DR. PEERA HEMARAJATA (NPI# 1891223210) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891223210 |
| Entity Type | Individual |
| Full Name | DR. PEERA HEMARAJATA |
| Credential | PHD |
| Practice Address |
11633 San Vicente Blvd Los Angeles CA 90049-6511 |
| Mailing Address |
6500 Green Valley Cir Apt 111 Culver City CA 90230-7012 |
| Practice Telephone | 3107942720 |
| Practice Fax Number | 3107942765 |
| Mailing Telephone | 4243945929 |
| Enumeration Date | 2017-05-30 |
| Last Update Date | 2017-05-31 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ZM0300X |
Pathology Specialization: Medical Microbiology |
MTE00102040 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
11633 SAN VICENTE BLVD |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90049-6511 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487607685 | Jonathan Torregosa Tiongson | Podiatrist | 11633 San Vicente Blvd, Suite 200, Los Angeles, CA 90049-6511 | 2006-05-18 |
| 1912480906 | Shangxin Yang | Spec/Tech, Pathology | 11633 San Vicente Blvd, Los Angeles, CA 90049-6511 | 2018-09-14 |
| 1164941415 | Darius Terray Humphrey | Nurse Practitioner | 11633 San Vicente Blvd, Los Angeles, CA 90049-6511 | 2017-09-18 |
| 1487172391 | Azadeh Tavari | Dentist | 11633 San Vicente Blvd, Los Angeles, CA 90049-6511 | 2017-08-31 |
| 1699226530 | Romney Mckenzie Humphries | Specialist | 11633 San Vicente Blvd, 4th Floor, Rear Building, Los Angeles, CA 90049-6511 | 2016-10-15 |
| 1609118983 | Salam F Alkasspooles M D Amc | Clinic/Center | 11633 San Vicente Blvd, Suite 314, Los Angeles, CA 90049-6511 | 2013-03-25 |
| 1194000216 | Alexandra Hazel Rudd-barnard | Clinical Neuropsychologist | 11633 San Vicente Blvd, 106, Los Angeles, CA 90049-6511 | 2011-10-20 |
| 1316239080 | Matthew Schneider Dpm Inc | Podiatrist | 11633 San Vicente Blvd, Suite 200, Los Angeles, CA 90049-6511 | 2011-05-12 |
| 1063716751 | Rashel J Tahzib Do Inc | Family Medicine | 11633 San Vicente Blvd, Suite 107, Los Angeles, CA 90049-6511 | 2011-01-10 |
| 1285953216 | Suzanne Alicia Chavez | Chiropractor | 11633 San Vicente Blvd, Suite 214, Los Angeles, CA 90049-6511 | 2010-06-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316564339 | Kepp Family & Group Practice | Marriage & Family Therapist | 12011 San Vincente Blvd, 408, Los Angeles, CA 90049 | 2020-06-26 |
| 1386204493 | Steven J Lehrman | Marriage & Family Therapist | 179 S. Barrington Place, Office A, Los Angeles, CA 90049 | 2019-06-20 |
| 1922562990 | Jand. Inc. | Eyewear Supplier (Equipment, not the service) | 860 S. Sepulveda Blvd., Los Angeles, CA 90049 | 2019-01-24 |
| 1851864946 | Christie Schnur | Marriage & Family Therapist | 11911 San Vicente Blvd., Los Angeles, CA 90049 | 2019-01-10 |
| 1669954012 | Barbara Jiji Schenk | Marriage & Family Therapist | 520 S. Sepulveda Blvd #402, Los Angeles, CA 90049 | 2018-09-02 |
| 1972090710 | Community Reflections Inc | Counselor | 10020 So. Western Ave, 10020 So. Western Ave, Los Angeles, CA 90049 | 2018-04-17 |
| 1245738830 | Dr. Shirin Tabib LLC | Marriage & Family Therapist | 61133 San Vincent Blvd, Suite 318 A, Los Angeles, CA 90049 | 2018-01-29 |
| 1295240679 | Robert A Brooks | Preventive Medicine | 149 South Barrington Ave, #346, Los Angeles, CA 90049 | 2017-12-07 |
| 1598286478 | Marvin S Serrano | Physical Therapy Assistant | 11740 San Vicente Boulevard Suite 205, Los Angeles, CA 90049 | 2017-06-30 |
| 1972055812 | Evolve Growth Initiatives, LLC | Psychiatric Residential Treatment Facility | 820 Moraga Drive, Los Angeles, CA 90049 | 2016-10-26 |
| Find all providers in zip 90049 | ||||
| Taxonomy Code | 207ZM0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Medical Microbiology |
| A medical microbiologist is expert in the isolation and identification of microbial agents that cause infectious disease. Viruses, bacteria and fungi, as well as parasites, are identified and, where possible, tested for susceptibility to appropriate antimicrobial agents. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/. American Osteopathic Board of Pathology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. Board certification for Doctors of Osteopathy (DOs) was provided by the American Osteopathic Board of Pathology. The Certification is NO longer provided. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932148905 | Victor Santos Flauta | Pathology | 5631 N Figarden Dr, Suite 107, Fresno, CA 93722-3577 | 2006-06-05 |
| 1053304071 | Regents of The Univ of Ca | Pathology | 3146 Tupper Hall, Davis, CA 95616 | 2005-08-24 |
| 1154612281 | Cassiana Euzebio Bittencourt | Pathology | 101 The City Dr S, Orange, CA 92868 | 2011-04-24 |
| 1245202233 | Anthony V Cunha | Pathology | 155 Glasson Way, Grass Valley, CA 95945 | 2006-02-03 |
| City | LOS ANGELES |
| Zip Code | 90049 |
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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.