Mary Ahmadian (NPI# 1952812448, PAC ID# 0345508719) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1952812448 |
| PAC ID by PECOS | 0345508719 |
| Professional Enrollment ID | I20171213002179 |
| Full Name | Mary Ahmadian |
| Organization Legal Name | SOUTH BAY GASTROENTEROLOGY MEDICAL GRP |
| Address |
23600 Telo Ave Suite 260 Torrance CA 90505-4036 |
| Phone Number | 3105392055 |
| Gender | F |
| Graduation Year | 2017 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 4183651375 |
| Number of Group Practice Members | 11 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050351 | TORRANCE MEMORIAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 23600 Telo Ave, Suite 260, Torrance, CA 90505-4036 | 3105392055 | SOUTH BAY GASTROENTEROLOGY MEDICAL GRP |
| Organization Legal Name | SOUTH BAY GASTROENTEROLOGY MEDICAL GRP |
| Physicians | 11 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Edward Piken | Gastroenterology | South Bay Gastroenterology Medical Grp | 23600 Telo Ave, Suite 260, Torrance, CA 90505-4036 |
| Susanna M Chan | Gastroenterology | South Bay Gastroenterology Medical Grp | 23600 Telo Ave, Suite 260, Torrance, CA 90505-4036 |
| Gloria S Sze | Gastroenterology | South Bay Gastroenterology Medical Grp | 23600 Telo Ave, Suite 260, Torrance, CA 90505-4036 |
| Tonny Lee | Gastroenterology | South Bay Gastroenterology Medical Grp | 23600 Telo Ave, Suite 260, Torrance, CA 90505-4036 |
| Oren Zaidel | Gastroenterology | South Bay Gastroenterology Medical Grp | 23600 Telo Ave, Suite 260, Torrance, CA 90505-4036 |
| Parviz Gholami | Gastroenterology | South Bay Gastroenterology Medical Grp | 23600 Telo Ave, Suite 260, Torrance, CA 90505-4036 |
| Wendy Ard | Physician Assistant | South Bay Gastroenterology Medical Grp | 23600 Telo Ave, Suite 260, Torrance, CA 90505-4036 |
| Jerome D Cohen | Gastroenterology | South Bay Gastroenterology Medical Grp | 23600 Telo Ave, Suite 260, Torrance, CA 90505-4036 |
| Minh Nguyen | Gastroenterology | South Bay Gastroenterology Medical Grp | 23600 Telo Ave, Suite 260, Torrance, CA 90505-4036 |
| Samir Kapadia | Gastroenterology | South Bay Gastroenterology Medical Grp | 23600 Telo Ave, Suite 260, Torrance, CA 90505-4036 |
| Street Address |
23600 TELO AVE SUITE 260 |
| City | TORRANCE |
| State | CA |
| Zip | 90505-4036 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brittany Marie Brown | Nurse Practitioner | Micha Rettenmaier Brown and Lacey A California Partnership | 23600 Telo Ave, Suite 250, Torrance, CA 90505-4037 |
| Timothy F Lesser | Urology | Skyline Urology | 23600 Telo Ave, Suite 220, Torrance, CA 90505-4039 |
| Kambiz Dardashti | Urology | Skyline Urology | 23600 Telo Ave, Suite 220, Torrance, CA 90505-4039 |
| Donald B Striplin | Orthopedic Surgery | 23600 Telo Ave, Suite 180, Torrance, CA 90505-4039 | |
| Shelby Morrisroe | Urology | Skyline Urology | 23600 Telo Ave, Suite 220, Torrance, CA 90505-4039 |
| Farhad B Nowzari | Urology | Skyline Urology | 23600 Telo Ave, Suite 220, Torrance, CA 90505-4039 |
| Adam G Mogil | Physician Assistant | Skyline Urology | 23600 Telo Ave, Suite 220, Torrance, CA 90505-4039 |
| Abbey Beth Gaske | Urology | Skyline Urology | 23600 Telo Ave, Suite 220, Torrance, CA 90505-4039 |
| Juan C Frisancho | Orthopedic Surgery | 23600 Telo Ave, Suite 180, Torrance, CA 90505-4039 | |
| Morgan Lucas Taylor | Gynecological Oncology | Micha Rettenmaier Brown and Lacey A California Partnership | 23600 Telo Ave, Suite 250, Torrance, CA 90505-4037 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Robert E Tamayo | Optometry | Maison Optique Optometric Center | 3525 Pacific Coast Hwy, Suite E, Torrance, CA 90505 |
| Linh H Tu | Optometry | Maison Optique Optometric Center | 3525 Pacific Coast Hwy, Suite E, Torrance, CA 90505 |
| David A Bray Jr. | Otolaryngology | 3445 Pacific Coast Hwy, Suite 320, Torrance, CA 90505-0660 | |
| Nhat H Tran | Physical Medicine and Rehabilitation | 3655 W Lomita Blvd, Suite 421, Torrance, CA 90505-1900 | |
| Tai Hon Lin | Internal Medicine | 3655 Lomita Blvd, Suite 101, Torrance, CA 90505-1901 | |
| Thomas S Lin | Internal Medicine | 3655 Lomita Blvd, Suite 101, Torrance, CA 90505-1901 | |
| Tatyana S Sarkisova | Family Medicine | 3655 Lomita Blvd, Suite 108, Torrance, CA 90505-1902 | |
| Gladys E Palomeno | Endocrinology | 3655 Lomita Blvd, Suite 100, Torrance, CA 90505-1905 | |
| Akihiro Mizuta | Family Medicine | 3655 Lomita Blvd, Suite 115, Torrance, CA 90505-1906 | |
| Pooya Lashkari | Podiatry | 3655 Lomita Blvd, Suite 120, Torrance, CA 90505-1907 | |
| Find all physicians in zip 90505 | |||
| City | TORRANCE |
| Zip Code | 90505 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | TORRANCE + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Mary Ahmadian.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.