USC CARE MEDICAL GROUP CORPORTATION (NPI# 1659509206) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659509206 |
| Entity Type | Organization |
| Organization Name | USC CARE MEDICAL GROUP CORPORTATION |
| Practice Address |
1510 San Pablo St 649 Los Angeles CA 90033-5320 |
| Mailing Address |
1510 San Pablo St Los Angeles CA 90033-5320 |
| Practice Telephone | 3234425953 |
| Mailing Telephone | 3234425953 |
| Enumeration Date | 2009-06-22 |
| Last Update Date | 2009-06-22 |
| Authorized Official Name | MRS. AUDREY LITTLE (VP OF REVENUE CYCLES) |
| Authorized Official Telephone | 3234435955 |
| Is Organization Subpart | Y |
| Parent Organization Name | USC CARE MEDICAL INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207X00000X | Orthopaedic Surgery | CA | Allopathic & Osteopathic Physicians | |
| N | 208800000X | Urology | CA | Allopathic & Osteopathic Physicians | |
| Y | 207VE0102X |
Obstetrics & Gynecology Specialization: Reproductive Endocrinology |
CA | Allopathic & Osteopathic Physicians |
| Street Address |
1510 SAN PABLO ST 649 |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90033-5320 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225012776 | Nancy Danz Shebel | Nurse Practitioner | 1510 San Pablo St, Suite 514, Los Angeles, CA 90033-5320 | 2005-11-29 |
| 1154816866 | Dordaneh Eureka Sugano | Student in an Organized Health Care Education/Training Program | 1510 San Pablo St, Los Angeles, CA 90033-5320 | 2018-06-25 |
| 1841739299 | Ashley Brown | Plastic Surgery | 1510 San Pablo St, Suite 415, Los Angeles, CA 90033-5320 | 2017-02-17 |
| 1184167140 | Eric Nagengast | Student in an Organized Health Care Education/Training Program | 1510 San Pablo St, Suite 415, Los Angeles, CA 90033-5320 | 2016-11-23 |
| 1114370129 | Sylvia Yolanda Rodriguez | Pharmacist | 1510 San Pablo St, Suite 144, Los Angeles, CA 90033-5320 | 2016-07-14 |
| 1497106843 | Keck Medical Center | General Acute Care Hospital | 1510 San Pablo St, Suite 322, Los Angeles, CA 90033-5320 | 2016-06-27 |
| 1568825024 | Cybele Arsan | Student in an Organized Health Care Education/Training Program | 1510 San Pablo St, Los Angeles, CA 90033-5320 | 2016-04-01 |
| 1104206176 | University of Southern California | Skilled Nursing Facility | 1510 San Pablo St, Hcc 600, Los Angeles, CA 90033-5320 | 2015-06-04 |
| 1770960221 | Susana Dahdul | Social Worker | 1510 San Pablo St, Hcc 200, Los Angeles, CA 90033-5320 | 2015-05-05 |
| 1619368461 | Victor Nekrasov | Surgery | 1510 San Pablo St, Hcc I, Suite 514, Los Angeles, CA 90033-5320 | 2015-02-16 |
| 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 | 207VE0102X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Reproductive Endocrinology |
| An obstetrician/gynecologist who is capable of managing complex problems relating to reproductive endocrinology and infertility. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043584956 | Harvey S Richmond A Prof Corp | Obstetrics & Gynecology | 8631 W. Third St, #240e, Los Angeles, CA 90048 | 2012-02-24 |
| 1447578604 | Ellen Havah Goldstein | Obstetrics & Gynecology | 10833 Le Conte Ave Rm 24-130, Ucla Department of Ob-gyn, Rei Division, Los Angeles, CA 90095-1740 | 2010-05-12 |
| 1013242775 | Donald Norbert Adler | Obstetrics & Gynecology | 251 Ashdale Ave, Los Angeles, CA 90049-2433 | 2009-10-13 |
| 1609081140 | Kristin A Bendikson | Obstetrics & Gynecology | 1127 Wilshire Blvd Ste 1400, Los Angeles, CA 90017-4005 | 2007-05-10 |
| 1528199627 | Vicken P. Sepilian | Obstetrics & Gynecology | 5455 Wilshire Blvd Ste 1904, Los Angeles, CA 90036-4241 | 2007-03-08 |
| 1770625378 | Barbara Ellen Weiss | Obstetrics & Gynecology | 1440 Reeves St Apt 207, Los Angeles, CA 90035-2951 | 2007-02-12 |
| 1033261037 | Saul K. Bloch | Obstetrics & Gynecology | 1844 Kelton Ave, # 102, Los Angeles, CA 90025-4594 | 2007-01-18 |
| 1356493969 | Vicken Sahakian | Obstetrics & Gynecology | 10921 Wilshire Blvd Ste 700, Los Angeles, CA 90024-4003 | 2007-01-17 |
| 1386795144 | Karine Chung | Obstetrics & Gynecology | 11818 Wilshire Blvd. Suite 3a, Los Angeles, CA 90025 | 2007-01-16 |
| 1851441208 | Thomas J Kim | Obstetrics & Gynecology | 11500 W Olympic Blvd Ste 150, Los Angeles, CA 90064-1527 | 2007-01-10 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90033 |
Please comment or provide details below to improve the information on USC CARE MEDICAL GROUP CORPORTATION.
| 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.