JOHN DOUGHERTY (NPI# 1053722934) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053722934 |
| Entity Type | Individual |
| Full Name | JOHN DOUGHERTY |
| Practice Address |
8641 Wilshire Blvd Ste 210 Beverly Hills CA 90211-2920 |
| Mailing Address |
5767 W Century Blvd Ste 400 Los Angeles CA 90045-5631 |
| Practice Telephone | 3108557002 |
| Practice Fax Number | 3108557003 |
| Enumeration Date | 2014-05-14 |
| Last Update Date | 2019-07-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | A156129 | CA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538571641 | John Joseph Dougherty Iv | Physical Therapist | 4681 Ohio Dr Ste 110, Frisco, TX 75035-6014 | 2014-05-22 |
| 1720389240 | John James Dougherty | Speech-Language Pathologist | Exceptional Education & Student Services, 13th Floor, 301 North Ninth Street, Richmond, VA 23219-1927 | 2010-11-15 |
| 1881711026 | John Dougherty | Psychologist | 108 W Firetower Rd Ste D, Winterville, NC 28590-8408 | 2007-03-23 |
| 1982761755 | John P Dougherty | Dentist | 2333 E Campbell Ave, Phoenix, AZ 85016-5525 | 2007-01-02 |
| 1174532907 | John Dennis Dougherty | Dentist | 27 N Mountain Blvd, Mountaintop, PA 18707-1116 | 2006-08-08 |
| 1942238027 | John J Dougherty | Family Medicine | 1010 Carondelet Dr Ste 220, Kansas City, MO 64114-4822 | 2006-06-29 |
| 1043252844 | John D Dougherty IIi | Internal Medicine | 555 E. Vuelta Caminata Del Rio, Oro Valley, AZ 85737 | 2006-06-13 |
| 1760462543 | John Eugene Dougherty | Dentist | 1809 Nw Davis St, Portland, OR 97209-2121 | 2006-01-18 |
| 1033448071 | John W Dougherty IIi | Psychiatry & Neurology | 937 E Haverford Rd, Suite 100, Bryn Mawr, PA 19010-3800 | 2009-12-22 |
| 1508060054 | John Dougherty | Physician Assistant | 333 Cottman Ave, H3116, Philadelphia, PA 19111-2434 | 2007-06-11 |
| Street Address |
8641 WILSHIRE BLVD STE 210 |
| City | BEVERLY HILLS |
| State | CA |
| Zip Code | 90211-2920 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942518691 | Lillian Yonshin Hsu | Internal Medicine | 8641 Wilshire Blvd Ste 210, Beverly Hills, CA 90211-2920 | 2010-09-15 |
| 1891189064 | Daniel Hock Puneky | Internal Medicine | 8641 Wilshire Blvd Ste 210, Beverly Hills, CA 90211-2920 | 2015-03-25 |
| 1275875957 | Jien Shim | Internal Medicine | 8641 Wilshire Blvd Ste 210, Beverly Hills, CA 90211-2920 | 2013-03-20 |
| 1427324516 | Lisa Lin | Internal Medicine | 8641 Wilshire Blvd Ste 210, Beverly Hills, CA 90211-2920 | 2012-03-22 |
| 1982996633 | Robert Mocharla | Internal Medicine | 8641 Wilshire Blvd Ste 210, Beverly Hills, CA 90211-2920 | 2011-05-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649817610 | Doris Yaghoubtil | Physician Assistant | 220 S. Hamel Dr., Beverly Hills, CA 90211 | 2019-12-09 |
| 1649831348 | Optimum Surgical Inc. | Clinic/Center | 9090 Wilshire Blvd Suite 100, Beverly Hills, CA 90211 | 2019-06-24 |
| 1760972467 | Francisco Javier Iribarren | Psychologist | 8383 Wilshire Blvd Ste 800, Beverly Hills, CA 90211 | 2018-05-17 |
| 1821533803 | The Wright Home Care Inc | Respite Care | 8383 Wiltshire Blvd, Suite 800, Beverly Hills, CA 90211 | 2016-12-29 |
| 1497298772 | Brain Health Acupuncture Center | Acupuncturist | 201 N. Robertson Boulevard, Suite 207, Beverly Hills, CA 90211 | 2016-11-18 |
| 1568918712 | Plbc Medical Group, Inc | Medical Genetics, Ph.D. Medical Genetics | 8900 Wilshire Blvd, Suite 300, Beverly Hills, CA 90211 | 2016-08-28 |
| 1104283084 | Gilbert Kwong | Dentist | 127 N. Wetherly Drive, Beverly Hills, CA 90211 | 2016-01-22 |
| 1033511126 | Michelle Dabadie | Prosthetic/Orthotic Supplier | 9022 Burton Way, Los Angeles, CA 90211 | 2014-09-19 |
| 1831599802 | Spine Group Beverly Hills Inc | Orthopaedic Surgery | 8929 Wilshire Blvd, Suite 302, Bevelry Hills, CA 90211 | 2014-08-27 |
| 1144653650 | Jean Alejo Fiore | Radiologic Technologist | 8670 Wilshire Boulevard, 300, Beverly Hills, CA 90211 | 2013-08-20 |
| Find all providers in zip 90211 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932688207 | Anna Martinez Md, Inc. | Internal Medicine | 50 N La Cienega Blvd Ste 220, Beverly Hills, CA 90211-2246 | 2018-08-08 |
| 1215428768 | Dr. Mark M. Ghalili Do Inc | Internal Medicine | 8500 Wilshire Blvd Ste 518, Beverly Hills, CA 90211-3111 | 2018-05-21 |
| 1437568235 | Je Medical Corporation | Internal Medicine | 9461 Charleville Blvd # 242, Beverly Hills, CA 90212-3017 | 2014-08-05 |
| 1215354337 | David Alajajian | Internal Medicine | 150 N Robertson Blvd Ste 300, Beverly Hills, CA 90211-2145 | 2014-03-26 |
| 1407199896 | Farnoosh Taghadosi | Internal Medicine | 312 S Beverly Dr, #3104, Beverly Hills, CA 90212-4813 | 2013-04-03 |
| 1679812838 | William Tuong | Internal Medicine | 8767 Wilshire Blvd Fl 3, Beverly Hills, CA 90211-2714 | 2013-02-07 |
| 1295073468 | Mary L Unanue | Internal Medicine | 5 Beverly Ridge Ter, Beverly Hills, CA 90210-1343 | 2013-01-23 |
| 1841538246 | Westside Wilshire Medical Group | Internal Medicine | 9249 Burton Way, 206, Beverly Hills, CA 90210-3722 | 2013-01-21 |
| 1124365382 | Richard W Bank | Internal Medicine | 235 S Reeves Dr Unit 104, Beverly Hills, CA 90212-4066 | 2013-01-08 |
| 1821341892 | Shirin Bagheri | Internal Medicine | 250 N Robertson Blvd Ste 403, Beverly Hills, CA 90211-1793 | 2012-10-16 |
| Find all providers in BEVERLY HILLS | ||||
| City | BEVERLY HILLS |
| Zip Code | 90211 |
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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.