RANDOLPH SHERMAN (NPI# 1619907078) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619907078 |
| Entity Type | Individual |
| Full Name | RANDOLPH SHERMAN |
| Credential | MD |
| Practice Address |
1450 San Pablo St Suite 2000 Los Angeles CA 90033-4500 |
| Practice Telephone | 3234426416 |
| Practice Fax Number | 3234426481 |
| Mailing Telephone | 3234426416 |
| Mailing Fax Number | 3234426481 |
| Enumeration Date | 2006-07-03 |
| Last Update Date | 2007-12-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0122X |
Surgery Specialization: Plastic and Reconstructive Surgery |
G40132 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | MEDICARE RAILROAD PIN | 240004566 | 01 |
| CA | 00G401320 | 05 | |
| CA | BLUE SHIELD PIN | 00G401320 | 01 |
| Street Address |
1450 SAN PABLO ST SUITE 2000 |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90033-4500 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659322584 | Dale J Yeatts | Emergency Medicine | 1450 San Pablo St, 6th Floor, Los Angeles, CA 90033-4500 | 2006-05-15 |
| 1659817989 | Ariella Shahrzad Cohen | Physician Assistant | 1450 San Pablo St, Suite 6200, Los Angeles, CA 90033-4500 | 2017-01-10 |
| 1275083990 | Mariana Gheorghe Dobre | Nurse Practitioner | 1450 San Pablo St, Suite 6200, Los Angeles, CA 90033-4500 | 2016-10-05 |
| 1558819086 | Daniel Paul Buckley | Speech-Language Pathologist | 1450 San Pablo St, Suite 5100, Los Angeles, CA 90033-4500 | 2016-09-13 |
| 1740737808 | Stephen Joel Smith | Physician Assistant | 1450 San Pablo St, Suite 6200, Los Angeles, CA 90033-4500 | 2016-09-07 |
| 1417375114 | Arman Samin Zaman | Ophthalmology | 1450 San Pablo St, Floor 4, Los Angeles, CA 90033-4500 | 2014-04-01 |
| 1255773263 | Kent Nguyen | Optometrist | 1450 San Pablo St, 4th Floor, Los Angeles, CA 90033-4500 | 2013-07-19 |
| 1801140090 | Catherine Lagman Fung | Nurse Practitioner | 1450 San Pablo St, Suite 6200, Los Angeles, CA 90033-4500 | 2012-11-09 |
| 1861741381 | Nishant G Soni | Ophthalmology | 1450 San Pablo St, 4th Floor, Los Angeles, CA 90033-4500 | 2012-08-30 |
| 1154684553 | Jessica Shanshan Maslin | Ophthalmology | 1450 San Pablo St, 4th Floor, Los Angeles, CA 90033-4500 | 2012-06-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376165050 | Noa Yee | Student in an Organized Health Care Education/Training Program | 1200 N. State Street, Gnh 1011, Los Angeles, CA 90033 | 2020-05-15 |
| 1629690144 | Monica Lopez | Respiratory Therapist, Registered | 1251 Marengo St, Los Angeles, CA 90033 | 2020-05-07 |
| 1649890401 | Antonio Hernandez Saenz | Student in an Organized Health Care Education/Training Program | 1200 N. State Street Gnh 1060k, Los Angeles, CA 90033 | 2020-04-22 |
| 1417585100 | Kelsey Grace Shea | Student in an Organized Health Care Education/Training Program | 1200 N State St Ird 112, Los Angeles, CA 90033 | 2020-03-30 |
| 1891322780 | Carolyn Kan | Student in an Organized Health Care Education/Training Program | 1200 North State Street Clinic Tower, Suite A7d, Los Angeles, CA 90033 | 2020-03-23 |
| 1902445786 | Maury M Hopkins | Registered Nurse | 1883 Marengo Street, Los Angeles, CA 90033 | 2019-12-27 |
| 1982259792 | Beverly Austin Mccabe | Registered Nurse | 1720 E. Cesar Chavez Ave., Los Angeles, CA 90033 | 2019-08-08 |
| 1093369399 | Christine Yoon | Pharmacist | 1611 E Cesar Chavez Ave, Los Angeles, CA 90033 | 2019-07-25 |
| 1073075339 | Johanna Keller | Student in an Organized Health Care Education/Training Program | La County +usc Medical Center, 2051 Marengo Street, Los Angeles, CA 90033 | 2019-04-04 |
| 1386115137 | Sonya Lorain Earley | Physician Assistant | 2020 Zonal Avenue, Ird 626, Los Angeles, CA 90033 | 2018-12-05 |
| Find all providers in zip 90033 | ||||
| Taxonomy Code | 2086S0122X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Plastic and Reconstructive Surgery |
| A surgeon who specializes in plastic and reconstructive surgery. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447560289 | Tadeusz Wellisz | Surgery | 536 South Rimpau Blvd, Los Angeles, CA 90020 | 2010-10-14 |
| 1801971478 | Kyoung Chol Kim | Surgery | 2970 W Olympic Blvd, Suite 204 & 205, Los Angeles, CA 90006-2518 | 2006-10-25 |
| 1770006538 | Debra Ann Wallace | Surgery | 1100 N State Street, Clinic Tower A6a231a, Los Angeles, CA 90033 | 2017-07-24 |
| 1003369380 | Integrative Medical Group, Inc | Surgery | 2200 W 3rd St, Suite 120 A, Los Angeles, CA 90057-1932 | 2016-08-03 |
| 1841659042 | Ryan Spivak Integrative Plastic Surgery Inc | Surgery | 2200 W 3rd St, Suite 120a, Los Angeles, CA 90057-1932 | 2016-02-16 |
| 1548659170 | Libby Wilson Md Inc | Surgery | 403 W Adams Blvd, Los Angeles, CA 90007-2664 | 2015-01-20 |
| 1811330566 | Ginger C Slack | Surgery | 200 Ucla Medical Plz Ste 460, Los Angeles, CA 90095-5224 | 2013-04-12 |
| 1265705925 | Gary Motykie, M.d. A Medical Corporation | Surgery | 9201 W Sunset Blvd, Suite Gf-1, Los Angeles, CA 90069-3701 | 2012-02-10 |
| 1851607642 | Mark L Labowe M D A Prof Corp | Surgery | 12301 Wilshire Blvd, Suite 325, Los Angeles, CA 90025-1007 | 2010-08-31 |
| 1699003731 | Jeffrey D Hoefflin Md Inc | Surgery | 9201 W Sunset Blvd, Ste.#805, Los Angeles, CA 90069-3701 | 2009-12-01 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90033 |
Please comment or provide details below to improve the information on RANDOLPH SHERMAN.
| 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.