CMC PULMONARY LAB (NPI# 1285654640) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285654640 |
| Entity Type | Organization |
| Organization Name | CMC PULMONARY LAB |
| Practice Address |
1401 S Grand Ave Los Angeles CA 90015-3010 |
| Mailing Address |
2300 S Flower St Ste 101 Los Angeles CA 90007-2689 |
| Practice Telephone | 2137420910 |
| Practice Fax Number | 2137426631 |
| Mailing Telephone | 2137420910 |
| Mailing Fax Number | 2137426631 |
| Enumeration Date | 2006-07-20 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | ROBERT ROTHBART (PRESIDENT) |
| Authorized Official Telephone | 2137420910 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 293D00000X | Physiological Laboratory | A29402 | CA | Laboratories |
| Y | 293D00000X | Physiological Laboratory | G32106 | CA | Laboratories |
| Street Address |
1401 S GRAND AVE |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90015-3010 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609872662 | California Hospital Radiology Medical Group PC | Specialist | 1401 S Grand Ave, Los Angeles, CA 90015-3010 | 2005-06-23 |
| 1598364804 | Katherine Ruiz Rossi | Student in an Organized Health Care Education/Training Program | 1401 S Grand Ave, Los Angeles, CA 90015-3010 | 2020-10-19 |
| 1548883911 | Giovani Valentin Cruz Cruz | Student in an Organized Health Care Education/Training Program | 1401 S Grand Ave, Los Angeles, CA 90015-3010 | 2020-05-20 |
| 1134742604 | Layla Nina Farrahi | Student in an Organized Health Care Education/Training Program | 1401 S Grand Ave, Los Angeles, CA 90015-3010 | 2020-05-19 |
| 1649893108 | Juliana Jones | Student in an Organized Health Care Education/Training Program | 1401 S Grand Ave, Los Angeles, CA 90015-3010 | 2020-05-19 |
| 1578186037 | Elizabeth Lisa Lee | Student in an Organized Health Care Education/Training Program | 1401 S Grand Ave, Los Angeles, CA 90015-3010 | 2020-05-19 |
| 1104455625 | Nyree Minatsaghanian | Registered Nurse | 1401 S Grand Ave, Los Angeles, CA 90015-3010 | 2020-04-06 |
| 1639714561 | Katherine H Park | Occupational Therapist | 1401 S Grand Ave, Los Angeles, CA 90015-3010 | 2019-11-14 |
| 1215572110 | Brittany Richardson | Social Worker | 1401 S Grand Ave, Los Angeles, CA 90015-3010 | 2019-11-14 |
| 1356985311 | Ran Chu | Occupational Therapist | 1401 S Grand Ave, Los Angeles, CA 90015-3010 | 2019-11-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184224156 | Via Care Community Health Center | Clinic/Center | 400 West Washington Blvd., The Hub D3-room 107, Los Angeles, CA 90015 | 2020-10-29 |
| 1225650955 | Luis Alvarado | Student in an Organized Health Care Education/Training Program | 1150 S. Olive Street, Suite 1400, Los Angeles, CA 90015 | 2020-05-15 |
| 1386290385 | Amy M Powell | Student in an Organized Health Care Education/Training Program | 1140 S.olive Street Ste #1427, Los Angeles, CA 90015 | 2019-08-15 |
| 1881170199 | Angie Andreina Trias Sanchez | Student in an Organized Health Care Education/Training Program | 936 S Olive St Apt 154, Los Angeles, CA 90015 | 2018-07-19 |
| 1083148753 | Central Neighborhood Health Foundation - Fontana | Clinic/Center | 714 W. Olympic Blvd Suite # 801, Los Angeles, CA 90015 | 2017-04-19 |
| 1255871711 | Ethan Lin | Student in an Organized Health Care Education/Training Program | 1401 S. Grand Ave. Suite 101, Residency Program, Los Angeles, CA 90015 | 2017-03-03 |
| 1972055093 | Yvonne Perez | Social Worker | 1150 South Hill St, Suite H-375, Los Angeles, CA 90015 | 2016-10-25 |
| 1356896492 | Mayano Ochi | Midwife | 1513 S Grand Ave Ste 250, Los Angeles, CA 90015 | 2016-08-18 |
| 1518321686 | Cielo Reyna-donaldson | Registered Nurse | 1520 South Olive Street, Los Angeles, CA 90015 | 2016-04-05 |
| 1891175774 | Amanecer Community Counseling Service | Community/Behavioral Health | 1500 S Olive St Rm 506, Los Angeles, CA 90015 | 2015-06-04 |
| Find all providers in zip 90015 | ||||
| Taxonomy Code | 293D00000X |
| Grouping | Laboratories |
| Classification | Physiological Laboratory |
| A laboratory that operates independently of a hospital and physician’s office to furnish physiological diagnostic services (e.g. EEG’s , EKG’s, scans, etc.). Facilities offering ONLY physiological services are not certified as independent laboratories. If an independent laboratory offers physiological services IN ADDITION to clinical laboratory services, they are surveyed only for compliance with the clinical laboratory regulations because there are no health and safety regulations for physiological services. |
| Notes: Source: Paraphrased from the Medicare Carrier Manual, Section 2070.5. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598238834 | Laboratory Environment LLC | Physiological Laboratory | 1436 S La Cienega Blvd Ste 208, Los Angeles, CA 90035-3761 | 2019-01-09 |
| 1194232272 | Harmony Diagnostics Inc | Physiological Laboratory | 11755 Wilshire Blvd Ste 1250, Los Angeles, CA 90025-1540 | 2018-01-10 |
| 1457862484 | Maria Susana Espino Gonzales | Physiological Laboratory | 5264 Lockhaven Ave, Los Angeles, CA 90041 | 2017-10-17 |
| 1700216256 | Greenline Diagnostics | Physiological Laboratory | 971 N La Cienega Blvd, Suite 202, Los Angeles, CA 90069-4790 | 2013-11-20 |
| 1326338823 | Krg Diagnostic Inc | Physiological Laboratory | 2404 Wilshire Blvd, Suite 5f, Los Angeles, CA 90057-3310 | 2011-04-18 |
| 1346401031 | Liber Diagnostics Inc | Physiological Laboratory | 1400 S Hayworth Ave, Suite 200, Los Angeles, CA 90035-4813 | 2008-06-24 |
| 1275794190 | Pulse Medical Diagnostics, Inc. | Physiological Laboratory | 11870 Santa Monica Blvd # 106-581, Los Angeles, CA 90025-2276 | 2008-06-23 |
| 1073642815 | Nsn Associates Inc | Physiological Laboratory | 3200 Wilshire Blvd, Suite 308, Los Angeles, CA 90010-1333 | 2007-03-05 |
| 1770633851 | Healthy Life Diagnostics, Inc. | Physiological Laboratory | 1930 Wilshire Blvd Ste 1209, Los Angeles, CA 90057-3622 | 2007-01-11 |
| 1144391947 | Ipb Medical Diagnostic, Inc. | Physiological Laboratory | 8939 S Sepulveda Bl, Suite 504, Los Angeles, CA 90045-3631 | 2006-11-13 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90015 |
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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.