WADE Y NISHIMOTO (NPI# 1083641518) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083641518 |
| Entity Type | Individual |
| Full Name | WADE Y NISHIMOTO |
| Credential | M.D. |
| Practice Address |
6801 Park Terrace 130 Los Angeles CA 90045-4025 |
| Practice Telephone | 3106497222 |
| Mailing Telephone | 3106497222 |
| Enumeration Date | 2006-06-28 |
| Last Update Date | 2007-12-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
G56797 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
6801 PARK TERRACE 130 |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90045-4025 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376514984 | Orr Limpisvasti | Orthopaedic Surgery | 6801 Park Terrace, Los Angeles, CA 90045-0000 | 2006-01-31 |
| 1174929319 | Jane Lee Sewell | Physician Assistant | 6801 Park Terrace, Los Angeles, CA 90045 | 2014-11-17 |
| 1497026447 | Mona Zall | Physical Medicine & Rehabilitation | 6801 Park Terrace, Suite 500, Los Angeles, CA 90045-1543 | 2012-01-23 |
| 1558497982 | Michael B. Banffy | Orthopaedic Surgery | 6801 Park Terrace, Los Angeles, CA 90045 | 2007-02-27 |
| 1598783185 | Michael Warren Todd Shwayder | Specialist | 6801 Park Terrace, Suite 530b, Los Angeles, CA 90045-1543 | 2006-07-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396388849 | Laska Dental Inc | Dentist | 5602 W Manchester Ave, Los Angeles, CA 90045 | 2019-10-28 |
| 1245889179 | Ana Arias | Physical Therapist | 6801 Terrace Drive, Suite 200, Los Angeles, CA 90045 | 2019-09-04 |
| 1144719410 | Family Dental Care 4 You | Dentist | 5602 W. Manchester Ave, Los Angeles, CA 90045 | 2018-05-02 |
| 1821504002 | Rhonda Taylor | Counselor | 8703 La Tijera Blvd Ste 201, Los Angeles, CA 90045 | 2017-12-24 |
| 1114436839 | Blanca Melisa Gomez I | Case Manager/Care Coordinator | 7423 1/4 S Sepulveda Blvd, Los Angeles, CA 90045 | 2017-09-26 |
| 1639688831 | Kalila Magbanua-stein | Counselor | 8618 La Tijera Blvd., Suite 200, Los Angeles, CA 90045 | 2017-09-20 |
| 1568984185 | Angela Mull | Marriage & Family Therapist | 8616 Latijera Blvd, Suite 307, Los Angeles, CA 90045 | 2017-07-14 |
| 1386171585 | Patricia Ann Bridewell | Registered Nurse | 5245 Concourse Drive, Suite 100, Los Angeles, CA 90045 | 2017-05-18 |
| 1679937627 | Thelese Consulting Group | Community/Behavioral Health | 8929 S. Sepulveda Blvd, Suite 400, Los Angeles, CA 90045 | 2016-04-06 |
| 1568823318 | Keith Romalis Ellison | Specialist/Technologist | One Lmu Drive, Gersten Pavilion - Athletic Training Room, Los Angeles, CA 90045 | 2016-03-08 |
| Find all providers in zip 90045 | ||||
| Taxonomy Code | 207RH0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology & Oncology |
| An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750999140 | Kamalesh K Sankhala Md Inc | Internal Medicine | 127 S San Vicente Blvd Fl 7, Los Angeles, CA 90048-3311 | 2020-07-21 |
| 1861917593 | Namphuong Tran | Internal Medicine | 10990 Wilshire Blvd Ste 300, Los Angeles, CA 90024-3937 | 2017-08-03 |
| 1922534866 | Vincent Louie Ramos Mendiola | Internal Medicine | 1441 Eastlake Avenue, Ntt 3470, Los Angeles, CA 90033 | 2017-05-11 |
| 1295153740 | Anthony Charles Bejjani | Internal Medicine | 200 Medical Plaza Suite 120, Los Angeles, CA 90095-2673 | 2014-04-02 |
| 1366737231 | Caspian Oliai | Internal Medicine | 100 Ucla Medical Plaza Suite 550, Los Angeles, CA 90095-8358 | 2011-06-18 |
| 1184920944 | Rodolfo Gutierrez | Internal Medicine | 11800 Wilshire Blvd Ste 300, Los Angeles, CA 90025-6602 | 2011-01-26 |
| 1942526934 | Joomee Shim | Internal Medicine | 1441 Eastlake Ave # Nor3440, Los Angeles, CA 90089-5018 | 2010-04-15 |
| 1669604849 | George Yaghmour | Internal Medicine | 1441 E Lake Ave, Division of Hematology and Bmt, Los Angeles, CA 90089-0112 | 2009-08-20 |
| 1902934607 | Herbert I. Rappaport, M.d., A Professional Corporation | Internal Medicine | 158 N Anita Ave, Los Angeles, CA 90049-2720 | 2007-03-02 |
| 1417083791 | James L Meltzer | Internal Medicine | 5525 West Flauson Ave Kindred Hospital, Los Angeles, CA 90056-1047 | 2007-02-23 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90045 |
Please comment or provide details below to improve the information on WADE Y NISHIMOTO.
| 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.