DEBRA JEAN CLYDESDALE (NPI# 1942428115) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942428115 |
| Entity Type | Individual |
| Full Name | DEBRA JEAN CLYDESDALE |
| Credential | L.A.C. |
| Practice Address |
23441 Madison St Suite 220 Torrance CA 90505-4725 |
| Mailing Address |
1229 19th St Apt B Santa Monica CA 90404-1238 |
| Practice Telephone | 3103730191 |
| Mailing Telephone | 3106639822 |
| Enumeration Date | 2007-04-23 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2083P0500X |
Preventive Medicine Specialization: Preventive Medicine/Occupational Environmental Medicine |
AC 08548 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
23441 MADISON ST SUITE 220 |
| City | TORRANCE |
| State | CA |
| Zip Code | 90505-4725 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336143734 | Torrance Endoscopy and Surgical Affiliates, Inc | Clinic/Center | 23441 Madison St, Ste 230, Torrance, CA 90505-4757 | 2005-06-13 |
| 1912351503 | Laboratory Corporation of America | Clinical Medical Laboratory | 23441 Madison St, Building 8 Suite 301, Torrance, CA 90505-4725 | 2016-04-20 |
| 1528466331 | Usrc Torrance Home Program, LLC | Clinic/Center | 23441 Madison St, Suite 320, Torrance, CA 90505-4725 | 2014-12-10 |
| 1982965612 | Skypark Surgery Center LLC | Clinic/Center | 23441 Madison St, Suite 115, Torrance, CA 90505-4725 | 2012-05-29 |
| 1487882692 | Sachiko Kodama | Dentist | 23441 Madison St, 150, Torrance, CA 90505-4725 | 2009-06-25 |
| 1184865842 | Alyce Marie Toombs | Nurse Practitioner | 23441 Madison St, Suite 301, Bldg. #8, Torrance, CA 90505-4725 | 2009-03-10 |
| 1053567941 | Awaken Your Eyes Oculoplastic Surgery | Ophthalmology | 23441 Madison St, Suite 120, Torrance, CA 90505-4725 | 2008-08-12 |
| 1205003357 | Mike Sheu | Otolaryngology | 23441 Madison St, Building 8, Suite 130, Torrance, CA 90505-4725 | 2008-05-08 |
| 1437322971 | Sheherbano Mehdi | Internal Medicine | 23441 Madison St, Suite #340, Torrance, CA 90505-4725 | 2008-04-04 |
| 1285810994 | East-west Eye Institute A Medical Corporation | Optometrist | 23441 Madison St, Suite 120, Torrance, CA 90505-4725 | 2008-01-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780229260 | Sleep Apnea Team LLC | Clinic/Center | 2785 Pacific Coast Hwy Ste. E #197, Torrance, CA 90505 | 2019-11-08 |
| 1811469349 | Laura Anne Bloomberg | Marriage & Family Therapist | 2790 Sky Park Drive, Suite 215, Torrance, CA 90505 | 2018-12-21 |
| 1629544234 | Doroty O.d.s. Devalon | Physician Assistant | 23530 Hawthorne Boulevard Building 1, Suite 290, Torrance, CA 90505 | 2018-10-22 |
| 1790270486 | Juste Karvelyte | Dentist | 3500 Lomita Blvd Ste 201, Torrance, CA 90505 | 2018-06-26 |
| 1023507324 | Robert De Leon | Physician Assistant | 23530 Hawthorne Blvd Ste 290, Torrance, CA 90505 | 2018-05-02 |
| 1376052274 | Regents of The University of California | Durable Medical Equipment & Medical Supplies | 3500 Lomita Bvld, Suite 300, Torrance, CA 90505 | 2017-09-22 |
| 1649796038 | Chan & Huang Dental Partnership | Dentist | 3640 Lomita Blvd., #208, Torrance, CA 90505 | 2017-08-17 |
| 1093238370 | Family Acupuncture, Inc. | Specialist/Technologist, Other | 2820 Sepulveda Blvd.ste.a, Torrance, CA 90505 | 2017-07-19 |
| 1629518535 | J Lee Acupuncture | Acupuncturist | 24248 Crenshaw Blvd. #106, Torrance, CA 90505 | 2017-02-27 |
| 1770932360 | Maha Hanna Dds Inc | Dentist | 3710 Pacific Coast Hwy, Ste 101, Torrance, CA 90505 | 2016-06-06 |
| Find all providers in zip 90505 | ||||
| Taxonomy Code | 2083P0500X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Preventive Medicine |
| Specialization | Preventive Medicine/Occupational Environmental Medicine |
| A preventive medicine physician who specializes in preventive medicine/occupational-environmental medicine, which is focused on protecting the population from occupational and environmental conditions. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Preventive Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750911665 | Healthstat Wellness Sutter County | Preventive Medicine | 1215 Plumas St Ste 1300a, Yuba City, CA 95991-3400 | 2020-01-20 |
| 1194373530 | Healthstat Wellness County of Santa Barbara Headquarters | Preventive Medicine | 427 Camino Del Remedio Bldg G, Santa Barbara, CA 93110-1310 | 2019-08-29 |
| 1023678661 | Linda K Watanabe | Preventive Medicine | 700 Bay Rd. #2803, Redwood City, CA 94063 | 2019-06-17 |
| 1750872255 | Universal Occupational Medicine PC | Preventive Medicine | 8303 Brimhall Rd Bldg 1500, Bakersfield, CA 93312-2243 | 2018-05-21 |
| 1831694272 | Healthstat Wellness County Sb Headquarters | Preventive Medicine | 2500 Broadway Ste 400, Santa Monica, CA 90404-3176 | 2018-03-28 |
| 1326548363 | Paul Manchester | Preventive Medicine | 11159 Corte Pleno Verano, San Diego, CA 92130-2688 | 2018-02-16 |
| 1295240679 | Robert A Brooks | Preventive Medicine | 149 South Barrington Ave, #346, Los Angeles, CA 90049 | 2017-12-07 |
| 1285145383 | Brett V. Curtis M.d. & Associates, A Professional Corporation | Preventive Medicine | 7428 Redwood Blvd Ste 100, Novato, CA 94945-2418 | 2017-10-16 |
| 1104355783 | Susan Bradshaw | Preventive Medicine | 6320 W Howard Drollinger Way Ste 203, Los Angeles, CA 90045-3627 | 2017-06-07 |
| 1386097806 | Healthstat Wellness Bac Madera | Preventive Medicine | 15341 Road 28 1/2, Madera, CA 93638-2325 | 2016-07-20 |
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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.