DIRECT CARE MEDICAL GROUP, INC. (NPI# 1568822690) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568822690 |
| Entity Type | Organization |
| Organization Name | DIRECT CARE MEDICAL GROUP, INC. |
| Practice Address |
5901 W Olympic Blvd Ste 300 Los Angeles CA 90036-4667 |
| Mailing Address |
11900 Avalon Blvd Ste 100 Los Angeles CA 90061-2866 |
| Practice Telephone | 3237561317 |
| Mailing Telephone | 3237561317 |
| Enumeration Date | 2016-03-02 |
| Last Update Date | 2016-04-25 |
| Authorized Official Name | JACK AZAD (PRESIDENT) |
| Authorized Official Telephone | 3237561317 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | A54433 | CA | Allopathic & Osteopathic Physicians |
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
A54433 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
5901 W OLYMPIC BLVD STE 300 |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90036-4667 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295720548 | Ann Christine Easley | Nurse Practitioner | 5901 W Olympic Blvd, 500, Los Angeles, CA 90036-4667 | 2005-09-13 |
| 1952856270 | University Foot & Ankle Institute Podiactric Surgical Center | Podiatrist | 5901 W Olympic Blvd, Suite 509, Los Angeles, CA 90036-4667 | 2016-08-16 |
| 1720464084 | Joshua Thorburn | Pharmacist | 5901 W Olympic Blvd, Suite 103, Los Angeles, CA 90036-4667 | 2015-08-09 |
| 1265810907 | Carla Spades | Obstetrics & Gynecology | 5901 W Olympic Blvd, Los Angeles, CA 90036-4667 | 2015-05-14 |
| 1992113120 | Lindsay Ann Fleshman | Nurse Practitioner | 5901 W Olympic Blvd, Suite 206, Los Angeles, CA 90036-4667 | 2014-07-31 |
| 1659797355 | Phillip Musikanth Md Inc | Internal Medicine | 5901 W Olympic Blvd, 401, Los Angeles, CA 90036-4667 | 2014-03-05 |
| 1629490495 | Gottlieb Medical Group | Allergy & Immunology | 5901 W Olympic Blvd, Suite 401, Los Angeles, CA 90036-4667 | 2014-01-14 |
| 1134467392 | George Fouladian Md Inc A California Professional Corp | Internal Medicine | 5901 W Olympic Blvd, Suite 307, Los Angeles, CA 90036-4667 | 2013-01-23 |
| 1053689802 | Conservative Care Specialists Medical Group Inc. | Non-Pharmacy Dispensing Site | 5901 W Olympic Blvd, Suite 204, Los Angeles, CA 90036 | 2011-12-08 |
| 1700166030 | Neda Shafaghi, Md Inc | Internal Medicine | 5901 W Olympic Blvd, Ste 506, Los Angeles, CA 90036-4667 | 2011-08-18 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174140198 | Stephanie N Carter | Dietitian, Registered | 460 Burnside Ave, Apt 8k, Los Angeles, CA 90036 | 2020-06-26 |
| 1609492107 | Katherine Niemela | Registered Nurse | 5619 W 4th St, Suite 5, Los Angeles, CA 90036 | 2020-06-19 |
| 1508384330 | Matthew Milstein | Psychologist | 5675 West Olympic Blvd., Los Angeles, CA 90036 | 2017-08-31 |
| 1912423963 | John Allen Ostlund | Counselor | 5675 W. Olympic Blvd, Los Angeles, CA 90036 | 2017-08-21 |
| 1306376629 | Scott William Wilson | Case Manager/Care Coordinator | 1891 N. Gaffey Street Suite 219 & 221, San Pedro, CA 90036 | 2017-06-19 |
| 1205382298 | Janice Payson | Marriage & Family Therapist | 801 South Spaulding Avenue, Suite A, Los Angeles, CA 90036 | 2016-08-30 |
| 1134577281 | Parul A Desai | Registered Nurse | 5800 Wilshire Blvd, Los Angeles, CA 90036 | 2016-05-31 |
| 1477914604 | Sarah Frank Jarvis | Marriage & Family Therapist | 7421 Beverly Blvd Ste 2, Los Angeles, CA 90036 | 2016-03-16 |
| 1558747162 | Paul Oberon, Psy.d, Inc. | Community/Behavioral Health | 7421 Beverly Blvd., #10, Los Angeles, CA 90036 | 2015-08-05 |
| 1235543117 | Benjamin Maixner | Behavioral Analyst | 441 1/2 N Curson Ave, Los Angeles, CA 90036 | 2014-06-18 |
| Find all providers in zip 90036 | ||||
| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487252359 | Westside Gastroenterology and Hepatology | Internal Medicine | 2080 Century Park E Ste 1200, Los Angeles, CA 90067-2015 | 2020-10-13 |
| 1528571874 | Brelian Medical Inc. | Internal Medicine | 711 W College St Ste 203, Los Angeles, CA 90012-3177 | 2017-11-08 |
| 1487097119 | Jonathan S Pourmorady | Internal Medicine | 2080 Century Park E Ste 710, Los Angeles, CA 90067-2010 | 2013-04-11 |
| 1578806089 | David Alexanian | Internal Medicine | 1200 N State Street, Ct-a7d, Los Angeles, CA 90033 | 2013-04-03 |
| 1942597265 | Inpatient Gastroenterology Services, Inc. | Internal Medicine | 116 S Croft Ave, 301, Los Angeles, CA 90048-3448 | 2011-07-07 |
| 1609190354 | Alexander H Kim | Internal Medicine | 1828 E Cesar Chavez, Suite 6200, Los Angeles, CA 90033-2585 | 2010-03-24 |
| 1508008301 | Marvin Anton Perer | Internal Medicine | 2258 The Ter, Los Angeles, CA 90049-1171 | 2009-03-25 |
| 1285874990 | Hamed Nayeb-hashemi | Internal Medicine | 200 Med Plaza #365, 420, 120, Los Angeles, CA 90095-6082 | 2009-02-20 |
| 1952553380 | Andrew Heejoon Kim | Internal Medicine | 1414 S Grand Ave Ste 303, Los Angeles, CA 90015-3071 | 2008-10-16 |
| 1750533261 | Puja Vora Khanna | Internal Medicine | 110 N George Burns Rd, David Building D4063, Los Angeles, CA 90048-1830 | 2008-10-15 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90036 |
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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.