ROBERT G PUGACH MD INC (NPI# 1992884738) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992884738 |
| Entity Type | Organization |
| Organization Name | ROBERT G PUGACH MD INC |
| Other Organization Name | PACIFIC COAST UROLOGY MEDICAL CENTER INC |
| Practice Address |
3801 Katella Ave #110 Los Alamitos CA 90720 |
| Practice Telephone | 5625940860 |
| Practice Fax Number | 5625949010 |
| Mailing Telephone | 5625940860 |
| Mailing Fax Number | 5625949010 |
| Enumeration Date | 2006-11-03 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | ROBERT GLENN PUGACH (PRESIDENT) |
| Authorized Official Telephone | 5625940860 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | A41822 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00A418220 | 05 |
| Other Name | Type Code |
|---|---|
| Pacific Coast Urology Medical Center Inc | Doing Business As Name - Organization |
| Street Address |
3801 KATELLA AVE #110 |
| City | LOS ALAMITOS |
| State | CA |
| Zip Code | 90720 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780687319 | Robert Glenn Pugach | Specialist | 3801 Katella Ave, Ste 110, Los Alamitos, CA 90720-3371 | 2005-05-27 |
| 1376928077 | Wu Pediatrics Corp | Pediatrics | 3801 Katella Ave, Suite 221, Los Alamitos, CA 90720-3338 | 2015-07-23 |
| 1649676891 | Ali Alex Fouladi Md Inc | Surgery | 3801 Katella Ave, Suite 402, Los Alamitos, CA 90720-3338 | 2014-11-17 |
| 1215331269 | Mitch Bovy | Optometrist | 3801 Katella Ave, Los Alamitos, CA 90720-3338 | 2014-10-20 |
| 1972919678 | Los Alamitos Ob-gyn Medical Group, Inc | Obstetrics & Gynecology | 3801 Katella Ave, Los Alamitos, CA 90720-3338 | 2014-07-02 |
| 1134569429 | Abolhoda Md, Inc | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 3801 Katella Ave, Suite 207, Los Alamitos, CA 90720-3338 | 2013-07-01 |
| 1750632253 | Evans Phung Tran | Physician Assistant | 3801 Katella Ave, Suite 110, Los Alamitos, CA 90720-3338 | 2012-09-24 |
| 1720338015 | Tina M Morris | Physician Assistant | 3801 Katella Ave, Ste. 101, Los Alamitos, CA 90720-3338 | 2012-09-13 |
| 1023379757 | Ayla Munawar | Pediatrics | 3801 Katella Ave, Ste 221, Los Alamitos, CA 90720-3338 | 2012-05-29 |
| 1912267774 | Lori A Hallett Audiology PC | Audiologist-Hearing Aid Fitter | 3801 Katella Ave, Los Alamitos, CA 90720-3338 | 2012-05-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871152132 | Connie Lee Wax | Social Worker | 5182 Katella, Suite 206, Los Alamitos, CA 90720 | 2019-06-11 |
| 1750891446 | Angela Lynn Hudson | Nurse Practitioner | 4281 Katella Ave Ste 215, Los Alamitos, CA 90720 | 2017-10-06 |
| 1922524149 | Tigom LLC | Pharmacy | 4434 Cerritos Ave, Los Alamitos, CA 90720 | 2017-08-18 |
| 1821531401 | Added Access Cardiology Inc | Internal Medicine | 3801 Katella Ave Suite 401, Los Alamitos, CA 90720 | 2016-11-30 |
| 1619348091 | Debbie Chen | Marriage & Family Therapist | 5182 Katella Ave Ste 202, Los Alamitos, CA 90720 | 2015-10-12 |
| 1801292974 | Michelle R. Ancharoff | Psychologist | 4281 Katella Ave #122, Los Alamitos, CA 90720 | 2014-11-17 |
| 1497179253 | Jeffrey J Mccullough | Dentist | 4281 Katella Ave Ste 112, Los Alamitos, CA 90720 | 2014-02-13 |
| 1043634124 | Alamitos Oral Surgery | Dentist | 4582 Katella Avenue, Los Alamitos, CA 90720 | 2014-02-11 |
| 1972939718 | Twin Town Corporation | Clinic/Center | 4376 Katella Ave., Los Alamitos, CA 90720 | 2013-09-25 |
| 1952644197 | Lindsay Enebak Mossinger | Internal Medicine | 3851 Katella Ave Ste 220, Los Alamitos, CA 90720 | 2013-04-05 |
| Find all providers in zip 90720 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194816892 | Coast Urological Medical Group, Inc. | Urology | 3771 Katella Ave Ste 210, Los Alamitos, CA 90720 | 2006-09-27 |
| 1659489268 | Henry H Wu | Urology | 3801 Katella Ave Ste 320, Los Alamitos, CA 90720-3338 | 2006-08-25 |
| 1841202074 | Associates In Urology A Medical Corporation | Urology | 3791 Katella Ave Ste 200, Los Alamitos, CA 90720-2016 | 2006-08-13 |
| 1366795106 | Edward J Park | Urology | 3771 Katella Ave Ste 210, Los Alamitos, CA 90720 | 2012-10-17 |
| 1437393303 | Alexa Y Chai | Urology | 3771 Katella Ave Ste 210, Los Alamitos, CA 90720-3118 | 2009-04-23 |
| 1518063510 | Ruben Baghdassarian | Urology | 3791 Katella Ave, Suite 200, Los Alamitos, CA 90720-3105 | 2006-09-16 |
| 1699871608 | Stuart Alexander Chalfin | Urology | 3791 Katella Ave, Suite 200, Los Alamitos, CA 90720-3105 | 2006-09-16 |
| 1104888759 | Southern California Urology, Inc. | Urology | 3801 Katella Ave, Suite 320, Los Alamitos, CA 90720-3338 | 2006-04-06 |
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| 1265033096 | Urology Surgical Partners | Urology | 15944 Los Serranos Country Club Dr Ste 200, Chino Hills, CA 91709-3991 | 2020-11-06 |
| 1891301487 | Fadl Hamouche | Urology | 400 Parnassus Ave # A632, San Francisco, CA 94143-2202 | 2020-09-18 |
| 1083233902 | Elite Medical Group PC | Urology | 2083 Compton Ave Ste 202, Corona, CA 92881-3416 | 2020-04-10 |
| 1659919660 | Thrive Medical, Inc. | Urology | 18740 Ventura Blvd Ste 101, Tarzana, CA 91356-3366 | 2019-12-20 |
| 1457997645 | David G Song Md Inc | Urology | 5365 Walnut Avenue Ste A, Chino, CA 91710-9171 | 2019-11-21 |
| 1699316273 | Golden Gate Urology Inc | Urology | 929 Clay St Ste 505, San Francisco, CA 94108-1500 | 2019-10-04 |
| 1598318461 | Khoddami Medical Group Inc | Urology | 2705 Loma Vista Rd Ste 206, Ventura, CA 93003-1584 | 2019-07-19 |
| 1942760293 | Adventist Health Physicians Network | Urology | 2701 Chester Ave # 102, Bakersfield, CA 93301-2016 | 2019-03-22 |
| 1699233361 | Orange Coast Medical, A Medical Corporation | Urology | 10900 Warner Ave Ste 121, Fountain Valley, CA 92708-3846 | 2019-03-12 |
| 1891268389 | John Joseph Granato Jr. | Urology | 333 Cumberland Rd, Glendale, CA 91202-1256 | 2019-01-07 |
| Find all providers with the same taxonomy | ||||
| City | LOS ALAMITOS |
| Zip Code | 90720 |
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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.