DR. SAMUEL JOHN BRAITMAN (NPI# 1184700114) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184700114 |
| Entity Type | Individual |
| Full Name | DR. SAMUEL JOHN BRAITMAN |
| Credential | M.D. |
| Practice Address |
6041 Cadillac Ave Los Angeles CA 90034-1702 |
| Practice Telephone | 3238572903 |
| Practice Fax Number | 3238572029 |
| Mailing Telephone | 3238572903 |
| Mailing Fax Number | 3238572029 |
| Enumeration Date | 2006-10-31 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2081P2900X |
Physical Medicine & Rehabilitation Specialization: Pain Medicine |
G25958 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
6041 CADILLAC AVE |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90034-1702 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972596708 | Grace Choi | Optometrist | 6041 Cadillac Ave, Los Angeles, CA 90034-1702 | 2005-08-26 |
| 1417561788 | Shirldawn Williams | Social Worker | 6041 Cadillac Ave, Los Angeles, CA 90034-1702 | 2020-09-03 |
| 1720699952 | Beatrice Nguy | Pharmacist | 6041 Cadillac Ave, Los Angeles, CA 90034-1702 | 2020-08-12 |
| 1598375982 | Kristina Lynn Wong | Pharmacist | 6041 Cadillac Ave, Los Angeles, CA 90034-1702 | 2020-07-31 |
| 1033733472 | Ashika Sharma | Pharmacist | 6041 Cadillac Ave, Los Angeles, CA 90034-1702 | 2020-06-02 |
| 1043834484 | Jose Conde | Pharmacist | 6041 Cadillac Ave, Los Angeles, CA 90034-1702 | 2020-06-01 |
| 1164045480 | Jenelle Newell | Pharmacist | 6041 Cadillac Ave, Los Angeles, CA 90034-1702 | 2020-05-20 |
| 1316569155 | Swan An | Pharmacist | 6041 Cadillac Ave, Los Angeles, CA 90034-1702 | 2020-05-14 |
| 1790307882 | Jennifer Kitahara | Pharmacist | 6041 Cadillac Ave, Los Angeles, CA 90034-1700 | 2020-05-12 |
| 1316568090 | Calvin Lai | Pharmacist | 6041 Cadillac Ave, Los Angeles, CA 90034-1702 | 2020-05-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518582014 | Pdi Health Ca LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 3415 South Sepulveda Blvd Ste 1100, Los Angeles, CA 90034 | 2020-06-10 |
| 1154888063 | Lanmc Corporation | Community/Behavioral Health | 1920 S. Robertson Blvd., Los Angeles, CA 90034 | 2019-02-27 |
| 1841799400 | Benjamin Kerneves | Physical Therapist | 3637 Clarington Ave, Los Angeles, CA 90034 | 2018-02-08 |
| 1497274799 | Nancy Mcdonald | Counselor | 9854 National Blvd., #493, Los Angeles, CA 90034 | 2017-09-18 |
| 1063931608 | Alexa Rohach | Physical Therapist | 3710 Midvale Ave, Unit 109, Los Angeles, CA 90034 | 2017-09-14 |
| 1225551807 | Bts Outpatient LLC | Counselor | 8847 Venice Blvd, Los Angeles, CA 90034 | 2017-07-25 |
| 1316467400 | Clarissa Green | Rehabilitation Counselor | Vista Del Mar 3200 Motor Ave, Los Angeles, CA 90034 | 2017-06-21 |
| 1245789940 | Genesis Psychology Group, Inc. | Psychologist | 3611 Motor Ave., Suite 240, Los Angeles, CA 90034 | 2016-09-23 |
| 1245787712 | Mahsa Harati | Dentist | 3670 Glendon Ave, Apt # 204, Los Angeles, CA 90034 | 2016-09-01 |
| 1134675440 | Noelle Antoinette Avellino | Social Worker | 3384 Motor Ave., Los Angeles, CA 90034 | 2016-08-28 |
| Find all providers in zip 90034 | ||||
| Taxonomy Code | 2081P2900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Specialization | Pain Medicine |
| A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source changed] Additional Resources: American Board of Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. A subspecialty certificate was approved by the ABMS in 1999. ACGME Accredited Residency Program Requirements: Proposal under development. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578871356 | Hyun-chang Choi | Physical Medicine & Rehabilitation | 1110 S Lake St Apt 307, Los Angeles, CA 90006-3688 | 2010-09-15 |
| 1801118716 | Kenith K Paresa, Md A Professional Corp | Physical Medicine & Rehabilitation | 1964 Westwood Blvd Ste 435, Los Angeles, CA 90025 | 2010-02-18 |
| 1710041504 | Paul Leonard | Physical Medicine & Rehabilitation | 5266 W Olympic Blvd, Los Angeles, CA 90036-4916 | 2006-12-19 |
| 1437179934 | Bipin B Bharatwal | Physical Medicine & Rehabilitation | 11728 Dorothy St, Apt 309, Los Angeles, CA 90049-5560 | 2006-07-20 |
| 1285274035 | In-line Medical, Inc., A Professional Medical Corporation | Physical Medicine & Rehabilitation | 1127 Wilshire Blvd Ste 510, Los Angeles, CA 90017-3906 | 2020-01-09 |
| 1891202263 | Edward K. Pang Medical Corporation | Physical Medicine & Rehabilitation | 444 S San Vicente Blvd Ste 901, Los Angeles, CA 90048-4174 | 2018-01-06 |
| 1386031201 | Eric Sun | Physical Medicine & Rehabilitation | 1520 San Pablo St Ste 2000, Los Angeles, CA 90033 | 2015-04-17 |
| 1861810368 | Ian Dworkin | Physical Medicine & Rehabilitation | 8436 W 3rd St Ste 800, Los Angeles, CA 90048-4100 | 2014-04-01 |
| 1942540224 | Active Pain Relief Inc | Physical Medicine & Rehabilitation | 4601 Wilshire Blvd, 3rd Floor, Los Angeles, CA 90010-3880 | 2013-02-22 |
| 1285920090 | Edward Pang | Physical Medicine & Rehabilitation | 11301 Wilshire Blvd, Mail #117, Los Angeles, CA 90073-1003 | 2011-06-21 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90034 |
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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.