Brigida C Davila (NPI# 1346411949, PAC ID# 6406176957) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is REGISTERED DIETITIAN OR NUTRITION PROFESSIONAL.
Nation Provider ID (NPI) | 1346411949 |
PAC ID by PECOS | 6406176957 |
Professional Enrollment ID | I20150522001663 |
Full Name | Brigida C Davila |
Organization Legal Name | MARTIN LUTHER KING JR COMMUNITY MEDICAL GROUP |
Address |
2251 W Rosecrans Ave Suite 21 Compton CA 90222-3860 |
Phone Number | 4245296755 |
Gender | F |
Graduation Year | 1998 |
Primary Specialty | REGISTERED DIETITIAN OR NUTRITION PROFESSIONAL |
Group Practice PAC ID | 8628359502 |
Number of Group Practice Members | 109 |
Accepts Medicare Assignment | Y |
Address | Phone | Organization |
---|---|---|
2251 W Rosecrans Ave, Suite 21, Compton, CA 90222-3860 | 4245296755 | MARTIN LUTHER KING JR COMMUNITY MEDICAL GROUP |
Organization Legal Name | MARTIN LUTHER KING JR COMMUNITY MEDICAL GROUP |
Physicians | 63 |
Name | Specialty | Organization | Address |
---|---|---|---|
Erin Nicole Dizon | Infectious Disease | Martin Luther King Jr Community Medical Group | 2251 W Rosecrans Ave, Suite 21, Compton, CA 90222-3860 |
Haatal B Dave | Diagnostic Radiology | Martin Luther King Jr Community Medical Group | 1680 E 120th St, Los Angeles, CA 90059-3026 |
Heidi L Clausen | Nurse Practitioner | Martin Luther King Jr Community Medical Group | 1680 E 120th St, Los Angeles, CA 90059-3026 |
Sarah N Khan | Diagnostic Radiology | Martin Luther King Jr Community Medical Group | 1680 E 120th St, Los Angeles, CA 90059-3026 |
Juan P Villablanca | Diagnostic Radiology | Martin Luther King Jr Community Medical Group | 1680 E 120th St, Los Angeles, CA 90059-3026 |
Se Jin Ahn | Diagnostic Radiology | Martin Luther King Jr Community Medical Group | 1680 E 120th St, Los Angeles, CA 90059-3026 |
Paul J Iskander | Diagnostic Radiology | Martin Luther King Jr Community Medical Group | 1680 E 120th St, Los Angeles, CA 90059-3026 |
Stanley Frencher | General Surgery | Martin Luther King Jr Community Medical Group | 1680 E 120th St, Los Angeles, CA 90059-3026 |
Ravi N Srinivasa | Interventional Radiology | Martin Luther King Jr Community Medical Group | 1680 E 120th St, Los Angeles, CA 90059-3026 |
Bashir Akhavan Tafti | Diagnostic Radiology | Martin Luther King Jr Community Medical Group | 1680 E 120th St, Los Angeles, CA 90059-3026 |
Street Address |
2251 W ROSECRANS AVE SUITE 21 |
City | COMPTON |
State | CA |
Zip | 90222-3860 |
Name | Specialty | Organization | Address |
---|---|---|---|
Erin Nicole Dizon | Infectious Disease | Martin Luther King Jr Community Medical Group | 2251 W Rosecrans Ave, Suite 21, Compton, CA 90222-3860 |
David James Tobey | Vascular Surgery | Martin Luther King Jr Community Medical Group | 2251 W Rosecrans Ave, Suite 21, Compton, CA 90222-3860 |
Name | Specialty | Organization | Address |
---|---|---|---|
Muhammad Rafay | Physician Assistant | St. John's Well Child and Family Center, Inc. | 2115 N Wilmington Ave, Compton, CA 90222-2030 |
Shiny Mary Varghese | Internal Medicine | St. John's Well Child and Family Center, Inc. | 2115 N Wilmington Ave, Compton, CA 90222-2030 |
Aela Paiz | Obstetrics/gynecology | St. John's Well Child and Family Center, Inc. | 2115 N Wilmington Ave, Compton, CA 90222-2030 |
Lisa Flynn | Physician Assistant | St. John's Well Child and Family Center, Inc. | 2115 N Wilmington Ave, Compton, CA 90222-2030 |
City | COMPTON |
Zip Code | 90222 |
Specialty | REGISTERED DIETITIAN OR NUTRITION PROFESSIONAL |
City + Specialty | COMPTON + REGISTERED DIETITIAN OR NUTRITION PROFESSIONAL |
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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.