TERESA L. PUSHECK (NPI# 1740357680) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740357680 |
| Entity Type | Individual |
| Full Name | TERESA L. PUSHECK |
| Credential | MD |
| Practice Address |
5601 De Soto Ave Woodland Hills CA 91367-6701 |
| Practice Telephone | 8187192000 |
| Mailing Telephone | 8187192000 |
| Enumeration Date | 2006-11-29 |
| Last Update Date | 2008-09-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207YX0007X |
Otolaryngology Specialization: Plastic Surgery within the Head & Neck |
G70884 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
5601 DE SOTO AVE |
| City | WOODLAND HILLS |
| State | CA |
| Zip Code | 91367-6701 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386641900 | Lester D. R. Thompson | Pathology | 5601 De Soto Ave, Woodland Hills, CA 91367-6701 | 2005-06-29 |
| 1346840600 | Deborah Pourvali | Social Worker | 5601 De Soto Ave, Woodland Hills, CA 91367-6798 | 2020-10-27 |
| 1356954499 | Cipora Kricun | Social Worker | 5601 De Soto Ave, Woodland Hills, CA 91367-6701 | 2020-08-28 |
| 1467065623 | Christine Yi | Pharmacist | 5601 De Soto Ave, Woodland Hills, CA 91367-6701 | 2020-08-27 |
| 1083225106 | Dania Bitar | Pharmacist | 5601 De Soto Ave, Woodland Hills, CA 91367-6701 | 2020-08-12 |
| 1336777838 | Sean Xiang Chen | Student in an Organized Health Care Education/Training Program | 5601 De Soto Ave, Woodland Hills, CA 91367-6701 | 2020-03-30 |
| 1407484470 | Jasmine Jafari | Student in an Organized Health Care Education/Training Program | 5601 De Soto Ave, Woodland Hills, CA 91367-6701 | 2020-03-27 |
| 1639706849 | Sonia Rutten | Student in an Organized Health Care Education/Training Program | 5601 De Soto Ave, Woodland Hills, CA 91367-6701 | 2020-03-26 |
| 1831726892 | Brian Dickey | Student in an Organized Health Care Education/Training Program | 5601 De Soto Ave, Woodland Hills, CA 91367-6701 | 2020-03-26 |
| 1275160491 | Sunha Lee | Student in an Organized Health Care Education/Training Program | 5601 De Soto Ave, Woodland Hills, CA 91367-6798 | 2020-03-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144837386 | Welby Way Home LLC | Hospice Care, Community Based | 21550 Oxnard St., 3rd Floor Suite # 57, Woodland Hills, CA 91367 | 2020-09-30 |
| 1821619180 | Jmg Recovery, Inc | Substance Abuse Rehabilitation Facility | 23043 Hatteras Street, Woodland Hills, CA 91367 | 2020-04-28 |
| 1952952137 | Carol L. Frankel | Technician | 22616 Victory Blvd., Woodland Hills, CA 91367 | 2019-09-27 |
| 1346890191 | Sharie Renell Boudreaux | Behavioral Analyst | 210600 Oxnard St, Suite 1800, Woodland Hills, CA 91367 | 2019-09-13 |
| 1104381631 | Victor Fernando Tovar | Behavior Technician | 21600 Oxnard Street, Suite 1030, Woodland Hills, CA 91367 | 2019-02-08 |
| 1982173076 | Tefany Cheam | Behavioral Analyst | 216000 Oxnard St., Suite 1800, Woodland Hills, CA 91367 | 2018-11-19 |
| 1205301520 | Basso Pharmacy, Inc. | Pharmacy | 5952 & 5954 Fallbrook Avenue, Woodland Hills, CA 91367 | 2018-10-13 |
| 1255813523 | Annemarie Fine | Behavioral Analyst | 21609 Oxnard St Ste 1800, Woodland Hills, CA 91367 | 2018-09-04 |
| 1730661166 | Paige Sefton | Marriage & Family Therapist | 21333 Oxnard St., Woodland Hills, CA 91367 | 2018-09-01 |
| 1073095402 | Rosalia Hernandez | Behavioral Analyst | 21600 Oxnard St Ste, Woodland Hills, CA 91367 | 2018-09-01 |
| Find all providers in zip 91367 | ||||
| Taxonomy Code | 207YX0007X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| Specialization | Plastic Surgery within the Head & Neck |
| An otolaryngologist with additional training in plastic and reconstructive procedures within the head, face, neck and associated structures, including cutaneous head and neck oncology and reconstruction, management of maxillofacial trauma, soft tissue repair and neural surgery. The field is diverse and involves a wide age range of patients, from the newborn to the aged. While both cosmetic and reconstructive surgeries are practiced, there are many additional procedures which interface with them. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy is currently provided in the subspecialty of Otolaryngology/Facial Plastic Surgery (see Taxonomy Code 207YX0905X) |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639396120 | Theodore J. Eckberg | Otolaryngology | 5601 De Soto Ave, Woodland Hills, CA 91367-6701 | 2007-04-19 |
| 1205984176 | Alma N. Suehiro-campa | Otolaryngology | 5601 De Soto Ave, Woodland Hills, CA 91367-6701 | 2007-01-08 |
| 1679640551 | Marc D. Weiss | Otolaryngology | 5601 De Soto Ave, Woodland Hills, CA 91367-6701 | 2006-11-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770041881 | Robotic Brain and Spine Institute Inc | Otolaryngology | 9201 W Sunset Blvd Ste 405, Los Angeles, CA 90069-3705 | 2019-03-07 |
| 1447500269 | Esrafil Abedi Md A Professional Corporation | Otolaryngology | 23961 Calle Magdalena St, 430, Laguna Hills, CA 92653-3685 | 2012-09-19 |
| 1184971194 | Gabriel Gabarain | Otolaryngology | 4646 Brockton Ave Ste 201, Riverside, CA 92506 | 2012-08-08 |
| 1154636769 | Louis G. Brennan | Otolaryngology | 4 Leicester Ct, Laguna Niguel, CA 92677-9380 | 2010-08-09 |
| 1568783470 | Dana Kristopher Petersen | Otolaryngology | 1001 Potrero St, San Francisco General Hospital, San Francisco, CA 94110 | 2010-06-15 |
| 1275784233 | Stephen Wayne Hargett | Otolaryngology | 1200 North State St., Los Angeles, CA 90033 | 2008-10-08 |
| 1568664548 | Geoffrey Arthur Smith | Otolaryngology | 7910 Frost St # 420, San Diego, CA 92123-2771 | 2007-06-03 |
| 1831319326 | Shamit Chopra | Otolaryngology | 2521 Stockton Blvd Ste 7200, Sacramento, CA 95817-2207 | 2007-04-26 |
| 1194941641 | Ronaldo A Ballecer | Otolaryngology | 540 E Herndon Ave Ste 105, Suite 105, Fresno, CA 93720-2993 | 2007-04-17 |
| 1669515862 | Kaniff Cosmetic Medical Center, Inc | Otolaryngology | 631 Fulton Ave, Sacramento, CA 95825-4813 | 2007-02-15 |
| Find all providers with the same taxonomy | ||||
| City | WOODLAND HILLS |
| Zip Code | 91367 |
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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.