TOM RYAN DEMEESTER (NPI# 1902837289) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902837289 |
| Entity Type | Individual |
| Full Name | TOM RYAN DEMEESTER |
| Credential | MD |
| Practice Address |
1510 San Pablo St Suite 514 Los Angeles CA 90033-5324 |
| Practice Telephone | 3234425910 |
| Practice Fax Number | 3234426798 |
| Mailing Telephone | 3234425910 |
| Mailing Fax Number | 3234426798 |
| Enumeration Date | 2006-07-05 |
| Last Update Date | 2009-10-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | C42820 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00C428200 | 05 | |
| CA | BLUE SHIELD PIN | 00C428200 | 01 |
| CA | MEDICARE RAILROAD PIN | 020023696 | 01 |
| CA | CAL OPTIMA PIN | 00C428200C29 | 01 |
| Street Address |
1510 SAN PABLO ST SUITE 514 |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90033-5324 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225012776 | Nancy Danz Shebel | Nurse Practitioner | 1510 San Pablo St, Suite 514, Los Angeles, CA 90033-5320 | 2005-11-29 |
| 1154816866 | Dordaneh Eureka Sugano | Student in an Organized Health Care Education/Training Program | 1510 San Pablo St, Los Angeles, CA 90033-5320 | 2018-06-25 |
| 1841739299 | Ashley Brown | Plastic Surgery | 1510 San Pablo St, Suite 415, Los Angeles, CA 90033-5320 | 2017-02-17 |
| 1184167140 | Eric Nagengast | Student in an Organized Health Care Education/Training Program | 1510 San Pablo St, Suite 415, Los Angeles, CA 90033-5320 | 2016-11-23 |
| 1114370129 | Sylvia Yolanda Rodriguez | Pharmacist | 1510 San Pablo St, Suite 144, Los Angeles, CA 90033-5320 | 2016-07-14 |
| 1497106843 | Keck Medical Center | General Acute Care Hospital | 1510 San Pablo St, Suite 322, Los Angeles, CA 90033-5320 | 2016-06-27 |
| 1568825024 | Cybele Arsan | Student in an Organized Health Care Education/Training Program | 1510 San Pablo St, Los Angeles, CA 90033-5320 | 2016-04-01 |
| 1104206176 | University of Southern California | Skilled Nursing Facility | 1510 San Pablo St, Hcc 600, Los Angeles, CA 90033-5320 | 2015-06-04 |
| 1770960221 | Susana Dahdul | Social Worker | 1510 San Pablo St, Hcc 200, Los Angeles, CA 90033-5320 | 2015-05-05 |
| 1619368461 | Victor Nekrasov | Surgery | 1510 San Pablo St, Hcc I, Suite 514, Los Angeles, CA 90033-5320 | 2015-02-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376165050 | Noa Yee | Student in an Organized Health Care Education/Training Program | 1200 N. State Street, Gnh 1011, Los Angeles, CA 90033 | 2020-05-15 |
| 1629690144 | Monica Lopez | Respiratory Therapist, Registered | 1251 Marengo St, Los Angeles, CA 90033 | 2020-05-07 |
| 1649890401 | Antonio Hernandez Saenz | Student in an Organized Health Care Education/Training Program | 1200 N. State Street Gnh 1060k, Los Angeles, CA 90033 | 2020-04-22 |
| 1417585100 | Kelsey Grace Shea | Student in an Organized Health Care Education/Training Program | 1200 N State St Ird 112, Los Angeles, CA 90033 | 2020-03-30 |
| 1891322780 | Carolyn Kan | Student in an Organized Health Care Education/Training Program | 1200 North State Street Clinic Tower, Suite A7d, Los Angeles, CA 90033 | 2020-03-23 |
| 1902445786 | Maury M Hopkins | Registered Nurse | 1883 Marengo Street, Los Angeles, CA 90033 | 2019-12-27 |
| 1982259792 | Beverly Austin Mccabe | Registered Nurse | 1720 E. Cesar Chavez Ave., Los Angeles, CA 90033 | 2019-08-08 |
| 1093369399 | Christine Yoon | Pharmacist | 1611 E Cesar Chavez Ave, Los Angeles, CA 90033 | 2019-07-25 |
| 1073075339 | Johanna Keller | Student in an Organized Health Care Education/Training Program | La County +usc Medical Center, 2051 Marengo Street, Los Angeles, CA 90033 | 2019-04-04 |
| 1386115137 | Sonya Lorain Earley | Physician Assistant | 2020 Zonal Avenue, Ird 626, Los Angeles, CA 90033 | 2018-12-05 |
| Find all providers in zip 90033 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639720097 | Sergey Lyass Md Surgical | Surgery | 8631 W 3rd St # S900e, Los Angeles, CA 90048-5901 | 2019-09-26 |
| 1104317262 | Ryan Alexander Smith | Surgery | 11301 Wilshire Blvd Ofc Va, Los Angeles, CA 90073-1003 | 2018-05-24 |
| 1699215327 | La Surgical Specialists | Surgery | 450 N Greencraig Rd, Los Angeles, CA 90049-2840 | 2017-02-28 |
| 1245681543 | Cina Surgery | Surgery | 3756 Santa Rosalia Dr Ste C100, Los Angeles, CA 90008-3606 | 2016-06-28 |
| 1548622194 | Blair Smart | Surgery | Usc General Surgery Residency Program, 1520 San Pablo Street, Los Angeles, CA 90033-5330 | 2016-03-23 |
| 1053783258 | Michael F. Sedrak, M.d., A Medical Corporation | Surgery | 10336 Wilshire Blvd Apt 602, Los Angeles, CA 90024-4754 | 2015-10-27 |
| 1558737312 | Gene Kyu Lee | Surgery | 1520 San Pablo Street, Hct 4300, Los Angeles, CA 90033 | 2015-08-17 |
| 1851779052 | Michael Fenlon | Surgery | 1520 San Pablo St # 3400, Los Angeles, CA 90033-5310 | 2015-05-08 |
| 1588062566 | Moon Ip | Surgery | 4300 Crenshaw Blvd, Los Angeles, CA 90008-4902 | 2014-12-08 |
| 1629488416 | Cassra Nouri Arbabi | Surgery | 127 S San Vicente Blvd Ste A3100, Los Angeles, CA 90048 | 2014-05-01 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90033 |
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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.