THOMAS L. HEDGE, M.D. A MEDICAL CORPORATION (NPI# 1811137557) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811137557 |
| Entity Type | Organization |
| Organization Name | THOMAS L. HEDGE, M.D. A MEDICAL CORPORATION |
| Practice Address |
18300 Roscoe Blvd 4ifl Tower Northridge CA 91325-4167 |
| Mailing Address |
Po Box 8300 Northridge CA 91327-8300 |
| Practice Telephone | 8188855342 |
| Practice Fax Number | 8187271451 |
| Mailing Telephone | 6616181771 |
| Mailing Fax Number | 6612879471 |
| Enumeration Date | 2009-02-20 |
| Last Update Date | 2009-02-20 |
| Authorized Official Name | MRS. SHIRLEY VIOLA JOHNSON (ADMINISTRATOR) |
| Authorized Official Telephone | 6616181771 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2081P0004X |
Physical Medicine & Rehabilitation Specialization: Spinal Cord Injury Medicine |
Allopathic & Osteopathic Physicians |
| Street Address |
18300 ROSCOE BLVD 4IFL TOWER |
| City | NORTHRIDGE |
| State | CA |
| Zip Code | 91325-4167 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396346961 | Patricia Yamilet Morales | Registered Nurse | 18300 Roscoe Blvd Dignity Health- Northridge Hospital M, Northridge, CA 91325 | 2020-11-02 |
| 1790342897 | Northridge Kidney Center, LLC | Clinic/Center | 17710 Roscoe Blvd, Northridge, CA 91325 | 2019-05-23 |
| 1063078376 | Ozlem Alper | Student in an Organized Health Care Education/Training Program | 18497 Dearborn St, Unit 112, Northridge, CA 91325 | 2019-05-13 |
| 1144883489 | Better Sober | Clinic/Center | 9339 Louse Ave, Northridge, CA 91325 | 2019-04-22 |
| 1902383920 | Ntr Resources, LLC | Pathology | 17433 Nordhoff, Northridge, CA 91325 | 2018-07-23 |
| 1043713969 | Poly-med Pharmacy Inc | Pharmacy | 17313 Roscoe Blvd, Northridge, CA 91325 | 2018-03-16 |
| 1982151940 | Maria Dakessian | Dentist | 18250 Roscoe Blvd Ste 345, Northridge, CA 91325 | 2016-09-07 |
| 1487019469 | Beshoy Gerges | Pharmacist | 8254 White Oak Ave Unit 4, Northridge, CA 91325 | 2015-12-17 |
| 1235520305 | Gema Bautista | Social Worker | 8550 Balboa Blvd Ste 216, Northridge, CA 91325 | 2015-02-11 |
| 1083018873 | Sosann Haider | Pharmacist | 18444 Plummer St., Northridge, CA 91325 | 2014-10-22 |
| Find all providers in zip 91325 | ||||
| Taxonomy Code | 2081P0004X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Specialization | Spinal Cord Injury Medicine |
| A physician who addresses the prevention, diagnosis, treatment and management of traumatic spinal cord injury and non-traumatic etiologies of spinal cord dysfunction by working in an interdisciplinary manner. Care is provided to patients of all ages on a lifelong basis and covers related medical, physical, psychological and vocational disabilities and complications. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source added] Additional Resources: American Board of Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. ACGME Accredited Residency Program Requirements: 1 year of training with 3-5 years in relevant specialty for a total of 4-6 years. ABMS Approved Subspecialty Certificate: (Physical Medicine and Rehabilitation) |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902046287 | Kim Le | Physical Medicine & Rehabilitation | 3525 Watt Avenue, Sacramento, CA 95821 | 2009-02-26 |
| 1184724999 | Doug T Ota | Physical Medicine & Rehabilitation | 3801 Miranda Ave # Mc-128, Palo Alto, CA 94304-1207 | 2006-09-22 |
| 1184736142 | Vandana Punj | Physical Medicine & Rehabilitation | 3801 Miranda Ave # Sci/128, Palo Alto, CA 94304-1207 | 2006-08-31 |
| 1003923020 | Inder Perkash | Physical Medicine & Rehabilitation | 813 Allardice Way, Stanford, CA 94305-1050 | 2006-08-24 |
| 1104931542 | Glenn Mark Balfour | Physical Medicine & Rehabilitation | 785 Grand Ave Ste 218, Carlsbad, CA 92008-2371 | 2006-08-19 |
| 1679533780 | Bea Medical Group, Inc. | Physical Medicine & Rehabilitation | 10070 Pasadena Ave, Ste 2, Cupertino, CA 95014-5942 | 2006-03-23 |
| 1508372772 | Sandhi Wynn | Physical Medicine & Rehabilitation | 5901 E 7th St, Long Beach, CA 90822-5201 | 2017-12-23 |
| 1245775360 | Newport Physical Medicine and Rehabilitation Inc. | Physical Medicine & Rehabilitation | 17264 Red Hill Ave, Irvine, CA 92614-5628 | 2016-12-28 |
| 1720535255 | George T Cyril M.d., Inc | Physical Medicine & Rehabilitation | 13160 Mindanao Way Ste 300, Marina Del Rey, CA 90292-6393 | 2016-09-01 |
| 1689093023 | Travis Edmiston | Physical Medicine & Rehabilitation | 7601 Imperial Hwy, Downey, CA 90242-3456 | 2014-04-14 |
| Find all providers with the same taxonomy | ||||
| City | NORTHRIDGE |
| Zip Code | 91325 |
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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.