USCAN ANESTHESIOLOGY MEDICAL GROUP, INC. (NPI# 1740227123) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740227123 |
| Entity Type | Organization |
| Organization Name | USCAN ANESTHESIOLOGY MEDICAL GROUP, INC. |
| Practice Address |
1520 San Pablo St Suite 3451 Los Angeles CA 90033-5310 |
| Practice Telephone | 3234427400 |
| Practice Fax Number | 3234427411 |
| Mailing Telephone | 3234427400 |
| Mailing Fax Number | 3234427411 |
| Enumeration Date | 2006-06-02 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. PHILIP D. LUMB (C.E.O.) |
| Authorized Official Telephone | 3234427400 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
Allopathic & Osteopathic Physicians | ||
| X | 103TC0700X |
Psychologist Specialization: Clinical |
Behavioral Health & Social Service Providers | ||
| X | 367500000X | Nurse Anesthetist, Certified Registered | Physician Assistants & Advanced Practice Nursing Providers | ||
| X | 2081P2900X |
Physical Medicine & Rehabilitation Specialization: Pain Medicine |
Allopathic & Osteopathic Physicians | ||
| X | 207L00000X | Anesthesiology | Allopathic & Osteopathic Physicians | ||
| X | 207LC0200X |
Anesthesiology Specialization: Critical Care Medicine |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | GR0045960 | 05 | |
| CA | CALOPTIMA | GR0045960 | 01 |
| CA | BLUE SHIELD | ZZZ39324Z | 01 |
| Street Address |
1520 SAN PABLO ST SUITE 3451 |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90033-5310 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891798765 | Usc Ppa, Inc. | Psychologist | 1520 San Pablo St, Ste 4100, Los Angeles, CA 90033-5316 | 2005-05-24 |
| 1922612126 | Cyryl R Celiz | Nurse Practitioner | 1520 San Pablo St, Los Angeles, CA 90033-5310 | 2020-09-04 |
| 1750995478 | Kathleen Kay Rosario | Nurse Practitioner | 1520 San Pablo St, Los Angeles, CA 90033-5310 | 2020-08-31 |
| 1154933281 | Joshua Tobe | Pain Medicine | 1520 San Pablo St, Los Angeles, CA 90033-5310 | 2020-08-19 |
| 1710484993 | Matthew Joseph Ashbrook | Surgery | 1520 San Pablo St, Los Angeles, CA 90033-5310 | 2018-04-12 |
| 1306377791 | Graham Dickey Hopkins Ungerleider | Student in an Organized Health Care Education/Training Program | 1520 San Pablo St, Suite 4300, Los Angeles, CA 90033-5310 | 2017-03-27 |
| 1740728344 | Michelle Kim | Surgery | 1520 San Pablo St, Hct 4300, Los Angeles, CA 90033-5310 | 2017-02-03 |
| 1144763095 | Demetrios Nectarios Mallios | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1520 San Pablo St, Health Consultation Ceneter II, Suite 4300, Los Angeles, CA 90033-5310 | 2016-11-27 |
| 1952843757 | Louis Zhang | Surgery | 1520 San Pablo St, Hct 4300, Los Angeles, CA 90033-5310 | 2016-11-09 |
| 1801246095 | Evan Alicuben | Surgery | 1520 San Pablo St, Hct 4300, Los Angeles, CA 90033-5310 | 2016-06-17 |
| 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 | 207LP2900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| Specialization | Pain Medicine |
| An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists. |
| 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 Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093057929 | B.john Freeman,m.d.,inc.: | Anesthesiology | 2525 N Catalina St, Los Angeles, CA 90027-1132 | 2013-03-18 |
| 1366746299 | Joseph C Chun, Md, Inc | Anesthesiology | 201 S Alvarado St Ste 702, Los Angeles, CA 90057-2390 | 2011-01-06 |
| 1497076780 | Advanced Specialty Anesthesia & Pain Management, A Medical Corporation | Anesthesiology | 219 W 7th St, 207, Los Angeles, CA 90014-1950 | 2010-06-21 |
| 1588859235 | Andrew Fond | Anesthesiology | 1520 San Pablo St Ste 3450, Los Angeles, CA 90033-5325 | 2007-09-06 |
| 1104824697 | Joseph C Chun | Anesthesiology | 3030 W Olympic Blvd, #217, Los Angeles, CA 90006-6501 | 2005-07-08 |
| 1053874628 | Koorosh Joshua Elihu, A Professional Corporation | Anesthesiology | 8905 Venice Blvd Ste 106, Los Angeles, CA 90034-3340 | 2019-04-10 |
| 1871078972 | Shahbaz Farnad Md Professional Corporation | Anesthesiology | 5757 Wilshire Blvd, Promenade 2, Los Angeles, CA 90036 | 2018-09-25 |
| 1093165789 | Mark Whitney Motejunas | Anesthesiology | 757 Westwood Plz Ste 3304, Los Angeles, CA 90095-8358 | 2016-06-14 |
| 1023459302 | Koorosh J Elihu | Anesthesiology | 8905 Venice Blvd Ste 106, Los Angeles, CA 90034-3340 | 2013-07-15 |
| 1417394784 | Heidi Haskins | Anesthesiology | 4650 Sunset Blvd., Los Angeles, CA 90027 | 2013-05-28 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90033 |
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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.