DR. RANDALL F ROBERTS (NPI# 1114929809) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1114929809 |
Entity Type | Individual |
Full Name | DR. RANDALL F ROBERTS |
Credential | MD |
Practice Address |
1019 S Central Ave Glendale CA 91204-2210 |
Mailing Address |
1019 S Central Ave Suite #530 Glendale CA 91204-2210 |
Practice Telephone | 8182444374 |
Practice Fax Number | 8182440633 |
Mailing Telephone | 8182444374 |
Mailing Fax Number | 8182440633 |
Enumeration Date | 2005-08-11 |
Last Update Date | 2014-06-17 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) | A60385 | CA | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CA | GR0086630 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649404609 | Randall S Roberts | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 52 Gardner Street, Apt A, Patten, ME 04765 | 2009-05-06 |
1033207535 | Randall Thomas Roberts | Chiropractor | 1240 E Highway 193, Suite G8, Layton, UT 84040-8544 | 2006-10-10 |
Street Address |
1019 S CENTRAL AVE |
City | GLENDALE |
State | CA |
Zip Code | 91204-2210 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1750383766 | Andrew S Hurwitz | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1019 S Central Ave, Suite 530, Glendale, CA 91204-2210 | 2005-08-10 |
1659752699 | Chase Hungerford | Physician Assistant | 1019 S Central Ave, Glendale, CA 91204-2210 | 2015-06-16 |
1780982819 | Crystal Lisa Rene De Cotret | Physician Assistant | 1019 S Central Ave, Glendale, CA 91204-2210 | 2011-03-15 |
1780820217 | Hurwitz-roberts A Medical Corporation | Surgery | 1019 S Central Ave, Glendale, CA 91204-2210 | 2009-01-06 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1558997387 | Hope & Trust Trading LLC | Radiology | 318 W Colorado St #2, Glendale, CA 91204 | 2020-03-12 |
1972133387 | Yusuf Toliver | Counselor | 1027 S Central Ave, Suite 200, Glendale, CA 91204 | 2020-01-24 |
1538633136 | Pathology La Inc. | Clinical Medical Laboratory | 4634 San Fernando Rd., Same As Above, Glendale, CA 91204 | 2019-01-16 |
1295254050 | Glendale Back and Pain Center | Neurological Surgery | 710 S. Central Ave, Suite 240, Glendale, CA 91204 | 2017-09-13 |
1285163568 | Ez Trans, Inc. | Transportation Broker | 1626 S. Central Ave., Glendale, CA 91204 | 2017-06-08 |
1194254474 | Jenny Chung | Pharmacist | 3943 San Fernando Road, Glendale, CA 91204 | 2017-06-08 |
1396111886 | Fresenius Medical Care Glendale, LLC | Clinic/Center | 623 S Central Ave, Glendale, CA 91204 | 2015-08-19 |
1710302450 | New Age Foot and Ankle Podiatry PC | Podiatrist | 705 Ivy Street, Glendale, CA 91204 | 2014-03-04 |
1124454376 | Alber K. Karamanoukian Medical Clinic, Inc. | Clinic/Center | 810 S. Central Avenue, Suite 100, Glendale, CA 91204 | 2013-09-19 |
1548521156 | Glendale Plastic and Reconstructive Surgery Inc. | Plastic Surgery | 1500 S. Central Ave. #126, Glendale, CA 91204 | 2012-05-31 |
Find all providers in zip 91204 |
Taxonomy Code | 208G00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Thoracic Surgery (Cardiothoracic Vascular Surgery) |
A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Thoracic Surgery, 2007. http://www.abts.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Thoracic Surgery. Thoracic surgeons have the knowledge, experience and technical skills to accurately diagnose, operate upon safely, and effectively manage patients with thoracic diseases of the chest. This requires substantial knowledge of cardiorespiratory physiology and oncology, as well as capability in the use of heart assist devices, management of abnormal heart rhythms and drainage of the chest cavity, respiratory support systems, endoscopy and invasive and noninvasive diagnostic techniques. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1750383766 | Andrew S Hurwitz | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1019 S Central Ave, Suite 530, Glendale, CA 91204-2210 | 2005-08-10 |
1124020136 | Richard W Suda | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1510 S Central Ave, Suite 530, Glendale, CA 91204-2500 | 2005-08-10 |
1174524789 | Jeffrey Barton Alpern | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 21579 N 56th Ave, Suite 117, Glendale, AZ 85308-6287 | 2005-08-04 |
1366912446 | Vascular Cosmetics La | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1511 W Glenoaks Blvd, Glendale, CA 91201-1912 | 2018-11-30 |
1033543186 | Hosstrup, Plc | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 6120 W Bell Rd, Suite 100, Glendale, AZ 85308-3781 | 2013-08-26 |
1134398571 | Valley Chest & Vascular Surgeons Pllc | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 18555 N 79th Ave, Suite E105, Glendale, AZ 85308-8370 | 2008-02-29 |
1912931601 | Sundeep Shashi Patel | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 18301 N 79th Ave, Suite C135, Glendale, AZ 85308-8463 | 2006-07-10 |
1518949858 | Ellsworth E Wareham | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1505 Wilson Ter, Ste 300, Glendale, CA 91206-4071 | 2005-11-14 |
1821094780 | Roger James Hucek | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 5620 W Thunderbird Rd, Ste E1, Glendale, AZ 85306-4651 | 2005-06-24 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1598370728 | North County Cvt Surgery Associates | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 3156 Vista Way Ste 100, Oceanside, CA 92056-3694 | 2020-09-14 |
1417560756 | Valiana Vascular Institute Inc. | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 2501 E Chapman Ave Ste 220, Fullerton, CA 92831-3108 | 2020-08-26 |
1891252474 | Miguel Puig Md A Medical Corporation | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1430 Esplanade Ste 10, Chico, CA 95926-3366 | 2019-03-01 |
1598247991 | Pavel V Petrik Medical Corporation | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1331 W Avenue J Ste 203, Lancaster, CA 93534-2954 | 2018-08-31 |
1942797378 | Sharon A Bogerty Md Inc | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 105 N Bascom Ave Ste 101b, San Jose, CA 95128-1811 | 2018-04-20 |
1992231112 | Samer Kanaan Md A Professional Corporation | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 27451 Los Altos, Suite 290, Mission Viejo, CA 92691 | 2017-05-08 |
1073065512 | Central California Chest Surgery | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 729 N Medical Center Dr W Ste 223, Clovis, CA 93611-6885 | 2016-11-01 |
1407214612 | George Arnold Mulder | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1150 Laurel St, Pasadena, CA 91103-2329 | 2016-02-02 |
1760849905 | Steven R Gundry Md Medical Corporation | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 555 E Tachevah Dr Ste 3w103, Palm Springs, CA 92262-5747 | 2016-01-19 |
1386018687 | Riyad Youssef Tarazi | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 9120 Judicial Dr, Apt 7522, San Diego, CA 92122-6700 | 2015-11-24 |
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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.