Jonathan B Blitzer (NPI# 1912967324, PAC ID# 7012007370) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is HEMATOLOGY/ONCOLOGY.
| Nation Provider ID (NPI) | 1912967324 |
| PAC ID by PECOS | 7012007370 |
| Professional Enrollment ID | I20071226000481 |
| Full Name | Jonathan B Blitzer |
| Organization Legal Name | MEMORIALCARE MEDICAL FOUNDATION |
| Address |
2810 Long Beach Blvd Long Beach CA 90806-1558 |
| Phone Number | 5629332824 |
| Gender | M |
| Graduation Year | 1980 |
| Primary Specialty | HEMATOLOGY/ONCOLOGY |
| Secondary Specialties | INTERNAL MEDICINE |
| Group Practice PAC ID | 8729277314 |
| Number of Group Practice Members | 309 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050485 | LONG BEACH MEMORIAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 2810 Long Beach Blvd, Long Beach, CA 90806-1558 | 5629332824 | MEMORIALCARE MEDICAL FOUNDATION |
| Organization Legal Name | MEMORIALCARE MEDICAL FOUNDATION |
| Physicians | 294 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sara Etemad | Family Medicine | Memorialcare Medical Foundation | 1451 Irvine Blvd, Tustin, CA 92780-3804 |
| Ghe S Rosales-vong | Family Medicine | Memorialcare Medical Foundation | 1212 W 17th St, Santa Ana, CA 92706-3418 |
| Tiffany J Chen | Family Medicine | Memorialcare Medical Foundation | 15464 Goldenwest St, Westminster, CA 92683-6149 |
| Mary Lou L David | Nurse Practitioner | Memorialcare Medical Foundation | 23512 Madero, Mission Viejo, CA 92691-2743 |
| Fariba Gharai | Thoracic Surgery | Memorialcare Medical Foundation | 3828 Schaufele Ave, Suite 340, Long Beach, CA 90808-1793 |
| Pamela M Wade | Nurse Practitioner | Memorialcare Medical Foundation | 450 E Spring St, Suite 1, Long Beach, CA 90806-1625 |
| Jane M Mitsumori | Physical Therapy | Memorialcare Medical Foundation | 9122 Adams Ave, Huntington Beach, CA 92646-3405 |
| Derek M Browne | Family Medicine | Memorialcare Medical Foundation | 22719 Hawthorne Blvd, Torrance, CA 90505-3613 |
| Roxann Sonia Engle | Family Medicine | Memorialcare Medical Foundation | 19871 Yorba Linda Blvd, Suite 104, Yorba Linda, CA 92886-2811 |
| Jon G Biorkman | Family Medicine | Memorialcare Medical Foundation | 4050 Barranca Pkwy, Suite 200, Irvine, CA 92604-1723 |
| Street Address |
2810 LONG BEACH BLVD |
| City | LONG BEACH |
| State | CA |
| Zip | 90806-1558 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Natalie M Sardjono | Diagnostic Radiology | Breast Imaging Radiologists A Medical Group Inc | 2810 Long Beach Blvd, Long Beach, CA 90806-1558 |
| William John Lyons | Hematology/oncology | Memorialcare Medical Foundation | 2810 Long Beach Blvd, Long Beach, CA 90806-1558 |
| Ziad L Deeb | Diagnostic Radiology | Memorialcare Medical Foundation | 2810 Long Beach Blvd, Long Beach, CA 90806-1558 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Guy G Lemire | Thoracic Surgery | Long Beach Blvd, Memorial Heart Center, Long Beach, CA 90806 | |
| Pedram Aslmand | Podiatry | Advanced Foot and Ankle Center, Inc. | 2840 Long Beach Blvd, Suite 205, Long Beach, CA 90806-1504 |
| Mariam Botros | Podiatry | Advanced Foot and Ankle Center, Inc. | 2840 Long Beach Blvd, Suite 205, Long Beach, CA 90806-1504 |
| Lisa Nhan | Podiatry | Advanced Foot and Ankle Center, Inc. | 2840 Long Beach Blvd, Suite 205, Long Beach, CA 90806-1504 |
| Orland P Garcia | Occupational Therapy | California Rehab and Sports Therapy | 2888 Long Beach Blvd, Suite 405, Long Beach, CA 90806-1551 |
| Michael W Rymer | Physical Therapy | California Rehab and Sports Therapy | 2888 Long Beach Blvd, Suite 405, Long Beach, CA 90806-1551 |
| Dorothy M King | Physical Therapy | California Rehab and Sports Therapy | 2888 Long Beach Blvd, Suite 405, Long Beach, CA 90806-1551 |
| Venessa D Vigil | Occupational Therapy | California Rehab and Sports Therapy | 2888 Long Beach Blvd, Suite 405, Long Beach, CA 90806-1551 |
| Patrick W Willson | Occupational Therapy | California Rehab and Sports Therapy | 2888 Long Beach Blvd, Suite 405, Long Beach, CA 90806-1551 |
| Heather M Lien | Physical Therapy | California Rehabilitation and Sports Therapy | 2888 Long Beach Blvd, Suite 405, Long Beach, CA 90806-1551 |
| Find all physicians in zip 90806 | |||
| City | LONG BEACH |
| Zip Code | 90806 |
| Specialty | HEMATOLOGY/ONCOLOGY |
| City + Specialty | LONG BEACH + HEMATOLOGY/ONCOLOGY |
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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.