Alwyn Teano Sumabat (NPI# 1497836159, PAC ID# 2567433568) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1497836159 |
| PAC ID by PECOS | 2567433568 |
| Professional Enrollment ID | I20040803001574 |
| Full Name | Alwyn Teano Sumabat |
| Organization Legal Name | PROVIDENCE MEDICAL INSTITUTE |
| Address |
1010 N Sepulveda Blvd Manhattan Beach CA 90266-5929 |
| Phone Number | 3103766262 |
| Gender | M |
| Credential | MD |
| Graduation Year | 1998 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 5991609737 |
| Number of Group Practice Members | 250 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1010 N Sepulveda Blvd, Manhattan Beach, CA 90266-5929 | 3103766262 | PROVIDENCE MEDICAL INSTITUTE |
| 520 N Prospect Ave, Suite 102, Redondo Beach, CA 90277-3033 | 3103189992 | PROVIDENCE MEDICAL INSTITUTE |
| Organization Legal Name | PROVIDENCE MEDICAL INSTITUTE |
| Physicians | 252 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lisa A Garner | Nurse Practitioner | Providence Medical Institute | 24035 Newhall Ranch Rd, Santa Clarita, CA 91355-5702 |
| Jennifer S Lee | Nurse Practitioner | Providence Medical Institute | 12618 Hawthorne Blvd, Hawthorne, CA 90250-3907 |
| Danielle N Anderson | Obstetrics/gynecology | Providence Medical Institute | 2601 W Alameda Avenue, Suite 212, Burbank, CA 91505-4800 |
| Julie A Gould | Obstetrics/gynecology | Providence Medical Institute | 405 N Maclay Ave, Suite 104, San Fernando, CA 91340-2455 |
| Reza Askari | Obstetrics/gynecology | Providence Medical Institute | 621 S Butte St, San Pedro, CA 90732-3510 |
| Brenda Shen | Family Medicine | Providence Medical Institute | 2382 Crenshaw Blvd, Suite 5, Torrance, CA 90501-3333 |
| Raj U Dugel | Ophthalmology | Providence Medical Institute | 4825 Torrance Blvd, Suite 100, Torrance, CA 90503-4167 |
| Jeffrey Work | Interventional Cardiology | Providence Medical Institute | 21501 Avalon Blvd, Suite 100, Carson, CA 90745-2210 |
| Peter J Georgio Ii | Family Medicine | Providence Medical Institute | 1010 N Sepulveda Blvd, Manhattan Beach, CA 90266-5929 |
| Michael M Marvi | Neurology | Providence Medical Institute | 1870 Veteran Ave, Apt 102, Los Angeles, CA 90025-4569 |
| Street Address |
1010 N SEPULVEDA BLVD |
| City | MANHATTAN BEACH |
| State | CA |
| Zip | 90266-5929 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Peter J Georgio Ii | Family Medicine | Providence Medical Institute | 1010 N Sepulveda Blvd, Manhattan Beach, CA 90266-5929 |
| Usha Raval | Family Medicine | Providence Medical Institute | 1010 N Sepulveda Blvd, Manhattan Beach, CA 90266-5929 |
| Jaimie T Abraham | Nurse Practitioner | Providence Medical Institute | 1010 N Sepulveda Blvd, Manhattan Beach, CA 90266-5929 |
| Sunil H Adwani | Internal Medicine | Providence Medical Institute | 1010 N Sepulveda Blvd, Manhattan Beach, CA 90266-5929 |
| James D Thompson | Emergency Medicine | Providence Medical Institute | 1010 N Sepulveda Blvd, Manhattan Beach, CA 90266-5929 |
| Renee C Macleod | Family Medicine | Providence Medical Institute | 1010 N Sepulveda Blvd, Manhattan Beach, CA 90266-5929 |
| Jason K Ho | Family Medicine | Providence Medical Institute | 1010 N Sepulveda Blvd, Manhattan Beach, CA 90266-5929 |
| Angel G Angelow | Family Medicine | Providence Medical Institute | 1010 N Sepulveda Blvd, Manhattan Beach, CA 90266-5929 |
| Michael Mercado | Emergency Medicine | Providence Medical Institute | 1010 N Sepulveda Blvd, Manhattan Beach, CA 90266-5929 |
| Philippe H Lemoine | Cardiac Surgery | 1010 N Sepulveda Blvd, Manhattan Beach, CA 90266-5929 | |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Joseph A Karam | General Surgery | 2917 Vista Dr, Manhattan Beach, CA 90266-2069 | |
| Rodney Buchanan | Physical Therapy | 1200 Rosecrans Ave, Suite 206, Manhattan Beach, CA 90266-2451 | |
| Madhu Berman | Allergy/immunology | 1200 Rosecrans Ave, Suite 105, Manhattan Beach, CA 90266-2470 | |
| Harold Kraft | Pain Management | 1200 Rosecrans Ave, Suite 105, Manhattan Beach, CA 90266-2470 | |
| Azita Tabassian | Chiropractic | 1200 Rosecrans Ave, Suite 211, Manhattan Beach, CA 90266-2470 | |
| Keith S Feder | Orthopedic Surgery | 1200 Rosecrans Ave, Suite 208, Manhattan Beach, CA 90266-2470 | |
| Charles H Song | Allergy/immunology | 3113 N Sepulveda Blvd, Suite A, Manhattan Beach, CA 90266-2492 | |
| Audrey R Hill-lindsay | Psychologist, Clinical | 1230 Rosecrans Ave, Suite 300, Manhattan Beach, CA 90266-2494 | |
| Chelsea Canning | Clinical Social Worker | 1230 Rosecrans Ave, Suite 300, Manhattan Beach, CA 90266-2494 | |
| Casey Vacca Sherman | Pediatric Medicine | Uc Regents | 2501 N Sepulveda Blvd, Ucla Dept of Ped Grp, Manhattan Beach, CA 90266-2722 |
| Find all physicians in zip 90266 | |||
| City | MANHATTAN BEACH |
| Zip Code | 90266 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | MANHATTAN BEACH + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Alwyn Teano Sumabat.
| 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.