DR. ANDREW P NOVOM (NPI# 1346295391) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346295391 |
| Entity Type | Individual |
| Full Name | DR. ANDREW P NOVOM |
| Credential | MD |
| Practice Address |
1294 W 6th St Ste#102 San Pedro CA 90731-2987 |
| Practice Telephone | 3108326487 |
| Practice Fax Number | 3108326913 |
| Mailing Telephone | 3108326487 |
| Mailing Fax Number | 3108326913 |
| Enumeration Date | 2006-05-24 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | G62673 | CA | Other Service Providers |
| Street Address |
1294 W 6TH ST STE#102 |
| City | SAN PEDRO |
| State | CA |
| Zip Code | 90731-2987 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093379091 | Graham Gage | Physical Therapist | 1294 W 6th St, San Pedro, CA 90731-2987 | 2019-04-24 |
| 1891197208 | Brandon Edenedo | Physical Therapist | 1294 W 6th St, Suite 101, San Pedro, CA 90731-2987 | 2014-09-17 |
| 1619213485 | Der-how Huang | Physical Therapist | 1294 W 6th St, 101, San Pedro, CA 90731-2987 | 2012-12-21 |
| 1023340627 | Alice Wang | Physical Therapist | 1294 W 6th St, Suite 101, San Pedro, CA 90731-2987 | 2010-02-05 |
| 1134380249 | Kimberly R Walton Md Inc | Obstetrics & Gynecology | 1294 W 6th St, 201-a, San Pedro, CA 90731-2987 | 2008-06-20 |
| 1003020231 | Borrowed Star Psychology Group, Inc | Psychologist | 1294 W 6th St, Suite 105, San Pedro, CA 90731-2987 | 2007-05-09 |
| 1962629162 | Great Harbor Family & Sports Medicine, Inc | General Practice | 1294 W 6th St, Suite 200, San Pedro, CA 90731-2987 | 2007-04-19 |
| 1851425417 | Cindy Baldonado | Physician Assistant | 1294 W 6th St, Suite 200, San Pedro, CA 90731-2987 | 2007-03-15 |
| 1699806703 | Shannon Farrell | Chiropractor | 1294 W 6th St, Suite 203, San Pedro, CA 90731-2987 | 2007-03-08 |
| 1518074160 | Genesa Wagoner | Pediatrics | 1294 W 6th St, Suite 104, San Pedro, CA 90731-2987 | 2006-08-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962009464 | Jyoti Patel | Optometrist | 1701 Gaffey St., San Pedro, CA 90731 | 2020-10-07 |
| 1518513183 | Churairat Maffei | Technician | 1305 S Patton Ave, San Pedro, CA 90731 | 2019-08-09 |
| 1326692898 | Lori Marie Kroeker | Counselor | 235 W. 9th St, San Pedro, CA 90731 | 2019-08-01 |
| 1366960783 | Maria Elena Newcomer Dds Inc | Dentist | 847 W. 9th St., San Pedro, CA 90731 | 2017-09-06 |
| 1255875944 | Raymond J Mazuchowski Jr. | Dentist | 697 S Gaffery St, San Pedro, CA 90731 | 2016-12-14 |
| 1700235108 | Redina J Williams | Counselor | 559 W, 9th Street, San Pedro, CA 90731 | 2016-06-07 |
| 1649697764 | Leilani M. Sharpe | Psychiatry & Neurology | 222 W 6th St Ste 400, San Pedro, CA 90731 | 2014-03-26 |
| 1134418882 | Neema Rukiya Hardeman | Pediatrics | 2400 S Pacific Ave Bldg 30, San Pedro, CA 90731 | 2011-04-04 |
| 1477878148 | Karla Vanesa Cehua | Dental Assistant | 423n. Meyler St., San Pedro, CA 90731 | 2010-04-06 |
| 1023258183 | Deborah Anne Allsup | Acupuncturist | 732 W. 9th Street, #202, San Pedro, CA 90731 | 2009-03-03 |
| Find all providers in zip 90731 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447579818 | Susan Jane Smyth | Specialist | 2117 W 25th St Apt 1, San Pedro, CA 90732-4175 | 2010-05-25 |
| 1326208877 | Nova Medical Center | Specialist | 1423 W 8th St, San Pedro, CA 90732-3803 | 2008-06-09 |
| 1245436047 | Dana A Dahlke | Specialist | 784 W Hamilton Ave, San Pedro, CA 90731 | 2007-06-27 |
| 1003954942 | Hanaa N Hanna | Specialist | 887 W 9th St, San Pedro, CA 90731-3603 | 2007-02-02 |
| 1285789487 | La Vida Multi-specialty Medical Group | Specialist | 605 W. 6th Street, San Pedro, CA 90731 | 2007-01-25 |
| 1760550040 | Lindholm Therapy Services Inc | Specialist | 1418 Brett Pl, 120, San Pedro, CA 90732-5117 | 2006-12-02 |
| 1922116698 | Asghar Askari | Specialist | 1360 W 6th St Ste 160, San Pedro, CA 90732-3537 | 2006-08-25 |
| 1225379597 | Premier Physical Therapy and Wellness Clinic Inc. | Specialist | 1300 W 6th St, Suite 3, San Pedro, CA 90732-3531 | 2013-03-11 |
| 1598076200 | Harbor Spine Specialty | Specialist | 1360 W 6th St, East Building, Unit J, San Pedro, CA 90732-3514 | 2010-06-28 |
| 1114251725 | Linda Carrie Martin | Specialist | 1350 W 6th St, San Pedro, CA 90732-3544 | 2009-09-29 |
| Find all providers in SAN PEDRO | ||||
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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.