DR. BRANDON ROSS COLBY (NPI# 1548548548) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1548548548 |
Entity Type | Individual |
Full Name | DR. BRANDON ROSS COLBY |
Credential | M.D. |
Practice Address |
10780 Santa Monica Blvd Suite 360 Los Angeles CA 90025-4749 |
Practice Telephone | 4242455878 |
Practice Fax Number | 4242884103 |
Mailing Telephone | 4242455878 |
Mailing Fax Number | 4242884103 |
Enumeration Date | 2011-07-26 |
Last Update Date | 2011-07-26 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207SG0201X |
Medical Genetics Specialization: Clinical Genetics (M.D.) |
255304 | NY | Allopathic & Osteopathic Physicians |
Y | 207SG0201X |
Medical Genetics Specialization: Clinical Genetics (M.D.) |
A92750 | CA | Allopathic & Osteopathic Physicians |
Street Address |
10780 SANTA MONICA BLVD SUITE 360 |
City | LOS ANGELES |
State | CA |
Zip Code | 90025-4749 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1275596694 | Renal Treatment Centers-california, Inc | Clinic/Center | 10780 Santa Monica Blvd, Ste 480, Los Angeles, CA 90025-4749 | 2006-04-07 |
1215583208 | Afsoun Delshad | Speech-Language Pathologist | 10780 Santa Monica Blvd, Los Angeles, CA 90025-4749 | 2019-08-14 |
1295388619 | Macy Morikawa | Speech-Language Pathologist | 10780 Santa Monica Blvd, Los Angeles, CA 90025-4749 | 2019-07-24 |
1457890576 | Veronica Christiana Cleary | Marriage & Family Therapist | 10780 Santa Monica Blvd, Suite #260, Los Angeles, CA 90025-4749 | 2017-02-22 |
1164979803 | Neil Ghodadra M.d. Inc | Orthopaedic Surgery | 10780 Santa Monica Blvd, Suite 210, Los Angeles, CA 90025-4749 | 2016-09-09 |
1710432372 | Hallie Schiff | Physical Therapist | 10780 Santa Monica Blvd, Suite 405, Los Angeles, CA 90025-4749 | 2016-08-23 |
1609235324 | Megan Auster-rosen | Psychologist | 10780 Santa Monica Blvd, 105, Los Angeles, CA 90025-4749 | 2016-02-23 |
1235502360 | Prospect Health Plan, Inc. | Health Maintenance Organization | 10780 Santa Monica Blvd, Suite 400, Los Angeles, CA 90025-4749 | 2015-11-11 |
1306219845 | Orthohealing Center Association A Ca General Partnership | Physical Medicine & Rehabilitation | 10780 Santa Monica Blvd, Suite 210, Los Angeles, CA 90025-4749 | 2015-11-05 |
1790156271 | Camden Physicians Grou, Inc. | Psychologist | 10780 Santa Monica Blvd, Suite 105, Los Angeles, CA 90025-4749 | 2015-10-09 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1558962324 | Marjan-marcia Khalitchi-alavi | Psychologist | 12400 Wilshire Blvd #230, Los Angeles, CA 90025 | 2020-11-06 |
1245852599 | Maureen Bridget Mcglynn | Marriage & Family Therapist | 1531 Purdue Avenue, Los Angeles, CA 90025 | 2020-05-09 |
1578118857 | Gregory J Bogie | Physical Therapist | 10351 Santa Monica Blvd. Suite 101, Los Angeles, CA 90025 | 2019-08-05 |
1518527712 | David Allen Goldstein | Marriage & Family Therapist | 12301 Wilshire Blvd., Suite 515, Los Angeles, CA 90025 | 2019-06-19 |
1386104875 | Kevin Meir Youssefzadeh | Student in an Organized Health Care Education/Training Program | 304 Dowlen Dr, Los Angeles, CA 90025 | 2019-03-21 |
1336609189 | Psychotherapy Center for Healing and Personal Growth | Psychologist | 2001 S. Barington Ave Suite 222, Los Angeles, CA 90025 | 2019-03-20 |
1477028819 | Flora Ma | Nurse Practitioner | 1726 Purdue Ave, Apt 2, Los Angeles, CA 90025 | 2018-10-12 |
1457834285 | Yeesul Yoo | Chiropractor | 2001 S. Barrington Ave Suite 101, Los Angeles, CA 90025 | 2018-09-07 |
1902387160 | Angelica Carmen Regalado | Behavior Technician | 7400 Pacific Blvd. Suite A & B, Walnut Park, CA 90025 | 2018-08-26 |
1033603378 | Craig Allen Gillett | Marriage & Family Therapist | 11847 Wilshire Blvd., #300, Los Angeles, CA 90025 | 2018-06-20 |
Find all providers in zip 90025 |
Taxonomy Code | 207SG0201X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Medical Genetics |
Specialization | Clinical Genetics (M.D.) |
A clinical geneticist demonstrates competence in providing comprehensive diagnostic, management and counseling services for genetic disorders. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Medical Genetics, 2007. http://www.abmg.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Medical Genetics. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164541181 | Matthew Deardorff | Medical Genetics | 4650 W Sunset Blvd # Ms 43, Los Angeles, CA 90027-6062 | 2007-03-29 |
1770618589 | Linda S Cowan | Medical Genetics | 1111 W 6th St Fl 2, Los Angeles, CA 90017-1800 | 2007-02-22 |
1134199946 | Derek Alan Wong | Medical Genetics | 10833 Leconte Ave, Mdcc 12-334, Los Angeles, CA 90095-1732 | 2006-01-24 |
1568449122 | Shirley Rachel Korula | Medical Genetics | 4339 State University Dr, Diagnostic Center of Southern California, Los Angeles, CA 90032-4220 | 2005-12-27 |
1760765226 | Eyal M Reinstein | Medical Genetics | 8700 Beverly Blvd, Cedars Sinai Medical Center, Pact, Suite 400, Los Angeles, CA 90048 | 2011-09-21 |
1922305036 | Linda S. Cowan, Md A Professional Corporation | Medical Genetics | 637 Lucas Ave, #205, Los Angeles, CA 90017-1912 | 2011-02-25 |
1306076039 | Alvaro H Serrano Russi | Medical Genetics | 4650 Sunset Blvd, Los Angeles, CA 90027-6062 | 2009-07-15 |
1962688853 | Sridevi Abboy | Medical Genetics | 4760 W Sunset Blvd, Los Angeles, CA 90027-6063 | 2008-01-10 |
1891995122 | Moin U Vera | Medical Genetics | 4650 W Sunset Blvd, Los Angeles, CA 90027 | 2007-07-24 |
1922206572 | University Childrens Medical Group | Medical Genetics | 4650 W Sunset Blvd, Ms# 90, Los Angeles, CA 90027-6062 | 2007-07-05 |
Find all providers in LOS ANGELES |
City | LOS ANGELES |
Zip Code | 90025 |
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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.