Blake Martin Edward Parson (NPI# 1851803191, PAC ID# 8921369323) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL MEDICINE AND REHABILITATION.
| Nation Provider ID (NPI) | 1851803191 |
| PAC ID by PECOS | 8921369323 |
| Professional Enrollment ID | I20180227002842 |
| Full Name | Blake Martin Edward Parson |
| Organization Legal Name | OPTC WESTSIDE INC |
| Address |
10190 Culver Blvd Culver City CA 90232-3152 |
| Phone Number | 3108379700 |
| Gender | M |
| Medical School | BOSTON UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2017 |
| Primary Specialty | PHYSICAL MEDICINE AND REHABILITATION |
| Group Practice PAC ID | 1355394214 |
| Number of Group Practice Members | 6 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 10190 Culver Blvd, Culver City, CA 90232-3152 | 3108379700 | OPTC WESTSIDE INC |
| Organization Legal Name | OPTC WESTSIDE INC |
| Physicians | 9 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| James Godon Paterson | Physical Therapy | Optc Westside Inc | 10190 Culver Blvd, Culver City, CA 90232-3152 |
| Jessica Fellow | Physical Therapy | Optc Westside Inc | 10190 Culver Blvd, Culver City, CA 90232-3152 |
| Sonia Narendra Maniar | Physical Therapy | Optc Westside Inc | 10190 Culver Blvd, Culver City, CA 90232-3152 |
| Cristina C Gabor | Physical Therapy | Optc Westside Inc | 10190 Culver Blvd, Culver City, CA 90232-3152 |
| Enrique Mendoza | Physical Therapy | Optc Westside Inc | 10190 Culver Blvd, Culver City, CA 90232-3152 |
| Kenton S Wan | Physical Therapy | Optc Westside Inc | 10190 Culver Blvd, Culver City, CA 90232-3152 |
| Stacey N Hardin | Physical Therapy | Optc Westside Inc | 10190 Culver Blvd, Culver City, CA 90232-3152 |
| Theodore A Steben | Physical Therapy | Optc Westside Inc | 10190 Culver Blvd, Culver City, CA 90232-3152 |
| Street Address |
10190 CULVER BLVD |
| City | CULVER CITY |
| State | CA |
| Zip | 90232-3152 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| James Godon Paterson | Physical Therapy | Optc Westside Inc | 10190 Culver Blvd, Culver City, CA 90232-3152 |
| Jessica Fellow | Physical Therapy | Optc Westside Inc | 10190 Culver Blvd, Culver City, CA 90232-3152 |
| Sonia Narendra Maniar | Physical Therapy | Optc Westside Inc | 10190 Culver Blvd, Culver City, CA 90232-3152 |
| Cristina C Gabor | Physical Therapy | Optc Westside Inc | 10190 Culver Blvd, Culver City, CA 90232-3152 |
| Enrique Mendoza | Physical Therapy | Optc Westside Inc | 10190 Culver Blvd, Culver City, CA 90232-3152 |
| Kenton S Wan | Physical Therapy | Optc Westside Inc | 10190 Culver Blvd, Culver City, CA 90232-3152 |
| Stacey N Hardin | Physical Therapy | Optc Westside Inc | 10190 Culver Blvd, Culver City, CA 90232-3152 |
| Theodore A Steben | Physical Therapy | Optc Westside Inc | 10190 Culver Blvd, Culver City, CA 90232-3152 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Heidi Fahringer | Optometry | 3840 Main St, Culver City, CA 90232-2620 | |
| Praveen Gupta | Obstetrics/gynecology | 9435 Venice Blvd, Culver City, CA 90232-2623 | |
| Chad L Clark | Emergency Medicine | Culver Emergency Medical Group | 3828 Delmas Ter, Culver City, CA 90232-2713 |
| William K Fleming Iii | Emergency Medicine | Culver Emergency Medical Group | 3828 Delmas Ter, Culver City, CA 90232-2713 |
| Brett A Rosen | Emergency Medicine | Culver Emergency Medical Group | 3828 Delmas Ter, Culver City, CA 90232-2713 |
| William D Power | Pathology | Memorial Pathology Medical Group Inc | 3828 Delmas Ter, Culver City, CA 90232-2713 |
| Bernard T Mcnamara | Emergency Medicine | Culver Emergency Medical Group | 3828 Delmas Ter, Culver City, CA 90232-2713 |
| Aminatu J Shehu | Emergency Medicine | Culver Emergency Medical Group | 3828 Delmas Ter, Culver City, CA 90232-2713 |
| Joshua M Mechanic | Emergency Medicine | Culver Emergency Medical Group | 3828 Delmas Ter, Culver City, CA 90232-2713 |
| Stephen Carney | Emergency Medicine | Culver Emergency Medical Group | 3828 Delmas Ter, Culver City, CA 90232-2713 |
| Find all physicians in zip 90232 | |||
| City | CULVER CITY |
| Zip Code | 90232 |
| Specialty | PHYSICAL MEDICINE AND REHABILITATION |
| City + Specialty | CULVER CITY + PHYSICAL MEDICINE AND REHABILITATION |
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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.