PACIFIC HEART AND LUNG SURGEONS INC (NPI# 1659773349) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659773349 |
| Entity Type | Organization |
| Organization Name | PACIFIC HEART AND LUNG SURGEONS INC |
| Practice Address |
3650 South St Ste 206 Lakewood CA 90712-1502 |
| Practice Telephone | 5625310019 |
| Practice Fax Number | 5625310032 |
| Mailing Telephone | 5625310019 |
| Mailing Fax Number | 5625310032 |
| Enumeration Date | 2014-09-24 |
| Last Update Date | 2014-09-25 |
| Authorized Official Name | GEORGE PANAGIOTIDES (PRESIDENT) |
| Authorized Official Telephone | 5625310019 |
| Authorized Official Credential | M.D. |
| 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 |
3650 SOUTH ST STE 206 |
| City | LAKEWOOD |
| State | CA |
| Zip Code | 90712-1502 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316940828 | Good Life Medical Group, Inc. | Pediatrics | 3650 South St, Ste 204, Lakewood, CA 90712-1521 | 2005-05-31 |
| 1295188282 | Nancy Perley | Nurse Practitioner | 3650 South St, Suite 208, Lakewood, CA 90712-1502 | 2016-07-14 |
| 1710262571 | Jamal Hussain Md Inc | Clinic/Center | 3650 South St, Ste 105, Lakewood, CA 90712-1502 | 2011-10-12 |
| 1649584285 | Michael J Perley Md Inc | Internal Medicine | 3650 South St, Suite 208, Lakewood, CA 90712-1502 | 2010-08-05 |
| 1366631962 | Navrose S Grewal | Surgery | 3650 South St, Suite 206, Lakewood, CA 90712-1502 | 2007-10-18 |
| 1306039300 | Shyam Dahiya Md Inc | Surgery | 3650 South St, Suite 412, Lakewood, CA 90712-1502 | 2007-08-22 |
| 1093913147 | Milan Gaurang Rawal | Internal Medicine | 3650 South St, Suite 310, Lakewood, CA 90712-1502 | 2007-07-10 |
| 1770604407 | Lakewood Internal Medical Group | Clinic/Center | 3650 South St, Suite 110, Lakewood, CA 90712-1502 | 2007-04-02 |
| 1558481291 | Arthur Franklin Gelb | Internal Medicine | 3650 South St, Suite 308, Lakewood, CA 90712-1502 | 2007-03-29 |
| 1013037779 | Joel Douglas Epstein | Internal Medicine | 3650 South St, Suite 308, Lakewood, CA 90712-1502 | 2007-03-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689289944 | Createwellness LLC | Social Worker | 5250 Hayter Avenue, Lakewood, CA 90712 | 2020-09-14 |
| 1801451398 | Marilou Toquero Dental Corp | Durable Medical Equipment & Medical Supplies | 3203 Carson St Suite 2, Lakewood, CA 90712 | 2019-05-09 |
| 1225510126 | N Ozder Dental Practice Inc | Clinic/Center | 5037 Lakewood Blvd, Lakewood, CA 90712 | 2018-09-06 |
| 1003394446 | Robert Michael Schlesinger | Counselor | 5150 Candlewood St Ste 13a, Lakewood, CA 90712 | 2018-07-28 |
| 1316439847 | P.r.i.s.m. Institute Inc. | Chiropractor | 5233 Premiere Ave, Lakewood, CA 90712 | 2018-05-31 |
| 1316477938 | Broadleaf Healthcare | Orthotist | 4345 Levelside Ave, Lakewood, CA 90712 | 2017-06-15 |
| 1679008049 | Adrienne Yoshiko Doi | Podiatrist | 3700 East South Street, Lakewood, CA 90712 | 2017-04-24 |
| 1841747334 | Garrison R Weaver-gourdeau | Chiropractor | 4115 E. South St, Lakewood, CA 90712 | 2016-09-01 |
| 1073967394 | Mirna S Rizkalla | Family Medicine | 3650 South St Ste 404, Lakewood, CA 90712 | 2016-04-22 |
| 1841657251 | Roxanna Jimenez | Rehabilitation Practitioner | 5818 Clark Ave, Lakewood, CA 90712 | 2016-01-15 |
| Find all providers in zip 90712 | ||||
| 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 |
|---|---|---|---|---|
| 1922289032 | Dr Joseph Paul Clabots | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 7424 Bridgeport Way W Ste 307, Lakewood, WA 98499-8135 | 2007-11-16 |
| 1245212539 | Carlos Humberto Corral | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 11700 W 2nd Pl Ste 280, Lakewood, CO 80228-1717 | 2005-11-14 |
| 1679574156 | West Side Cardiothoracic Surgeons, Inc. | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 15644 Madison Ave, Suite #202, Lakewood, OH 44107-5622 | 2005-08-09 |
| 1578105011 | Catholic Health Initiatives Colorado | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 11700 W 2nd Pl Ste 280, Lakewood, CO 80228-1717 | 2019-10-16 |
| 1538334545 | Outreach Professional Services, Inc. | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 15644 Madison Ave, Suite 202, Lakewood, OH 44107-5622 | 2008-04-30 |
| 1952317745 | George P Panagiotides | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 3650 South St, Suite 206, Lakewood, CA 90712-1502 | 2006-07-31 |
| 1225099260 | Joseph P Clabots | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 7424 Bridgeport Way W, Suite 307, Lakewood, WA 98499-8120 | 2006-03-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598370728 | North County Cvt Surgery Associates | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 3156 Vista Way Ste 100, Oceanside, CA 92056-3694 | 2020-09-14 |
| 1417560756 | Valiana Vascular Institute Inc. | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 2501 E Chapman Ave Ste 220, Fullerton, CA 92831-3108 | 2020-08-26 |
| 1891252474 | Miguel Puig Md A Medical Corporation | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1430 Esplanade Ste 10, Chico, CA 95926-3366 | 2019-03-01 |
| 1598247991 | Pavel V Petrik Medical Corporation | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1331 W Avenue J Ste 203, Lancaster, CA 93534-2954 | 2018-08-31 |
| 1942797378 | Sharon A Bogerty Md Inc | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 105 N Bascom Ave Ste 101b, San Jose, CA 95128-1811 | 2018-04-20 |
| 1992231112 | Samer Kanaan Md A Professional Corporation | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 27451 Los Altos, Suite 290, Mission Viejo, CA 92691 | 2017-05-08 |
| 1073065512 | Central California Chest Surgery | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 729 N Medical Center Dr W Ste 223, Clovis, CA 93611-6885 | 2016-11-01 |
| 1407214612 | George Arnold Mulder | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1150 Laurel St, Pasadena, CA 91103-2329 | 2016-02-02 |
| 1760849905 | Steven R Gundry Md Medical Corporation | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 555 E Tachevah Dr Ste 3w103, Palm Springs, CA 92262-5747 | 2016-01-19 |
| 1386018687 | Riyad Youssef Tarazi | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 9120 Judicial Dr, Apt 7522, San Diego, CA 92122-6700 | 2015-11-24 |
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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.