RICHARD BARDOWELL MD INC (NPI# 1740524552) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740524552 |
| Entity Type | Organization |
| Organization Name | RICHARD BARDOWELL MD INC |
| Practice Address |
500 E Olive Ave Ste 420 Burbank CA 91501-2171 |
| Practice Telephone | 8188433100 |
| Practice Fax Number | 8188438189 |
| Mailing Telephone | 8188433100 |
| Mailing Fax Number | 8188438189 |
| Enumeration Date | 2012-11-16 |
| Last Update Date | 2020-03-13 |
| Authorized Official Name | RICHARD BARDOWELL (PRESIDENT) |
| Authorized Official Telephone | 8188433100 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
A41037 | CA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00A410370 | 05 |
| Street Address |
500 E OLIVE AVE STE 420 |
| City | BURBANK |
| State | CA |
| Zip Code | 91501-2171 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790796753 | Richard Bardowell | Obstetrics & Gynecology | 500 E Olive Ave Ste 420, Burbank, CA 91501-2171 | 2006-08-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659922110 | Takako Downie | Technician | 640 E. Grinnell Dr., Burbank, CA 91501 | 2019-09-26 |
| 1629507231 | Jennifer S Robinson | Marriage & Family Therapist | 436 E Magnolia Blvd, 436 E Magnolia, Burbank, CA 91501 | 2017-06-07 |
| 1124485438 | Mary Annthonette De Guzman | Specialist | 16260 Ventura Blvd #600, Burbank, CA 91501 | 2016-01-19 |
| 1447671300 | George Pryor | Nurse Practitioner | 436 E Palm Ave Apt 203, Burbank, CA 91501 | 2013-12-19 |
| 1871920629 | Dewayne Allan Wolfer Jr. | Dentist | 421 East Angeleno Avenue, Suite 205, Burbank, CA 91501 | 2013-10-10 |
| 1255646295 | Jessica Edwards | Physical Therapist | 711 E Palm Ave Apt C, Burbank, CA 91501 | 2010-08-14 |
| 1154466365 | Loretta Ann Ganzer | Registered Nurse | 1060 Orchard Avenue, Suite I, Grand Junction, CO 91501 | 2007-02-21 |
| 1588757074 | Mohammad Reza Dadsetan | Specialist | 500e Olive Ave, Suit # 103, Burbank, CA 91501 | 2006-10-02 |
| 1780792739 | Spasoje M Neskovic | Family Medicine | 500 E Olive Ave Ste 750, Burbank, CA 91501 | 2006-08-29 |
| 1568475135 | Esmail David Hessami | Internal Medicine | 500 E Olive Avenue Suite #740, Burbank, CA 91501 | 2006-08-14 |
| Find all providers in zip 91501 | ||||
| Taxonomy Code | 261QM2500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Medical Specialty |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). |
| Notes: [7/1/2003: new] |
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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.