DR. JOHN MARSHALL ROBERTSON (NPI# 1689760480) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689760480 |
| Entity Type | Individual |
| Full Name | DR. JOHN MARSHALL ROBERTSON |
| Credential | MD |
| Practice Address |
2121 Santa Monica Blvd Santa Monica CA 90404-2303 |
| Mailing Address |
2121 Santa Monica Blvd Saint Johns Health Center Santa Monica CA 90404-2303 |
| Practice Telephone | 3108298618 |
| Practice Fax Number | 3108298607 |
| Mailing Telephone | 3108298618 |
| Mailing Fax Number | 3108298607 |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2020-08-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) | G38174 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | MEDICARE IDENTIFICATION NUMBER | JR-G38174 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952763088 | John Robertson | Physical Therapist | 2901 Squalicum Way, Bellingham, WA 98225 | 2016-03-28 |
| 1902196181 | John Robertson | Pharmacist | 111 E Saginaw St, East Lansing, MI 48823-2737 | 2011-04-09 |
| 1447401492 | John Robertson Jr. | Family Medicine | 1050 Kings Hwy N Ste 105, Cherry Hill, NJ 08034 | 2008-10-08 |
| 1386797223 | John Hibbard Robertson | Dentist | 825 Eden Rd, Lancaster, PA 17601-4713 | 2007-01-22 |
| 1437217239 | John Keith Robertson | Dentist | 200 Washington St Se, Blacksburg, VA 24060-4838 | 2006-12-05 |
| 1770511578 | John Warren Robertson IIi | Surgery | 1940 E Walnut Lane, Philadelphia, PA 19138 | 2006-06-29 |
| 1821059478 | John A. Robertson | Family Medicine | 700 24th Ave, Nw, Oklahoma City, OK 73069 | 2006-03-31 |
| 1912971169 | John Scott Robertson | Psychologist | 5215 79th St, Lubbock, TX 79424-2832 | 2006-02-15 |
| 1770571804 | John Yeardley Robertson | Family Medicine | 1478 W Main St, Newark, OH 43055-3687 | 2005-10-12 |
| 1013918796 | John M Robertson | Psychologist | 1441 Wakarusa Dr, Suite 200, Lawrence, KS 66049-3832 | 2005-08-03 |
| Street Address |
2121 SANTA MONICA BLVD |
| City | SANTA MONICA |
| State | CA |
| Zip Code | 90404-2303 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528062023 | Lisa Martine Chaiken | Radiology | 2121 Santa Monica Blvd, Santa Monica, CA 90404-2303 | 2005-06-13 |
| 1003428673 | Geremy Zhang | Registered Nurse | 2121 Santa Monica Blvd, Santa Monica, CA 90404-2303 | 2020-08-17 |
| 1376152082 | Jennifer Scheller | Student in an Organized Health Care Education/Training Program | 2121 Santa Monica Blvd, Santa Monica, CA 90404-2303 | 2020-07-28 |
| 1710518881 | Niceto Lopez, M.d., A.p.c. | Internal Medicine | 2121 Santa Monica Blvd, Santa Monica, CA 90404-2303 | 2020-01-28 |
| 1780223412 | Genevieve Abanilla Veneracion | Nurse Practitioner | 2121 Santa Monica Blvd, Santa Monica, CA 90404-2303 | 2019-12-28 |
| 1013560515 | Breanne Grazer | Nurse Practitioner | 2121 Santa Monica Blvd, Santa Monica, CA 90404-2303 | 2019-07-23 |
| 1104310002 | Michelle Padilla Martinez | Nurse Practitioner | 2121 Santa Monica Blvd, Santa Monica, CA 90404-2303 | 2018-06-15 |
| 1952815714 | Frania Julianne Ciszewski | Nurse Practitioner | 2121 Santa Monica Blvd, Santa Monica, CA 90404-2303 | 2017-11-30 |
| 1609388271 | Tara Jean Kays | Nurse Practitioner | 2121 Santa Monica Blvd, Santa Monica, CA 90404-2303 | 2017-11-03 |
| 1770093734 | Providence Saint Johns Medical Foundation | Family Medicine | 2121 Santa Monica Blvd, Santa Monica, CA 90404-2303 | 2017-10-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306453352 | Jasmine Burton | Physical Therapist | 1714 17th Street, Santa Monica, CA 90404 | 2020-09-24 |
| 1003431685 | Cintia Haydee Ctibor | Behavior Technician | 1869 9th Street, Santa Monica, CA 90404 | 2020-06-10 |
| 1073137261 | Sydney Kristine Valerio | Counselor | 1869 9th St, Santa Monica, CA 90404 | 2020-06-03 |
| 1710507082 | James Gilbert Cunningham | Marriage & Family Therapist | 1708 Olympic Blvd, Santa Monica, CA 90404 | 2020-04-16 |
| 1841763687 | Crystal Monique Mckinley X | Counselor | 1865 9th St, Santa Monica, CA 90404 | 2019-01-04 |
| 1952872749 | Cesar O Munoz | Licensed Vocational Nurse | 1865 9th St., Santa Monica, CA 90404 | 2018-12-06 |
| 1023596574 | Joseph J Pinzone Md Inc | Internal Medicine | 2001 Santa Monica Blvd Ste 1190, Santa Monica, CA 90404 | 2018-08-06 |
| 1548763535 | Alan Rubenstein Dds Inc | Dentist | 1260 15th St., #703, Santa Monica, CA 90404 | 2018-03-15 |
| 1669993382 | Aaron Wilson | Counselor | 1453 16th Street, Santa Monica, CA 90404 | 2017-07-03 |
| 1922472471 | Chianni Lin | Acupuncturist | 2222 Santa Monica Blvd, Ste. 105, Santa Monica, CA 90404 | 2015-11-20 |
| Find all providers in zip 90404 | ||||
| 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 |
|---|---|---|---|---|
| 1710197140 | James P Zalez, Md A Medical Corporation | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 2001 Santa Monica Blvd Ste 860, Santa Monica, CA 90404-2189 | 2007-05-23 |
| 1174629455 | Kathy Elizabeth Magliato | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1328 22nd Street, Saint Johns Health Center, Santa Monica, CA 90405 | 2006-09-15 |
| 1326144601 | Manuel R Estioko | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1328 22nd Street, Saint Johns Health Center, Santa Monica, CA 90404 | 2006-09-15 |
| 1679689822 | James P Zalez | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 2001 Santa Monica Blvd, Suite 860, Santa Monica, CA 90404-2102 | 2006-08-21 |
| 1942210117 | Robert Joseph Mckenna Jr. | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 2121 Santa Monica Blvd, Santa Monica, CA 90404-2303 | 2006-08-09 |
| 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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| City | SANTA MONICA |
| Zip Code | 90404 |
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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.