Simon M Keushkerian (NPI# 1306866850, PAC ID# 4981642386) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL SURGERY.
| Nation Provider ID (NPI) | 1306866850 |
| PAC ID by PECOS | 4981642386 |
| Professional Enrollment ID | I20111216000481 |
| Full Name | Simon M Keushkerian |
| Organization Legal Name | WHITE MEMORIAL MEDICAL CENTER |
| Address |
1828 E Cesar E Chavez Ave Suite 4600 Los Angeles CA 90033-2414 |
| Phone Number | 3232685000 |
| Gender | M |
| Medical School | UNIVERSITY OF KANSAS SCHOOL OF MEDICINE |
| Graduation Year | 1987 |
| Primary Specialty | GENERAL SURGERY |
| Group Practice PAC ID | 4486622362 |
| Number of Group Practice Members | 14 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050239 | GLENDALE ADVENTIST MEDICAL CENTER |
| 050103 | WHITE MEMORIAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1505 Wilson Terrace, Suite 330, Glendale, CA 91206-4072 | 8182426828 | SURGICAL MULTISPECIALTIES MEDICAL GROUP |
| 1701 Cesar Chavez Ave, Suite 300, Los Angeles, CA 90033 | 3232642633 | SURGICAL MULTISPECIALTIES MEDICAL GROUP |
| 1828 E Cesar E Chavez Ave, Suite 4600, Los Angeles, CA 90033-2414 | 3232685000 | WHITE MEMORIAL MEDICAL CENTER |
| Organization Legal Name | WHITE MEMORIAL MEDICAL CENTER |
| Physicians | 8 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sheila D Lezcano | Rheumatology | White Memorial Medical Center | 1700 Cesar E Chavez Ave, Suite 3300, Los Angeles, CA 90033-2414 |
| Brian K Hong | Podiatry | White Memorial Medical Center | 1700 Cesar E Chavez Ave, Suite 3300, Los Angeles, CA 90033-2414 |
| Sheri D Marquez | Radiation Oncology | White Memorial Medical Center | 1700 Cesar E Chavez Ave, Suite 3300, Los Angeles, CA 90033-2414 |
| Claudiu Adrian Vlada | Vascular Surgery | White Memorial Medical Center | 1700 Cesar E Chavez Ave, Suite 3300, Los Angeles, CA 90033-2414 |
| Jose Pablo Ponce | Podiatry | White Memorial Medical Center | 1828 E Cesar E Chavez Ave, Suite 4600, Los Angeles, CA 90033-2414 |
| Carlos C Vasquez | Physician Assistant | White Memorial Medical Center | 1700 Cesar E Chavez Ave, Los Angeles, CA 90033-2414 |
| Olivia B Samonte | Nurse Practitioner | White Memorial Medical Center | 1700 Cesar E Chavez Ave, Suite 3300, Los Angeles, CA 90033-2414 |
| Street Address |
1828 E CESAR E CHAVEZ AVE SUITE 4600 |
| City | LOS ANGELES |
| State | CA |
| Zip | 90033-2414 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| R Philip Doss | Ophthalmology | Alliance Eye Medical Group, Inc. | 1828 E Cesar E Chavez Ave, Suite 6500, Los Angeles, CA 90033-2585 |
| Jose Pablo Ponce | Podiatry | White Memorial Medical Center | 1828 E Cesar E Chavez Ave, Suite 4600, Los Angeles, CA 90033-2414 |
| Grace K Floutsis | Family Practice | 1828 E Cesar E Chavez Ave, Suite 6100, Los Angeles, CA 90033-2597 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Eric Leung | Internal Medicine | Senior Care Clinic A Medical Corp | 1700 Cesar Chavez Ave, Suite 3900, Los Angeles, CA 90033 |
| Faisal A Khan | General Surgery | Surgical Multispecialties Medical Group | 1701 Cesar Chavez Ave, Suite 300, Los Angeles, CA 90033 |
| Arpita Amin Devani | Internal Medicine | 1720 E Cesar Chavez Ave, Los Angeles, CA 90033 | |
| Azmy F Ghaly | Internal Medicine | Senior Care Clinic A Medical Corp | 1700 Cesar Chavez Ave, Suite 3900, Los Angeles, CA 90033 |
| Marian A Fedak | Internal Medicine | Senior Care Clinic A Medical Corp | 1700 Cesar Chavez Ave, Suite 3900, Los Angeles, CA 90033 |
| Matthew S C Tan | General Surgery | Surgical Multispecialties Medical Group | 1701 Cesar Chavez Ave, Suite 300, Los Angeles, CA 90033 |
| Ramsay Nucho | Thoracic Surgery | Surgical Multispecialties Medical Group | 1701 Cesar Chavez Ave, Suite 300, Los Angeles, CA 90033 |
| Ahmad Jabaiah | Internal Medicine | Senior Care Clinic A Medical Corp | 1700 Cesar Chavez Ave, Suite 3900, Los Angeles, CA 90033 |
| Francisco Quijas | Internal Medicine | Senior Care Clinic A Medical Corp | 1700 Cesar Chavez Ave, Suite 3900, Los Angeles, CA 90033 |
| Rene N Kohlieber | Family Medicine | Senior Care Clinic A Medical Corp | 1700 Cesar Chavez Ave, Suite 3900, Los Angeles, CA 90033 |
| Find all physicians in zip 90033 | |||
| City | LOS ANGELES |
| Zip Code | 90033 |
| Specialty | GENERAL SURGERY |
| City + Specialty | LOS ANGELES + GENERAL SURGERY |
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| 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.