DR. SHELLY DUTT (NPI# 1487065215) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1487065215 |
Entity Type | Individual |
Full Name | DR. SHELLY DUTT |
Credential | M.D. |
Practice Address |
3828 Schaufele Ave Ste 200 Long Beach CA 90808-1793 |
Practice Telephone | 6572418990 |
Practice Fax Number | 7146654600 |
Mailing Telephone | 6572418990 |
Mailing Fax Number | 7146654600 |
Enumeration Date | 2014-05-14 |
Last Update Date | 2020-05-06 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207V00000X | Obstetrics & Gynecology | A142460 | CA | Allopathic & Osteopathic Physicians |
Street Address |
3828 SCHAUFELE AVE STE 200 |
City | LONG BEACH |
State | CA |
Zip Code | 90808-1793 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154315919 | David Mark Shavelle | Specialist | 3828 Schaufele Ave Ste 200, Long Beach, CA 90808-1793 | 2005-09-08 |
1942723994 | Yumi Mendez-ishizaki | Obstetrics & Gynecology | 3828 Schaufele Ave Ste 200, Long Beach, CA 90808-1793 | 2017-07-21 |
1851786156 | Van Quoc Pham | Internal Medicine | 3828 Schaufele Ave Ste 200, Long Beach, CA 90808 | 2015-04-02 |
1124431374 | Deborah Karm | Obstetrics & Gynecology | 3828 Schaufele Ave Ste 200, Long Beach, CA 90808 | 2014-06-05 |
1992116388 | Briana Livingston | Obstetrics & Gynecology | 3828 Schaufele Ave Ste 200, Long Beach, CA 90808 | 2014-05-19 |
1447516513 | Joshua Snodgrass | Family Medicine | 3828 Schaufele Ave Ste 200, Long Beach, CA 90808-1793 | 2012-04-03 |
1275837205 | Jimmy Johannes | Internal Medicine | 3828 Schaufele Ave Ste 200, Long Beach, CA 90808-1793 | 2011-01-05 |
1891012860 | Christopher Yee | Internal Medicine | 3828 Schaufele Ave Ste 200, Long Beach, CA 90808-1793 | 2010-04-29 |
1861719486 | Thomas Jiang | Internal Medicine | 3828 Schaufele Ave Ste 200, Long Beach, CA 90808-1793 | 2010-04-21 |
1154580074 | Aditya Sudnagunta Prasad | Internal Medicine | 3828 Schaufele Ave Ste 200, Long Beach, CA 90808-1793 | 2008-06-05 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629558713 | Long Beach-lakewood Orthopedic Institute | Orthopaedic Surgery | 3828 Schaufele Ave Ste 320, Long Beach, CA 90808 | 2018-08-17 |
1376072710 | Premiere Cottages Inc. | Assisted Living Facility | 4815 Premiere Ave, Long Beach, CA 90808 | 2017-06-08 |
1760911184 | Collaborative Partners for Success, LLC | Speech-Language Pathologist | 3472 Tulane Avenue, Long Beach, CA 90808 | 2017-06-08 |
1942658604 | Susan S Orr | Physical Therapist | 3833 Worsham Ave #301, Long Beach, CA 90808 | 2016-06-02 |
1447611298 | Rac Brittany House | Alzheimer Center (Dementia Center) | 5641 Centralia Avenue, Long Beach, CA 90808 | 2016-03-08 |
1003234261 | Ray Ira Apter | Social Worker | 4333 N. Greenbrier Road, Long Beach, CA 90808 | 2014-04-03 |
1043590649 | Fonda Jiang | Allergy & Immunology | 3816 Woodruff Ave Ste 209, Long Beach, CA 90808 | 2011-08-26 |
1457640757 | Alexander Cristian Gavrila | Dentist | 4200 Lakewood Blvd, Long Beach, CA 90808 | 2011-04-07 |
1851629034 | Reyana Ewing | Dietitian, Registered | 4195 N Viking Way Ste D, Long Beach, CA 90808 | 2009-11-25 |
1548497597 | Veronika Lee Hoover | Social Worker | 4195 N. Viking Way, Suite F, Long Beach, CA 90808 | 2009-06-17 |
Find all providers in zip 90808 |
Taxonomy Code | 207V00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Obstetrics & Gynecology |
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1083856975 | Laura Sech Mccracken | Obstetrics & Gynecology | 1347 Park Ave, Long Beach, CA 90804-3127 | 2009-03-24 |
1508049834 | Kenneth Nmn Farhang | Obstetrics & Gynecology | 831 Hillside Dr., Long Beach, CA 90815-4716 | 2007-12-10 |
1508045956 | Carsten S. Ronlov, M.d. Inc. | Obstetrics & Gynecology | 3325 Palo Verde Ave Ste 202, Long Beach, CA 90808-4132 | 2007-11-01 |
1942342001 | Stanley Spencer Olenick | Obstetrics & Gynecology | 790 East Willow St, Suite 100, Long Beach, CA 90806-2703 | 2007-02-13 |
1306985445 | Essam Taymour | Obstetrics & Gynecology | 3550 Linden Ave Ste 1, Long Beach, CA 90807-4577 | 2007-02-05 |
1528104437 | Clifford A Hancock | Obstetrics & Gynecology | 2790 Atlantic Ave, Long Beach, CA 90806-2755 | 2007-01-29 |
1467544734 | Ruben Marmet | Obstetrics & Gynecology | 2777 Long Beach Blvd Ste 200, Long Beach, CA 90806-1513 | 2006-09-28 |
1568553188 | Soon Sohn | Obstetrics & Gynecology | 3050 E Airport Way, Long Beach, CA 90806-2404 | 2006-09-27 |
1376640086 | Magella Medical Group, Inc. | Obstetrics & Gynecology | 2888 Long Beach Blvd Ste 400, Long Beach, CA 90806-1553 | 2006-09-17 |
1780793604 | Neeraj Goswamy | Obstetrics & Gynecology | 111 Mitchell Ave, Long Beach, NY 11561-3819 | 2006-08-30 |
Find all providers in LONG BEACH |
City | LONG BEACH |
Zip Code | 90808 |
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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.