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).
| 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 |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) | Allopathic & Osteopathic Physicians |
| Street Address |
8635 WEST THRID STREET SUITE 750W |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90048 |
| 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 |
| Find all providers in zip 90048 | ||||
| Taxonomy Code | 208G00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Thoracic Surgery (Cardiothoracic Vascular Surgery) |
| 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. |
| 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 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90048 |
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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.