DR. THEODORE SCOTT NOWICKI (NPI# 1730522194) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730522194 |
| Entity Type | Individual |
| Full Name | DR. THEODORE SCOTT NOWICKI |
| Credential | M.D., PH.D. |
| Practice Address |
200 Ucla Medical Plz Ste 265 Los Angeles CA 90095 |
| Mailing Address |
5767 W Century Blvd Ste 400 Los Angeles CA 90045-5631 |
| Practice Telephone | 3108250867 |
| Practice Fax Number | 3102064855 |
| Enumeration Date | 2013-04-16 |
| Last Update Date | 2019-11-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0207X |
Pediatrics Specialization: Pediatric Hematology-Oncology |
A133344 | CA | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 757 Westwood Plz, Los Angeles, CA 900957419 | 3102679129 |
| Street Address |
200 UCLA MEDICAL PLZ STE 265 |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90095 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255445508 | Suzanne Valerie Mcdiarmid | Pediatrics | 200 Ucla Medical Plz Ste 265, Los Angeles, CA 90095-3075 | 2006-08-17 |
| 1831585827 | Amy Claire Gaultney | Student in an Organized Health Care Education/Training Program | 200 Ucla Medical Plz Ste 265, Los Angeles, CA 90095-0001 | 2015-04-07 |
| 1871987339 | Christine Katie Thang | Pediatrics | 200 Ucla Medical Plz Ste 265, Los Angeles, CA 90095 | 2015-03-23 |
| 1528487055 | Hanna Siddiqui | Pediatrics | 200 Ucla Medical Plz Ste 265, Los Angeles, CA 90095-8344 | 2014-04-11 |
| 1578994174 | Priya Shastry | Pediatrics | 200 Ucla Medical Plz Ste 265, Los Angeles, CA 90095-1029 | 2013-12-06 |
| 1437595154 | Eric Stephen Hamberger | Pediatrics | 200 Ucla Medical Plz Ste 265, Los Angeles, CA 90095 | 2013-05-21 |
| 1225473077 | Matthew Richard Russell | Pediatrics | 200 Ucla Medical Plz Ste 265, Los Angeles, CA 90095-7419 | 2013-05-07 |
| 1710321468 | Abraham Gallegos | Pediatrics | 200 Ucla Medical Plz Ste 265, Los Angeles, CA 90095-6062 | 2013-04-24 |
| 1659614980 | Bhavita Patel | Pediatrics | 200 Ucla Medical Plz Ste 265, Los Angeles, CA 90095-3412 | 2013-04-04 |
| 1548507395 | Yolanda Yu | Pediatrics | 200 Ucla Medical Plz Ste 265, Los Angeles, CA 90095-3075 | 2013-01-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982212155 | Alexandra Gubin | Social Worker | Ucla, 757 Westwood Medical Plaza, Los Angeles, CA 90095 | 2020-07-14 |
| 1952926263 | Georgina Parra | Student in an Organized Health Care Education/Training Program | 10833 Le Conteave, Los Angeles, CA 90095 | 2020-06-11 |
| 1609403575 | Yagmur Muftuoglu | Student in an Organized Health Care Education/Training Program | 757 Westwood Plaza, Neurosurgery, Los Angeles, CA 90095 | 2020-03-23 |
| 1619438173 | Brandon Covington Smith | Student in an Organized Health Care Education/Training Program | 727 Westwood Plaza, Dept of Internal Medicine, Los Angeles, CA 90095 | 2019-03-27 |
| 1184184913 | Alexander Daniel Yuen | Student in an Organized Health Care Education/Training Program | 757 Westwood Plaza (internal Medicine), Los Angeles, CA 90095 | 2019-03-19 |
| 1790266369 | Dana Saifan | Student in an Organized Health Care Education/Training Program | 1000 Veteran Avenue, Los Angeles, CA 90095 | 2018-08-22 |
| 1427549146 | Courtney Renee' Real | Registered Nurse | 757 Westwood Plz Ste 6236, Los Angeles, CA 90095 | 2018-05-29 |
| 1932605094 | Akash Atul Shah | Student in an Organized Health Care Education/Training Program | Ucla Department of Orthopaedic Surgery, 10833 Le Conte Avenue, 76-116 Chs, Los Angeles, CA 90095 | 2018-04-05 |
| 1316443435 | Dane Jensen Brodke | Orthopaedic Surgery | 757 Westwood Plaza, (orthopaedic Surgery), Los Angeles, CA 90095 | 2018-04-05 |
| 1477058824 | Thomas William Gaither Castellanos | Student in an Organized Health Care Education/Training Program | 757 Westwood Plaza, Urology, Los Angeles, CA 90095 | 2018-03-28 |
| Find all providers in zip 90095 | ||||
| Taxonomy Code | 2080P0207X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Hematology-Oncology |
| A pediatrician trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) was provided by the American Osteopathic Board of Pediatrics. The Certification is no longer offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457991143 | George Michaiel | Pediatrics | 4650 Sunset Blvd., Ms #54, Los Angeles, CA 90027 | 2020-01-09 |
| 1700012317 | Paibel Ixia Aguayo-hiraldo | Pediatrics | 4650 W Sunset Blvd # M54, Los Angeles, CA 90027 | 2009-06-09 |
| 1578746889 | Toska J Zomorodian | Pediatrics | 4650 W Sunset Blvd # 54, Los Angeles, CA 90027-6062 | 2007-12-10 |
| 1861512881 | Michael Marvin Siegel | Pediatrics | 2716 Creston Dr, Los Angeles, CA 90068-2210 | 2007-03-31 |
| 1225107410 | Robert Charles Seeger | Pediatrics | 4650 W Sunset Blvd # 57, Los Angeles, CA 90027-6062 | 2006-11-06 |
| 1144223926 | Fariba Navid | Pediatrics | 4650 W Sunset Blvd, Los Angeles, CA 90027-6062 | 2005-05-24 |
| 1386275881 | Jennifer Haas | Pediatrics | 4650 W Sunset Blvd, Los Angeles, CA 90027-6062 | 2020-02-03 |
| 1588097950 | Vasilios Berdoukas | Pediatrics | 4650 W Sunset Blvd, Los Angeles, CA 90027-6062 | 2013-08-20 |
| 1255770046 | Kristiyana Ivanova Kaneva | Pediatrics | 4650 W Sunset Blvd, Los Angeles, CA 90027-6062 | 2013-06-14 |
| 1588910558 | Andrew Doan | Pediatrics | 4650 W Sunset Blvd # 54, Los Angeles, CA 90027-6062 | 2012-07-27 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90095 |
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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.