DORAN BOTT SPENCER (NPI# 1053670810) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053670810 |
| Entity Type | Individual |
| Full Name | DORAN BOTT SPENCER |
| Practice Address |
5901 East Seventh Street Va Long Beach Long Beach CA 90822 |
| Mailing Address |
1440 Main St Ste 201 Waltham MA 02451-1640 |
| Practice Telephone | 5628268000 |
| Mailing Telephone | 7818916377 |
| Mailing Fax Number | 7816471430 |
| Enumeration Date | 2012-05-14 |
| Last Update Date | 2016-07-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | 266283 | MA | Allopathic & Osteopathic Physicians |
| Street Address |
5901 EAST SEVENTH STREET VA LONG BEACH |
| City | LONG BEACH |
| State | CA |
| Zip Code | 90822 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811005473 | Anita Cordova | Nurse Practitioner | 5901 East Seventh Street, Long Beach, CA 90822 | 2006-08-25 |
| 1235677220 | Elizabeth Muratore | Nurse Practitioner | 5901 East Seventh Street, Long Beach, CA 90822 | 2017-02-09 |
| 1750726758 | Nicolas Limthong | Student in an Organized Health Care Education/Training Program | 5901 East Seventh Street, Va Long Beach, Long Beach, CA 90822 | 2013-05-03 |
| 1689017428 | Benjamin Sanders | Student in an Organized Health Care Education/Training Program | 5901 East Seventh Street, Long Beach, CA 90822 | 2013-04-11 |
| 1972899847 | Daniel Chen | Student in an Organized Health Care Education/Training Program | 5901 East Seventh Street, Va Long Beach, Long Beach, CA 90822 | 2011-06-20 |
| 1306921838 | Cassandra October | Social Worker | 5901 East Seventh Street, Veterans Administration Medical Center, Long Beach, CA 90822 | 2006-10-25 |
| 1891896015 | John 'nmi' Guidi | Social Worker | 5901 East Seventh Street, Long Beach, CA 90822-5201 | 2006-09-26 |
| 1003915661 | Ronald C Kim | Pathology | 5901 East Seventh Street, Dvamc (05/113np), Long Beach, CA 90822 | 2006-09-21 |
| 1205931524 | Michael James Dickel | Specialist | 5901 East Seventh Street, Long Beach, CA 90822 | 2006-09-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730654401 | Nicholas Brown | Psychologist | 5901 E. 7th Street (06/116b), Long Beach, CA 90822 | 2018-10-09 |
| 1194231027 | Liliana Jimenez | Social Worker | 5901 E. 7th St, Social Work Services, Long Beach, CA 90822 | 2017-12-14 |
| 1144621640 | James Edward Yadavaia IIi | Psychologist | 5901 E. 7th St. (06/116b), Long Beach, CA 90822 | 2014-09-16 |
| 1841600186 | Helen Ma | Internal Medicine | 5901 East 7th St, Long Beach, CA 90822 | 2014-05-07 |
| 1316374101 | Linda Jane Robles | Counselor | Va Healthcare Long Beach, 5901 E 7th Street, Long Beach, CA 90822 | 2013-10-11 |
| 1457783862 | Gretchen Louise Sholty | Psychologist | 5901 E. 7th St (06/116b), Long Beach, CA 90822 | 2013-08-08 |
| 1306278924 | Christopher Stephen Gentry | Nurse Practitioner | 2700 Bellflower Blvd, #112, Long Beach, CA 90822 | 2013-08-06 |
| 1639422009 | Vanessa Zizak | Clinical Neuropsychologist | Va Long Beach Healthcare System, 5901 East 7th St. Mailbox 116b, Long Beach, CA 90822 | 2012-10-22 |
| 1609166487 | Heather M. Shumway | Family Medicine | 5901 East Seventh St., Va Long Beach, Long Beach, CA 90822 | 2011-04-13 |
| 1376833277 | Michael R Lowder | Dentist | 5901 East Seventh St, Va Long Beach, Long Beach, CA 90822 | 2011-04-12 |
| Find all providers in zip 90822 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649565920 | Morgan E Renner | Ophthalmology | 3816 Woodruff Ave Ste 100, Long Beach, CA 90808-2145 | 2011-06-14 |
| 1891026969 | Eye Treatment Center, An Incorporated Medical Group, Inc | Ophthalmology | 1150 E 4th St, Long Beach Senior Center, Long Beach, CA 90802-1735 | 2010-01-28 |
| 1851620959 | Rmg, Apc | Ophthalmology | 5471 E The Toledo, Long Beach, CA 90803-3953 | 2009-12-18 |
| 1619165446 | Hertzog Eye Associates A Medical Corporation | Ophthalmology | 5094 E Los Coyotes Diagonal, Long Beach, CA 90815-2839 | 2007-10-05 |
| 1053514166 | Houck Eye Care and Refractive Surgery Center, PC | Ophthalmology | 2940 Mount Clair Way, Long Beach, IN 46360-1769 | 2007-06-06 |
| 1396840708 | Bruce A Fastenberg | Ophthalmology | 260 West Broadway, Suite 6f, Long Beach, NY 11561 | 2006-09-13 |
| 1710093083 | Carlos Enrique Martinez | Ophthalmology | 3325 Palo Verde Avenue, Suite 103, Long Beach, CA 90808-4132 | 2006-08-21 |
| 1902837941 | Eyecare Specialists Medical Group | Ophthalmology | 5991 E Spring St, Long Beach, CA 90808-3752 | 2006-07-06 |
| 1508897893 | H L Sulit Medical Professional Corp | Ophthalmology | 825 Pacific Ave, Long Beach, CA 90813-4225 | 2006-07-05 |
| 1104827591 | Herbert C Henken | Ophthalmology | 511 E Park Ave, Long Beach, NY 11561-3741 | 2005-08-09 |
| Find all providers in LONG BEACH | ||||
| City | LONG BEACH |
| Zip Code | 90822 |
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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.