DR. BRADLEY LANDIS (NPI# 1538203583) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1538203583 |
Entity Type | Individual |
Full Name | DR. BRADLEY LANDIS |
Credential | M.D. |
Practice Address |
1300 N Vermont Ave #1003 Los Angeles CA 90027-6005 |
Practice Telephone | 3236630077 |
Practice Fax Number | 3236634501 |
Mailing Telephone | 3236630077 |
Mailing Fax Number | 3236634501 |
Enumeration Date | 2007-02-16 |
Last Update Date | 2008-04-18 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208800000X | Urology | G42058 | CA | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CA | 00G420580 | 05 |
Street Address |
1300 N VERMONT AVE #1003 |
City | LOS ANGELES |
State | CA |
Zip Code | 90027-6005 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962498410 | Raed Bargout | Internal Medicine | 1300 N Vermont Ave, 401, Los Angeles, CA 90027-6005 | 2005-09-21 |
1447878095 | Michelle Valdez Labao | Nurse Practitioner | 1300 N Vermont Ave, Los Angeles, CA 90027-6098 | 2020-07-09 |
1265059638 | Parveen Kaur Md Inc | Internal Medicine | 1300 N Vermont Ave, Los Angeles, CA 90027-6098 | 2020-07-01 |
1336769728 | Anna Longuryan | Registered Nurse | 1300 N Vermont Ave, Los Angeles, CA 90027-6098 | 2020-04-25 |
1700410438 | Nicole Hilary Jaucian Valdez | Physician Assistant | 1300 N Vermont Ave, Los Angeles, CA 90027 | 2020-03-03 |
1457990087 | Ani Nairi Narinyan | Pharmacist | 1300 N Vermont Ave, Los Angeles, CA 90027-6098 | 2019-12-30 |
1356998272 | Pacifica Health Foundation | Preventive Medicine | 1300 N Vermont Ave, Los Angeles, CA 90027-6098 | 2019-08-26 |
1700341427 | Andrea Vasquez | Nurse Practitioner | 1300 N Vermont Ave, Los Angeles, CA 90027-6098 | 2019-02-06 |
1205391356 | Antoine Vernell Taylor Sr. | Emergency Medicine | 1300 N Vermont Ave, Los Angeles, CA 90027-6098 | 2019-02-04 |
1568936268 | Marianna Muradyan | Pharmacist | 1300 N Vermont Ave, Los Angeles, CA 90027-6098 | 2019-01-15 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326653593 | Lamia Binhuwaishel | Student in an Organized Health Care Education/Training Program | 4650 Sunset Blvd, Craniofacial and Special Needs Ortho, Los Angeles, CA 90027 | 2020-09-14 |
1285242594 | Rocio Jimenez | Case Manager/Care Coordinator | 4650 Sunset Blvd, Mailstop #53, Los Angeles, CA 90027 | 2020-07-22 |
1558984799 | Integrative Endodontics, Inc | Dentist | 10850 Wilshine Blvd Ste 301, Los Angeles, CA 90027 | 2020-05-22 |
1104450295 | Sarayana Sercarz | Marriage & Family Therapist | 4080 Woking Way, Los Angeles, CA 90027 | 2020-02-27 |
1457991143 | George Michaiel | Pediatrics | 4650 Sunset Blvd., Ms #54, Los Angeles, CA 90027 | 2020-01-09 |
1477199297 | Molly Rose Holmes | Marriage & Family Therapist | 3901 Los Feliz Boulevard, #303, Los Angeles, CA 90027 | 2019-11-27 |
1588206171 | Dental Help Solutions, LLC | Dentist | 4606 Hollywood Blvd, Suite A, Los Angeles, CA 90027 | 2019-10-15 |
1457905986 | Carmen L Ponce | Physical Therapy Assistant | 4867 Sunset Ave, Los Angeles, CA 90027 | 2019-08-01 |
1447729009 | Matthew Mendoza | Respiratory Therapist, Registered | 4867 Sunset Blvd, Los Angeles, Ca, Los Angeles, CA 90027 | 2018-11-13 |
1659856284 | Leticia Mendez | Nurse Practitioner | 1300 N Vermont Ave 606, Los Angeles, CA 90027 | 2018-09-29 |
Find all providers in zip 90027 |
Taxonomy Code | 208800000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Urology |
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1689092728 | Fuad Fredric Elkhoury | Urology | 200 Med Plaza, Suite 140, Los Angeles, CA 90048 | 2014-04-05 |
1457778763 | Boston Medical Group California, L.L.C. | Urology | 9911 W. Pico Blvd, Suite 1215, Los Angeles, CA 90035 | 2014-03-25 |
1700219532 | Erwin Robert Blum | Urology | 3224 S Bentley Ave, Los Angeles, CA 90034-5204 | 2013-08-15 |
1851637235 | Andre Berger | Urology | 1516 San Pablo Street, Los Angeles, CA 90089-0112 | 2012-12-12 |
1548537335 | Kiran Gollapudi | Urology | Ucla Urology 10833 Le Conte Ave, 66-124 Chs, Los Angeles, CA 90095-0001 | 2011-11-21 |
1154632602 | Arash Akhavein Mohammadi | Urology | 8631 W 3rd St Ste 715e, Los Angeles, CA 90048 | 2010-06-30 |
1639307333 | Francis Thomas Greene | Urology | 603 N. June St, Los Angeles, CA 90004-1011 | 2009-07-01 |
1225278211 | Timothy John Daskivich | Urology | Chs 66 124, 10833 Leconte Ave, Los Angeles, CA 90095-0001 | 2009-03-03 |
1851562144 | Jonathan Bergman | Urology | 11907 Darlington Avenue #202, Los Angeles, CA 90049 | 2008-03-14 |
1023292851 | Pejvak Sassani | Urology | 4900 W Sunset Blvd Fl 2, Los Angeles, CA 90027-5814 | 2007-12-28 |
Find all providers in LOS ANGELES |
City | LOS ANGELES |
Zip Code | 90027 |
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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.