELD | 00G432000 | 01 | |
| BLUE CROSS BLUE SHIELD GR | ZZZ90411Z | 01 | |
| CA | GR0005950 | 05 | |
| STATE LICENSE | G43200 | 01 |
| Street Address |
18546 ROSCOE BLVD #308 |
| City | NORTHRIDGE |
| State | CA |
| Zip Code | 91324 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730177932 | Lawrence Osman | Dermatology | 18546 Roscoe Blvd, Ste 306, Northridge, CA 91324-4663 | 2005-10-11 |
| 1922514223 | Seeta Stacie Nanoo | Nurse Practitioner | 18546 Roscoe Blvd, Northridge, CA 91324-4663 | 2017-12-21 |
| 1598164659 | Alain Karaguezian Md PC | Family Medicine | 18546 Roscoe Blvd, Suite 304, Northridge, CA 91324-4663 | 2014-08-14 |
| 1477890291 | Innovative Dialysis Center of Northridge, LLC | Clinic/Center | 18546 Roscoe Blvd, Suite 108, Northridge, CA 91324-4663 | 2013-01-14 |
| 1285946046 | Minas Kochumian, Md, A Medical Corporation | Non-Pharmacy Dispensing Site | 18546 Roscoe Blvd, 312, Northridge, CA 91324-4663 | 2010-07-09 |
| 1700035193 | Stefanie A Proia | Nurse Practitioner | 18546 Roscoe Blvd, Suite 211, Northridge, CA 91324-4663 | 2008-09-10 |
| 1659537835 | California Kidney Medical Group Inc | Surgery | 18546 Roscoe Blvd, Suite 120, Northridge, CA 91324-4663 | 2008-08-06 |
| 1528226602 | Sherry Ann L. Sanvictores | Nurse Practitioner | 18546 Roscoe Blvd, Suite 306, Northridge, CA 91324-4663 | 2008-05-27 |
| 1811023708 | Jirair Konialian Medical Corporation | Clinic/Center | 18546 Roscoe Blvd, Suite 220, Northridge, CA 91324-5455 | 2007-02-26 |
| 1295884088 | Ehab S Yacoub | Psychiatry & Neurology | 18546 Roscoe Blvd, Suite 210, Northridge, CA 91324-4663 | 2007-01-09 |
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| 1235601444 | Grace Peprah | Marriage & Family Therapist | 19037 Community Street, Northridge, CA 91324 | 2018-12-28 |
| 1336635531 | Kristel Fortuny Bushner | Specialist/Technologist | 9555 Reseda Blvd, 309, Northridge, CA 91324 | 2018-07-11 |
| 1710474358 | Rara Enterprises Inc | Pharmacy | 19331 Business Center Dr., Ste. 100, Northridge, CA 91324 | 2018-04-19 |
| 1205343670 | Mariana Nicol Valdez Castro | Behavior Technician | 9335 Reseda Blvd # 101, Northridge, CA 91324 | 2018-01-05 |
| 1033655220 | Benyaminy and Kashani Dds,inc. | Clinic/Center | 8954 Reseda Blvd #100, Northridge, CA 91324 | 2017-01-11 |
| 1366809915 | Tia Brisco | Counselor | 9700 Reseda Blvd Ste 208, Northridge, CA 91324 | 2016-01-26 |
| 1053780189 | Saloni Kadakia | Student in an Organized Health Care Education/Training Program | Ucla Olive View, 14445 Olive View Dr, Sylmar, Ca 91342, CA 91324 | 2015-09-18 |
| Find all providers in zip 91324 | ||||
| Taxonomy Code | 207RP1001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Pulmonary Disease |
| An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
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| 1356897573 | Sani and Eshaghian M.d., Inc. | Internal Medicine | 17075 Devonshire St, Suite #205, Northridge, CA 91325-1600 | 2016-08-28 |
| 1013219393 | Robert F. Robertson A Medical Corp. | Internal Medicine | 17075 Devonshire St, #205, Northridge, CA 91325-1600 | 2010-11-19 |
| 1497778385 | Robert Forbes Robertson | Internal Medicine | 17075 Devonshire St, Suite # 205, Northridge, CA 91325-1600 | 2006-07-25 |
| 1275564833 | Robert E Thompsonmd A Professional Corporation | Internal Medicine | 17075 Devonshire St, Suite 205, Northridge, CA 91325-1600 | 2006-07-05 |
| 1982675666 | Robert E Thompson | Internal Medicine | 17075 Devonshire St, # 205, Northridge, CA 91325-1600 | 2006-01-30 |
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| 1912408691 | Northern California Medical Assoc | Internal Medicine | 2315 Dean St, Eureka, CA 95501-3208 | 2018-02-27 |
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| City | NORTHRIDGE |
| Zip Code | 91324 |
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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.