STETSON POWELL ORTHOPEDICS AND SPORTS MEDICINE (NPI# 1750763041) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750763041 |
| Entity Type | Organization |
| Organization Name | STETSON POWELL ORTHOPEDICS AND SPORTS MEDICINE |
| Practice Address |
191 S Buena Vista St Suite 470 Burbank CA 91505-4554 |
| Practice Telephone | 8188483030 |
| Practice Fax Number | 8188482228 |
| Mailing Telephone | 8188483030 |
| Mailing Fax Number | 8188482228 |
| Enumeration Date | 2015-06-23 |
| Last Update Date | 2015-06-23 |
| Authorized Official Name | WILLIAM B STETSON (OWNER) |
| Authorized Official Telephone | 8188483030 |
| Authorized Official Credential | MD |
| Is Organization Subpart | Y |
| Parent Organization Name | WILLIAM B. STETSON MD |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | CA | Other Service Providers |
| Street Address |
191 S BUENA VISTA ST SUITE 470 |
| City | BURBANK |
| State | CA |
| Zip Code | 91505-4554 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134123474 | Kenneth Ballan | Internal Medicine | 191 S Buena Vista St, Ste. 215, Burbank, CA 91505-4554 | 2005-06-01 |
| 1114467255 | Ann Grosch | Audiologist-Hearing Aid Fitter | 191 S Buena Vista St, Suite 320-a, Burbank, CA 91505-4554 | 2017-03-07 |
| 1912443490 | Genesis Functional Restoration Clinic Inc | Family Medicine | 191 S Buena Vista St, 335, Burbank, CA 91505-4554 | 2017-01-09 |
| 1902342496 | Genesis Occupational Medical Clinic Inc | Family Medicine | 191 S Buena Vista St, 335, Burbank, CA 91505-4554 | 2017-01-09 |
| 1124407119 | Hesam Hekmatjou | Family Medicine | 191 S Buena Vista St, Suite 100, Burbank, CA 91505-4554 | 2015-05-22 |
| 1942690136 | Christopher S. Lee, Md, Mba, Inc. | Specialist | 191 S Buena Vista St, Suite 470, Burbank, CA 91505-4554 | 2015-01-27 |
| 1285036640 | Petros Hajian | Family Medicine | 191 S Buena Vista St, Suite 220, Burbank, CA 91505-4554 | 2014-09-17 |
| 1639579105 | Armine Ghazaryan Md Inc | Obstetrics & Gynecology | 191 S Buena Vista St, Suite 300, Burbank, CA 91505-4554 | 2014-09-03 |
| 1326478777 | Leslie Korostoff Md A Professional Corporation | Obstetrics & Gynecology | 191 S Buena Vista St, Suite 340, Burbank, CA 91505-4554 | 2013-11-22 |
| 1518300045 | Rungsima Vayupakparnonde | Pediatrics | 191 S Buena Vista St, Ste 240, Burbank, CA 91505-4554 | 2013-04-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023625035 | K and S Hospice Inc | Hospice Care, Community Based | 4100 W Alameda Ave Fl 3, Burbank, CA 91505 | 2020-09-24 |
| 1013542471 | Jami Stehlin | Nurse Practitioner | 501 S. Buena Vista St. 3ne, Burbank, CA 91505 | 2020-03-06 |
| 1497309033 | Ibrahim Lala | Pharmacist | 181 S. Buena Vista St, Burbank, CA 91505 | 2019-08-01 |
| 1720501240 | Jung H Li | Registered Nurse | Psjmc- Bariatric Wellness Center, 501 S Buena Vista St, Burbank, CA 91505 | 2017-07-18 |
| 1699204974 | Beth Ellen Izbotsky | Physical Medicine & Rehabilitation | 501 S Buena Vista Blvd, Burbank, CA 91505 | 2017-06-08 |
| 1205387446 | Fabiola Bachman | Dentist | 138 N Pass Ave, 2, Burbank, CA 91505 | 2016-10-24 |
| 1114478203 | Marianna Ghularyan D.d.s. Inc | Dentist | 1400 N. Edison Blvd., Burbank, CA 91505 | 2016-10-24 |
| 1962952127 | Landa Mizin Dental Partnership | Dentist | 2625 W Alameda Ave Ste 502, Burbank, CA 91505 | 2016-10-11 |
| 1285183376 | Amy Di Francia | Marriage & Family Therapist | 4421 W Riverside Dr Ste 210, Burbank, CA 91505 | 2016-09-29 |
| 1306238381 | Abigail Merrin | Physical Therapist | 2701 W Alameda Ave Ste 206, Burbank, CA 91505 | 2015-02-26 |
| Find all providers in zip 91505 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710345137 | Dorel Lacatus | Specialist | 250 N First St, Unit 402, Burbank, CA 91502-1826 | 2016-01-29 |
| 1124485438 | Mary Annthonette De Guzman | Specialist | 16260 Ventura Blvd #600, Burbank, CA 91501 | 2016-01-19 |
| 1275944845 | Lynda Johnson | Specialist | 2132 N Pepper St, Burbank, CA 91505-1538 | 2014-05-16 |
| 1972827483 | Womens Pavilion Medical Group Inc | Specialist | 191 S. Buena Vista St., Suite 340, Burbank, CA 91505 | 2010-03-26 |
| 1962633602 | Kay Curtis | Specialist | 128 N Valley St, Burbank, CA 91505-4035 | 2009-07-29 |
| 1184741324 | Shellie M. Michael | Specialist | 376 Ringhoff Rd., Burbank, WA 99323 | 2007-03-23 |
| 1497849392 | Lisa Benest M D A Professional Corporation | Specialist | 1624 W Olive Avenue, Suite B, Burbank, CA 91506 | 2006-10-03 |
| 1588757074 | Mohammad Reza Dadsetan | Specialist | 500e Olive Ave, Suit # 103, Burbank, CA 91501 | 2006-10-02 |
| 1831298736 | Minh Q Mach | Specialist | 4318 W Victory Blvd, Burbank, CA 91505-1334 | 2006-09-21 |
| 1962501858 | Shawna L Weisler | Specialist | 3808 W Riverside Dr Ste 406, Burbank, CA 91505-5301 | 2006-09-21 |
| Find all providers in BURBANK | ||||
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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.