APPLIED MEDICAL TECHNOLOGIES INC. (NPI# 1700814373) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700814373 |
| Entity Type | Organization |
| Organization Name | APPLIED MEDICAL TECHNOLOGIES INC. |
| Practice Address |
11859 Compton Ave Los Angeles CA 90059-2958 |
| Mailing Address |
12804 Heritage Pl Cerritos CA 90703-6084 |
| Practice Telephone | 3235631140 |
| Practice Fax Number | 3233573701 |
| Enumeration Date | 2006-06-30 |
| Last Update Date | 2007-12-20 |
| Authorized Official Name | DR. AJAY GUPTA (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 5624126259 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
C50579 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | GR0104210 | 05 |
| Street Address |
11859 COMPTON AVE |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90059-2958 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336212059 | Rai Care Centers of Southern California I, LLC | Clinic/Center | 11859 Compton Ave, Los Angeles, CA 90059-2958 | 2006-11-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235759788 | Juan Jimenez Jr. | Technician, Pathology | 1860 E 120th St, Los Angeles, CA 90059 | 2020-04-24 |
| 1538717780 | Donald O Nwanze | Pharmacist | Mlk Outpatient Center (pharmacy), 1670 East 120th Street, Los Angeles, CA 90059 | 2019-08-30 |
| 1295391050 | Sheela Hoyle | Counselor | 836 East Saucer Lane, Los Angeles, CA 90059 | 2019-05-16 |
| 1750852471 | Carlos Tovar Sr. | Community Health Worker | 1720 E 120st, Los Angeles, CA 90059 | 2018-12-06 |
| 1699293910 | Amy Caryn Bolenbaugh | Recreation Therapist | 1720 E 120th Street, Los Angeles, CA 90059 | 2017-09-07 |
| 1417475757 | Scott Lee Jones | Recreation Therapist | Augustus F. Hawkins, 1720 E. 120th Street, Rm. 2196, Los Angeles, CA 90059 | 2017-09-07 |
| 1881118859 | Darlene Renee Tillman | Speech-Language Pathologist | 1670 E 120th Strret, Los Angeles, CA 90059 | 2017-08-01 |
| 1609306430 | Valda Therese Flores | Registered Nurse | 1670 E. 120th Street, Los Angeles, CA 90059 | 2017-06-14 |
| 1093244006 | Bongsill Chung | Registered Nurse | 1670 East 120th St, Los Angeles, CA 90059 | 2017-06-05 |
| 1730573395 | Apollonia Godoy | Registered Nurse | 1670 E. 120th St, 4th Floor, Module A, Los Angeles, CA 90059 | 2015-03-22 |
| Find all providers in zip 90059 | ||||
| Taxonomy Code | 207RN0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Nephrology |
| An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619452869 | Kristel Padua Dongallo | Internal Medicine | 1701 Cesar Chavez Ave., Suite 536, Los Angeles, CA 90033 | 2018-10-03 |
| 1487033353 | Los Angeles Kidney Center, A Professional Medical Corporation | Internal Medicine | 1717 Malcolm Ave, Ph 1, Los Angeles, CA 90024-6824 | 2015-05-26 |
| 1841639622 | Anthony Sebastian Montuno | Internal Medicine | 8635 W 3rd St Ste 485w, Los Angeles, CA 90048 | 2013-06-14 |
| 1013351790 | Hong Thi Thanh Dang | Internal Medicine | 4733 W. Sunset Blvd 3rd Floor, Kaiser Permanente Southern California, Los Angeles, CA 90027 | 2013-04-24 |
| 1548574056 | La Familia Medical Group, Inc. | Internal Medicine | 6433 Whittier Blvd, Los Angeles, CA 90022-4627 | 2010-07-27 |
| 1053636977 | Theresa Nilson Henke | Internal Medicine | 8635 W 3rd St Ste 1195w, Los Angeles, CA 90048-6146 | 2010-04-03 |
| 1790014090 | Hira L Jindal M D Inc | Internal Medicine | 711 W College St Ste 590, Los Angeles, CA 90012-1256 | 2009-12-15 |
| 1619175718 | Huma Syeda Hasnain | Internal Medicine | 700 Tiverton Ave, 7-155 Factor Bldg, Los Angeles, CA 90095-8361 | 2007-07-10 |
| 1932237013 | Peter H. Lee | Internal Medicine | 4220 W 3rd St Ste 203, Los Angeles, CA 90020-3450 | 2007-03-01 |
| 1275668733 | Andrew Jay Lewin | Internal Medicine | 2010 Wilshire Blvd Ste 302, Los Angeles, CA 90057-3550 | 2007-02-23 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90059 |
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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.