IAN BRENT TILLEY (NPI# 1891820080) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891820080 |
| Entity Type | Individual |
| Full Name | IAN BRENT TILLEY |
| Practice Address |
1530 S Olive St Los Angeles CA 90015-3023 |
| Practice Telephone | 2137461037 |
| Practice Fax Number | 2137469379 |
| Mailing Telephone | 2137461037 |
| Mailing Fax Number | 2137469379 |
| Enumeration Date | 2007-02-21 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | A94720 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | DEA | BT9642364 | 01 |
| Street Address |
1530 S OLIVE ST |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90015-3023 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326038647 | Jeffrey Earl Harris | Internal Medicine | 1530 S Olive St, Los Angeles, CA 90015-3023 | 2005-10-27 |
| 1558976902 | Yesenia Guerrero | Social Worker | 1530 S Olive St, Los Angeles, CA 90015-3023 | 2020-09-12 |
| 1265046734 | Jeanette Vazquez | Student in an Organized Health Care Education/Training Program | 1530 S Olive St, Los Angeles, CA 90015-3023 | 2020-09-02 |
| 1821648619 | Italia Cristina Trejo | Case Manager/Care Coordinator | 1530 S Olive St, Los Angeles, CA 90015-3023 | 2019-09-13 |
| 1760037774 | Sadie Michelle Quinonez | Student in an Organized Health Care Education/Training Program | 1530 S Olive St, Los Angeles, CA 90015-3023 | 2019-08-06 |
| 1992289110 | Mariacarmen Perez | Case Manager/Care Coordinator | 1530 S Olive St, Los Angeles, CA 90015-3023 | 2018-09-24 |
| 1801307103 | Emily Rose Carter | Advanced Practice Midwife | 1530 S Olive St, Los Angeles, CA 90015-3023 | 2017-10-13 |
| 1659894988 | Jessica Paola Amaya | Nurse Practitioner | 1530 S Olive St, Los Angeles, CA 90015 | 2017-07-18 |
| 1275055972 | Michelle Karen Lee | Nurse Practitioner | 1530 S Olive St, Los Angeles, CA 90015-3023 | 2017-07-13 |
| 1801329990 | Rebecca Rodriguez | Pediatrics | 1530 S Olive St, Los Angeles, CA 90015-3023 | 2017-04-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184224156 | Via Care Community Health Center | Clinic/Center | 400 West Washington Blvd., The Hub D3-room 107, Los Angeles, CA 90015 | 2020-10-29 |
| 1225650955 | Luis Alvarado | Student in an Organized Health Care Education/Training Program | 1150 S. Olive Street, Suite 1400, Los Angeles, CA 90015 | 2020-05-15 |
| 1386290385 | Amy M Powell | Student in an Organized Health Care Education/Training Program | 1140 S.olive Street Ste #1427, Los Angeles, CA 90015 | 2019-08-15 |
| 1881170199 | Angie Andreina Trias Sanchez | Student in an Organized Health Care Education/Training Program | 936 S Olive St Apt 154, Los Angeles, CA 90015 | 2018-07-19 |
| 1083148753 | Central Neighborhood Health Foundation - Fontana | Clinic/Center | 714 W. Olympic Blvd Suite # 801, Los Angeles, CA 90015 | 2017-04-19 |
| 1255871711 | Ethan Lin | Student in an Organized Health Care Education/Training Program | 1401 S. Grand Ave. Suite 101, Residency Program, Los Angeles, CA 90015 | 2017-03-03 |
| 1972055093 | Yvonne Perez | Social Worker | 1150 South Hill St, Suite H-375, Los Angeles, CA 90015 | 2016-10-25 |
| 1356896492 | Mayano Ochi | Midwife | 1513 S Grand Ave Ste 250, Los Angeles, CA 90015 | 2016-08-18 |
| 1518321686 | Cielo Reyna-donaldson | Registered Nurse | 1520 South Olive Street, Los Angeles, CA 90015 | 2016-04-05 |
| 1891175774 | Amanecer Community Counseling Service | Community/Behavioral Health | 1500 S Olive St Rm 506, Los Angeles, CA 90015 | 2015-06-04 |
| Find all providers in zip 90015 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| 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 Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528673886 | Dtla Gynecology | Obstetrics & Gynecology | 1245 Wilshire Blvd Ste 690, Los Angeles, CA 90017-4880 | 2020-09-14 |
| 1417516444 | Matrix Clinical Research | Obstetrics & Gynecology | 1919 W 7th St Fl 2, Los Angeles, CA 90057-4103 | 2019-06-12 |
| 1578011805 | Robert Maurice Carlton | Obstetrics & Gynecology | 1301 Warner Ave, Los Angeles, CA 90024-5125 | 2016-09-15 |
| 1346698628 | Leah Marsh | Obstetrics & Gynecology | Ucla Department of Ob/gyn 10833 Le Conte Ave 27-139 Chs, Los Angeles, CA 90095-1804 | 2016-05-27 |
| 1679927354 | Christina Tabit Evans | Obstetrics & Gynecology | 8315 Gonzaga Ave, Los Angeles, CA 90045-2577 | 2016-04-19 |
| 1831553544 | Sara Hatlen | Obstetrics & Gynecology | File 50978, Los Angeles, CA 90074-2004 | 2016-04-08 |
| 1477915601 | Xiaoyue Mona Guo | Obstetrics & Gynecology | 2020 Zonal Ave Ste 220, Los Angeles, CA 90089-2914 | 2016-03-26 |
| 1366814204 | Kristin Louie | Obstetrics & Gynecology | 1200 N State St # C3f-107, Los Angeles, CA 90033-1029 | 2015-10-29 |
| 1760879431 | Madison Sternberg | Obstetrics & Gynecology | 1701 E Cesar E Chavez Ave Ste 225, Los Angeles, CA 90033-2496 | 2015-04-21 |
| 1083000657 | Lydia Ning Lo | Obstetrics & Gynecology | 757 Westwood Plaza, Room B-711, Ucla Ob/gyn, Los Angeles, CA 90095-0001 | 2015-04-10 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90015 |
Please comment or provide details below to improve the information on IAN BRENT TILLEY.
| 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.