LODESPOTO MEDICAL OF CALIFORNIA PC (NPI# 1043722374) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043722374 |
| Entity Type | Organization |
| Organization Name | LODESPOTO MEDICAL OF CALIFORNIA PC |
| Practice Address |
19800 Macarthur Blvd Ste 300 Irvine CA 92612-2479 |
| Mailing Address |
Po Box 958 Port Jefferson Station NY 11776-0811 |
| Practice Telephone | 6314464700 |
| Practice Fax Number | 8889723585 |
| Enumeration Date | 2017-10-26 |
| Last Update Date | 2017-10-26 |
| Authorized Official Name | MARK LODESPOTO (OWNER) |
| Authorized Official Telephone | 6314464700 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085N0700X |
Radiology Specialization: Neuroradiology |
G89396 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
19800 MACARTHUR BLVD STE 300 |
| City | IRVINE |
| State | CA |
| Zip Code | 92612-2479 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669789343 | Lisa Jeaneen Grajewski | Psychologist | 19800 Macarthur Blvd Ste 300, Irvine, CA 92612-2479 | 2010-09-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629615984 | Sara Afsharpour | Marriage & Family Therapist | 2001 Business Center Dr, # 150, Irvine, CA 92612 | 2019-12-05 |
| 1952959207 | Dorothy Dawn Malsack | Dietitian, Registered | 20 Pergola, Irvine, CA 92612 | 2019-08-29 |
| 1992350508 | Masi Hashemian Dds Inc | Dentist | Park Place Dentistry, 2981 Michelson Dr., Suite #b, Irvine, CA 92612 | 2019-08-09 |
| 1518426907 | Linklan Logistics Inc | Transportation Broker | 19200 Von Karman Ave Ste 612, Irvine, CA 92612 | 2019-03-15 |
| 1598220535 | Dorise Hebenstreit | Marriage & Family Therapist | 2151 Michelson Dr Ste 286, Irvine, CA 92612 | 2019-02-04 |
| 1871033365 | Livhome, Inc. | In Home Supportive Care | 19762 Macarhtur Blvd, Suite 120, Irvine, CA 92612 | 2017-03-02 |
| 1073061511 | Susan Nguyen | Marriage & Family Therapist | 2081 Business Center Dr Ste 109, Irvine, CA 92612 | 2016-09-13 |
| 1043617574 | Jason Polhamus | Community Health Worker | 4885 Royce Rd, Irivne, CA 92612 | 2014-11-26 |
| 1013313386 | Marisa Lepore | Marriage & Family Therapist | 19742 Centerpointe Plaza, Suite #125, Irvine, CA 92612 | 2014-11-13 |
| 1558798462 | Fatima Manesh | Acupuncturist | 8 Palmento Way, Irvine, CA 92612 | 2013-10-09 |
| Find all providers in zip 92612 | ||||
| Taxonomy Code | 2085N0700X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Neuroradiology |
| A radiologist who diagnoses and treats diseases utilizing imaging procedures as they relate to the brain, spine and spinal cord, head, neck and organs of special sense in adults and children. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962821207 | Peyman Kangavari | Radiology | 8700 Beverly Blvd # M335, West Hollywood, CA 90048-1804 | 2014-04-15 |
| 1871914457 | Syrone Liu | Radiology | 1000 W. Carson St., Box 27, Torrance, CA 90509 | 2013-12-26 |
| 1629411061 | Arian Mashhood | Radiology | 3801 Miranda Ave Bldg 102, Palo Alto, CA 94304-1207 | 2013-04-16 |
| 1790049773 | Maximilian Yue Cho | Radiology | 110 W Las Tunas Dr Ste A, San Gabriel, CA 91776-1346 | 2012-06-25 |
| 1356604797 | Fan Yang | Radiology | 505 Parnassus Ave Rm L-371, San Francisco, CA 94143-2204 | 2012-06-20 |
| 1851653513 | Cynthia Marie Chan | Radiology | 300 Pasteur Dr Rm Stanford, Stanford, CA 94305-2200 | 2012-06-08 |
| 1346509197 | Ashkon Senaati | Radiology | 1801 W Romneya Dr Ste 104, Anaheim, CA 92801-1824 | 2012-05-15 |
| 1609165356 | Shota Yamamoto | Radiology | 26161 Marguerite Pkwy Ste A, Mission Viejo, CA 92692 | 2011-04-04 |
| 1497059976 | Kenneth W Albertson | Radiology | 845 Armada Ter, San Diego, CA 92106-3055 | 2010-12-27 |
| 1124331095 | Alireza Sedaghat Namini | Radiology | 27401 Los Altos Ste 180, Mission Viejo, CA 92691-8012 | 2010-07-21 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on LODESPOTO MEDICAL OF CALIFORNIA PC.
| 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.