NOLAN STEPHEN DESA


Address: 1040 Elm Ave Ste 100, Long Beach, CA 90813-3265
Phone: 5624329911

NOLAN STEPHEN DESA (NPI# 1245673896) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1245673896
Entity Type Individual
Full Name NOLAN STEPHEN DESA
Credential MD
Practice Address 1040 Elm Ave Ste 100
Long Beach
CA 90813-3265
Mailing Address 1045 Atlantic Ave Ste 1004
Long Beach
CA 90813-3423
Practice Telephone 5624329911
Practice Fax Number 5623910180
Mailing Telephone 5624329911
Mailing Fax Number 5623910180
Enumeration Date 2013-04-14
Last Update Date 2019-08-14
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208600000X Surgery A160199 CA Allopathic & Osteopathic Physicians

Provider Secondary Practice Location

Address Telephone Number Fax Number
1045 Atlantic Ave Ste 506, Long Beach, CA 908133414 5624329911 5623910180

Office Location

Street Address 1040 ELM AVE STE 100
City LONG BEACH
State CA
Zip Code 90813-3265

Providers in the same location

NPI Name Taxonomy Address Enumeration
1124187208 Surgical Suite of Southern California, A Medical Corporation Clinic/Center 1040 Elm Ave Ste 100, Long Beach, CA 90813-3265 2006-12-06
1821537275 California Surgical Suites, LLC Clinic/Center 1040 Elm Ave Ste 100, Long Beach, CA 90813-3265 2017-02-17
1740464551 Eric Voldeng Physician Assistant 1040 Elm Ave Ste 100, Long Beach, CA 90813-3265 2007-12-28
1235269093 Faustino Bernadett M.d. Clinic/Center 1040 Elm Ave Ste 100, Long Beach, CA 90813-3265 2007-03-07
1033249271 Faustino Bernadett M.d. Clinic/Center 1040 Elm Ave Ste 100, Long Beach, CA 90813-3265 2007-03-06

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1861018491 Marisol Zobler Social Worker 820 Long Beach Bvld, Long Beach, CA 90813 2020-06-19
1437787009 Cho Rok Kim Student in an Organized Health Care Education/Training Program Graduate Medical Education, 1050 Linden Ave., Long Beach, CA 90813 2020-03-30
1316407596 Vicky Sandhu Student in an Organized Health Care Education/Training Program Graduate Medical Education, 1050 Linden Ave, Long Beach, CA 90813 2019-03-22
1245734912 Madiha Naseem Internal Medicine Graduate Medical Education, 1050 Linden Avenue, Long Beach, CA 90813 2018-03-19
1689194508 Naomi Ruiz Specialist/Technologist 838 Pine Ave Apt. 314, Long Beach, CA 90813 2017-06-21
1851831531 Tyler Lappen Student in an Organized Health Care Education/Training Program 830 Atlantic Ave., Long Beach, CA 90813 2017-03-01
1639628886 Assavuth Kim Community Health Worker 1471 Cherry Avenue, Long Beach, CA 90813 2016-09-29
1881031300 Stacy Nicole Delgado-willis Marriage & Family Therapist 851 Pine Ave Ste 103, Long Beach, CA 90813 2013-05-23
1740623453 Paula Ann Di Thomas Nurse Practitioner 1043 Elm Ave #104, Long Beach, CA 90813 2013-04-11
1629322722 David O Chavez Case Manager/Care Coordinator 820 Long Beach Blvd, Long Beach, CA 90813 2012-10-29
Find all providers in zip 90813

Taxonomy Information

Taxonomy Code 208600000X
Grouping Allopathic & Osteopathic Physicians
Classification Surgery

Taxonomy Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1821492687 Valerie Stewart Surgery 97 National Blvd, Long Beach, NY 11561-4068 2014-10-22
1427318955 Thai On Wong Surgery 1045 Atlantic Ave Ste 712, Long Beach, CA 90813-3411 2012-05-17
1801161500 Willis Earl Tunnell Surgery 201 Bay Shore Ave, #304, Long Beach, CA 90803 2012-03-13
1699062083 Frederick L. Stafford M.d. Inc Surgery 701 E 28th St Ste 416, Long Beach, CA 90806-2787 2011-07-06
1083854582 Ankur Gupta Surgery 701 E 28th St Ste 314, Long Beach, CA 90806-2702 2009-02-24
1518127497 Paul Nikolas Chugay Surgery 4210 Atlantic Ave, Long Beach, CA 90807 2008-06-13
1063692887 Rowena Lopez Ramirez Surgery 5443 E Centralia St, Long Beach, CA 90808-1455 2007-11-08
1679766745 Hamed Taheri Surgery 1045 Atlantic Ave Ste 512, Long Beach, CA 90813-3422 2007-08-22
1962559039 Nina Michelle Bowens Surgery 3747 Worsham Ave Ste 2001, Long Beach, CA 90808-1731 2007-01-04
1639251341 Bernard Lanter Surgery 235 W Park Ave, Long Beach, NY 11561-3232 2006-10-20
Find all providers in LONG BEACH

Competitor

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City LONG BEACH
Zip Code 90813

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Dataset Information

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.

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