FONTANA CARDIOVASCULAR GROUP INC


Address: 8635 West Thrid Street, Suite 750w, Los Angeles, CA 90048
Phone: 3106592030

FONTANA CARDIOVASCULAR GROUP INC (NPI# 1649654062) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1649654062
Entity Type Organization
Organization Name FONTANA CARDIOVASCULAR GROUP INC
Practice Address 8635 West Thrid Street
Suite 750w
Los Angeles
CA 90048
Mailing Address 9663 Santa Monica Blvd
No 756
Beverly Hills
CA 90210-4303
Practice Telephone 3106592030
Mailing Telephone 3107212285
Enumeration Date 2015-07-15
Last Update Date 2015-07-15
Authorized Official Name GREG P FONTANA (PRESIDENT)
Authorized Official Telephone 3107212285
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) Allopathic & Osteopathic Physicians

Office Location

Street Address 8635 WEST THRID STREET
SUITE 750W
City LOS ANGELES
State CA
Zip Code 90048

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1609473420 Alden Advanced Surgicenter LLC Clinic/Center 8741 Alden Drive, Suite B, Los Angeles, CA 90048 2020-10-05
1760090062 New Dawn Tms Psychiatry Clinic/Center 640 S San Vincente Blvd, Ste. 210, Los Angeles, CA 90048 2020-07-22
1114547312 Savannah Marie Gonzales Student in an Organized Health Care Education/Training Program 8700 Beverly Blvd Suite 3636, Los Angeles, CA 90048 2020-04-17
1861048613 Sam Dawkins Internal Medicine Suite 415e, 8631 West Third Street, Los Angeles, CA 90048 2019-08-16
1295202638 Caleb Rogers Penn Anesthesiology Cedars-sinai Department of Anesthesiology, 8700 Beverly Blvd, Los Angeles, CA 90048 2018-10-24
1437641727 Medical Imaging Center of Southern California-beverly Hills, Inc Radiology 8727 Beverly Blvd, Los Angeles, CA 90048 2018-06-01
1689164121 Maulin Shah Student in an Organized Health Care Education/Training Program 8700 Beverly Blvd Suite 5512, Los Angeles, CA 90048 2018-05-10
1013423631 Abdul Ali Qaderi Anesthesiology 8700 Beverly Blvd Suite 4209, Los Angeles, CA 90048 2017-12-19
1619483559 Sakeenah Hakim Social Worker 292 S. La Cienega Blvd, Suite 102, Los Angeles, CA 90048 2017-12-14
1851805048 West Hollywood Medical Group Inc General Practice 8733 Beverly Blvd Suite #203, West Hollywood, CA 90048 2017-11-27
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Taxonomy Information

Taxonomy Code 208G00000X
Grouping Allopathic & Osteopathic Physicians
Classification Thoracic Surgery (Cardiothoracic Vascular Surgery)

Taxonomy Definition

A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Thoracic Surgery, 2007. http://www.abts.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Thoracic Surgery. Thoracic surgeons have the knowledge, experience and technical skills to accurately diagnose, operate upon safely, and effectively manage patients with thoracic diseases of the chest. This requires substantial knowledge of cardiorespiratory physiology and oncology, as well as capability in the use of heart assist devices, management of abnormal heart rhythms and drainage of the chest cavity, respiratory support systems, endoscopy and invasive and noninvasive diagnostic techniques.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1871985309 Talal Al-atassi Thoracic Surgery (Cardiothoracic Vascular Surgery) 127 South San Vicente Blvd, Suite A3306, Los Angeles, CA 90048 2015-02-20
1366705329 Daniel H Enter Thoracic Surgery (Cardiothoracic Vascular Surgery) 127 S San Vicente Blvd # 3100, Los Angeles, CA 90048 2012-06-24
1336415157 Andrea Michelle Steely Thoracic Surgery (Cardiothoracic Vascular Surgery) 1526 N Edgemont St Fl 3, Los Angeles, CA 90027-5260 2012-03-27
1538468749 John Richard Benfield Thoracic Surgery (Cardiothoracic Vascular Surgery) 11611 Terryhill Place, Los Angeles, CA 90049 2011-03-28
1386964823 Paul Anthony Toste Thoracic Surgery (Cardiothoracic Vascular Surgery) 10833 Le Conte Ave Ste 64-140, Los Angeles, CA 90095 2010-06-07
1891028239 West Regional Cardiothoracic & Vascular Surgeons W R Vein Center Thoracic Surgery (Cardiothoracic Vascular Surgery) 4527 E Cesar Chavez, Los Angeles, CA 90022-1116 2009-09-17
1629220025 Stephen P Londe Thoracic Surgery (Cardiothoracic Vascular Surgery) 2855 Roscomare Rd, Los Angeles, CA 90077-1626 2008-10-16
1679723175 Danny Ramzy Thoracic Surgery (Cardiothoracic Vascular Surgery) 127 S San Vicente Blvd., A-3600, Los Angeles, CA 90048-1865 2008-09-22
1134383284 Sophia S. Hom, Md, A Medical Corporation Thoracic Surgery (Cardiothoracic Vascular Surgery) 1245 Wilshire Boulvard, Suite 804, Los Angeles, CA 90017-4810 2008-07-17
1205095635 Amirhossein Mahfoozi Thoracic Surgery (Cardiothoracic Vascular Surgery) 8631 W 3rd St Ste 240e, Los Angeles, CA 90048 2008-06-02
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City LOS ANGELES
Zip Code 90048

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Dataset Information

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.

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