Andrew D Breithaupt (NPI# 1437460359, PAC ID# 4880915289) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DERMATOLOGY.
Nation Provider ID (NPI) | 1437460359 |
PAC ID by PECOS | 4880915289 |
Professional Enrollment ID | I20150611000182 |
Full Name | Andrew D Breithaupt |
Organization Legal Name | ISLAND DERMATOLOGY, INC. |
Address |
210 S Grand Ave Suite 208 Glendora CA 91741-4266 |
Phone Number | 6269143675 |
Gender | M |
Medical School | UNIVERSITY OF CALIFORNIA, SAN DIEGO SCHOOL OF MEDICINE |
Graduation Year | 2010 |
Primary Specialty | DERMATOLOGY |
Group Practice PAC ID | 1850395070 |
Number of Group Practice Members | 16 |
Accepts Medicare Assignment | Y |
Address | Phone | Organization |
---|---|---|
465 N Roxbury Dr, 803 Dermatology Associates Medical Grp, Beverly Hills, CA 90210-4211 | 3102749954 | LAWRENCE RIVKIN MD A MED CORP |
210 S Grand Ave, Suite 208, Glendora, CA 91741-4266 | 6269143675 | ISLAND DERMATOLOGY, INC. |
360 San Miguel Dr, Suite 501, Newport Beach, CA 92660-7831 | 9497201170 | ISLAND DERMATOLOGY, INC. |
4201 Torrance Blvd, Suite 640, Torrance, CA 90503-4524 | 3105434444 | CSI MEDICAL GROUP |
4201 Torrance Blvd, Suite 640, Torrance, CA 90503-4524 | ROY B. BLUMENSTRAUCH, MD, INC. |
Organization Legal Name | ISLAND DERMATOLOGY, INC. |
Physicians | 16 |
Name | Specialty | Organization | Address |
---|---|---|---|
Jessica Charlotte Herold | Physician Assistant | Island Dermatology, Inc. | 8345 Firestone Blvd, Suite 310, Downey, CA 90241-3872 |
Leela Athalye | Dermatology | Island Dermatology, Inc. | 210 S Grand Ave, Suite 208, Glendora, CA 91741-4266 |
Reena S Sampat | Physician Assistant | Island Dermatology, Inc. | 210 S Grand Ave, Suite 208, Glendora, CA 91741-4266 |
Malcolm S Ke | Dermatology | Island Dermatology, Inc. | 2621 S Bristol St, Suite 309, Santa Ana, CA 92704-5719 |
Donna Kim Vuu | Physician Assistant | Island Dermatology, Inc. | 210 S Grand Ave, Suite 208, Glendora, CA 91741-4266 |
Daryl E Tibbs | Physician Assistant | Island Dermatology, Inc. | 210 S Grand Ave, Suite 208, Glendora, CA 91741-4266 |
Mia N Gatti | Physician Assistant | Island Dermatology, Inc. | 210 S Grand Ave, Suite 208, Glendora, CA 91741-4266 |
Rachel Ali Sheets | Physician Assistant | Island Dermatology, Inc. | 8345 Firestone Blvd, Suite 310, Downey, CA 90241-3872 |
Navid Nami | Dermatology | Island Dermatology, Inc. | 8345 Firestone Blvd, Suite 310, Downey, CA 90241-3872 |
Rita Balyan | Physician Assistant | Island Dermatology, Inc. | 8345 Firestone Blvd, Suite 310, Downey, CA 90241-3872 |
Street Address |
210 S GRAND AVE SUITE 208 |
City | GLENDORA |
State | CA |
Zip | 91741-4266 |
Name | Specialty | Organization | Address |
---|---|---|---|
Adel G Sandouk | Pulmonary Disease | 210 S Grand Ave, Suite 307, Glendora, CA 91741-4278 | |
Leela Athalye | Dermatology | Island Dermatology, Inc. | 210 S Grand Ave, Suite 208, Glendora, CA 91741-4266 |
Nancy Rehfeld | Nurse Practitioner | 210 S Grand Ave, Suite 320, Glendora, CA 91741-4286 | |
Reena S Sampat | Physician Assistant | Island Dermatology, Inc. | 210 S Grand Ave, Suite 208, Glendora, CA 91741-4266 |
Dennis T Sugiyama | Optometry | Mark B Kislinger Md, Inc. | 210 S Grand Ave, Suite 106, Glendora, CA 91741-4276 |
Michael M Lee | Psychiatry | 210 S Grand Ave, Suite 320, Glendora, CA 91741-4286 | |
Lisa L Thomsen | Family Medicine | 210 S Grand Ave, Suite 302, Glendora, CA 91741-4281 | |
Tony Kastoon | Endocrinology | Bashar G Saad Md Inc | 210 S Grand Ave, Suite 224, Glendora, CA 91741-4273 |
Timothy Jay Ferguson | Family Medicine | Timothy J Ferguson Md Inc. | 210 S Grand Ave, Suite 400, Glendora, CA 91741-4205 |
Badrudin R Kurwa | Ophthalmology | 210 S Grand Ave, Suite 115, Glendora, CA 91741-4263 | |
Find all physicians in the same address |
Name | Specialty | Organization | Address |
---|---|---|---|
Melissa L Frost | Nurse Practitioner | 535 N Glendora Ave, Glendora, CA 91741-2005 | |
Ibrahim Issa Hanna | Internal Medicine | 640 W Foothill Blvd, Suite 100, Glendora, CA 91741-2403 | |
Jeanine L Goff | Nurse Practitioner | Integrative Urgent Care, Inc. | 148 N Grand Ave, Glendora, CA 91741-2434 |
Gale Estelle Laidlaw | Nurse Practitioner | Integrative Urgent Care, Inc. | 148 N Grand Ave, Glendora, CA 91741-2434 |
Tallin Martirossian | Physician Assistant | Integrative Urgent Care, Inc. | 148 N Grand Ave, Glendora, CA 91741-2434 |
Amanda Duncan | Physician Assistant | Integrative Urgent Care, Inc. | 148 N Grand Ave, Glendora, CA 91741-2434 |
Teresa A Franzman | Chiropractic | 705 W Foothill Blvd, Glendora, CA 91741-2473 | |
Martin Habern | Chiropractic | 705 W Foothill Blvd, Glendora, CA 91741-2473 | |
Thomas J Malcolm | Psychologist, Clinical | 112 W Bennett Ave, Suite 4, Glendora, CA 91741-2568 | |
Richard Foss | Psychologist, Clinical | 150 E Meda Ave, Suite 110, Glendora, CA 91741-2607 | |
Find all physicians in zip 91741 |
City | GLENDORA |
Zip Code | 91741 |
Specialty | DERMATOLOGY |
City + Specialty | GLENDORA + DERMATOLOGY |
Please comment or provide details below to improve the information on Andrew D Breithaupt.
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.