Bruce K Jackson (NPI# 1609883438, PAC ID# 4981591310) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CARDIOVASCULAR DISEASE (CARDIOLOGY).
| Nation Provider ID (NPI) | 1609883438 |
| PAC ID by PECOS | 4981591310 |
| Professional Enrollment ID | I20050218000845 |
| Full Name | Bruce K Jackson |
| Organization Legal Name | COR HEALTHCARE MEDICAL ASSOCIATES |
| Address |
520 N Prospect Ave Suite 300 Redondo Beach CA 90277-3043 |
| Phone Number | 3103721156 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF CALIFORNIA, UCLA SCHOOL OF MEDICINE |
| Graduation Year | 1971 |
| Primary Specialty | CARDIOVASCULAR DISEASE (CARDIOLOGY) |
| Group Practice PAC ID | 0547157976 |
| Number of Group Practice Members | 20 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050351 | TORRANCE MEMORIAL MEDICAL CENTER |
| 050353 | PROVIDENCE LITTLE COMPANY OF MARY MED CTR TORRANCE |
| Address | Phone | Organization |
|---|---|---|
| 2040 S Santa Cruz St, Suite 240, Anaheim, CA 92805-6805 | 7142022330 | SOUTHERN CALIFORNIA HOSPITALIST NETWORK MEDICAL GROUP INC |
| 520 N Prospect Ave, Suite 300, Redondo Beach, CA 90277-3043 | 3103721156 | COR HEALTHCARE MEDICAL ASSOCIATES |
| Organization Legal Name | COR HEALTHCARE MEDICAL ASSOCIATES |
| Physicians | 23 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Erol M Kosar | Cardiac Electrophysiology | Cor Healthcare Medical Associates | 2841 Lomita Blvd, Suite 100, Torrance, CA 90505-5100 |
| Victoria E Meldrum | Nurse Practitioner | Cor Healthcare Medical Associates | 2841 Lomita Blvd, Suite 100, Torrance, CA 90505-5100 |
| Gene C Kim | Cardiac Electrophysiology | Cor Healthcare Medical Associates | 2841 Lomita Blvd, Suite 100, Torrance, CA 90505-5100 |
| Matthew P Ostrom | Cardiac Electrophysiology | Cor Healthcare Medical Associates | 2841 Lomita Blvd, Suite 100, Torrance, CA 90505-5100 |
| Gaurav Banka | Internal Medicine | Cor Healthcare Medical Associates | 2841 Lomita Blvd, Suite 100, Torrance, CA 90505-5100 |
| Ray M Wyman | Interventional Cardiology | Cor Healthcare Medical Associates | 1360 W 6th St, Suite 200, San Pedro, CA 90732-3575 |
| Mark D Lurie | Cardiovascular Disease (cardiology) | Cor Healthcare Medical Associates | 2841 Lomita Blvd, Suite 100, Torrance, CA 90505-5100 |
| Ted P Yang | Cardiovascular Disease (cardiology) | Cor Healthcare Medical Associates | 2841 Lomita Blvd, Suite 100, Torrance, CA 90505-5100 |
| Ramakrishna T Reddy | Cardiovascular Disease (cardiology) | Cor Healthcare Medical Associates | 1360 W 6th St, Suite 200, San Pedro, CA 90732-3575 |
| Sang Yong Ji | Cardiac Electrophysiology | Cor Healthcare Medical Associates | 520 N Prospect Ave, Suite 300, Redondo Beach, CA 90277-3043 |
| Street Address |
520 N PROSPECT AVE SUITE 300 |
| City | REDONDO BEACH |
| State | CA |
| Zip | 90277-3043 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rindha Reddy | Ophthalmology | Aarchan Joshi, M.d. Inc | 520 N Prospect Ave, Suite 206, Redondo Beach, CA 90277-3033 |
| William M Liu | Internal Medicine | Providence Medical Institute | 520 N Prospect Ave, Redondo Beach, CA 90277-3033 |
| Evelyn Denebeim | Obstetrics/gynecology | Providence Medical Institute | 520 N Prospect Ave, Suite 203, Redondo Beach, CA 90277-3042 |
| Connie K Teng | Rheumatology | Providence Medical Institute | 520 N Prospect Ave, Suite 102, Redondo Beach, CA 90277-3033 |
| Regilah A Ramon | Nurse Practitioner | Providence Medical Institute | 520 N Prospect Ave, Redondo Beach, CA 90277-3033 |
| Denise A Ishimaru | Obstetrics/gynecology | Providence Medical Institute | 520 N Prospect Ave, Redondo Beach, CA 90277-3042 |
| Christopher Sun | Internal Medicine | Providence Medical Institute | 520 N Prospect Ave, Redondo Beach, CA 90277-3033 |
| Kristin K Kwong | Nurse Practitioner | Providence Medical Institute | 520 N Prospect Ave, Suite 103, Redondo Beach, CA 90277-3033 |
| Fariba Seraj | Physician Assistant | William J Wickwire, M.d., Inc. | 520 N Prospect Ave, Suite 302, Redondo Beach, CA 90277-3026 |
| Steven Patrick Tyssee | Physical Therapy | Redondo Orthopedic Physical Therapy | 520 N Prospect Ave, Suite 100, Redondo Beach, CA 90277-3033 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Evan Laveman | Emergency Medicine | Exer Medical Corporation | 725 S Pacific Coast Hghway, Redondo Beach, CA 90277 |
| Fernando Carlo | Emergency Medicine | Exer Medical Corporation | 725 S Pacific Coast Hghway, Redondo Beach, CA 90277 |
| Gabriel Henry Campion | Emergency Medicine | Exer Medical Corporation | 725 S Pacific Coast Hghway, Redondo Beach, CA 90277 |
| Khadija Ismail | Emergency Medicine | Exer Medical Corporation | 725 S Pacific Coast Hghway, Redondo Beach, CA 90277 |
| Casey Mariel Krebs | Emergency Medicine | Exer Medical Corporation | 725 S Pacific Coast Hghway, Redondo Beach, CA 90277 |
| Allen H Peters | Preventative Medicine | 819 N Harbor Dr, Suite 310, Redondo Beach, CA 90277-2056 | |
| Sabra Hitchcock | Psychologist, Clinical | 407 N Broadway, Apt 6, Redondo Beach, CA 90277-2807 | |
| Michael B Azarkh | Internal Medicine | 319 N Broadway, Apt 108, Redondo Beach, CA 90277-2846 | |
| Behnam Benjamin Fouladian | Optometry | 403 N Pacific Coast Hwy, Suite 108, Redondo Beach, CA 90277-2882 | |
| Erik Patrick Sorenson | Physician Assistant | William J Wickwire, M.d., Inc. | 520 N Prospect Ave, Suite 302, Redondo Beach, CA 90277-3026 |
| Find all physicians in zip 90277 | |||
| City | REDONDO BEACH |
| Zip Code | 90277 |
| Specialty | CARDIOVASCULAR DISEASE (CARDIOLOGY) |
| City + Specialty | REDONDO BEACH + CARDIOVASCULAR DISEASE (CARDIOLOGY) |
Please comment or provide details below to improve the information on Bruce K Jackson.
| 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.