Agustinus Rushanaedy (NPI# 1679683742, PAC ID# 9234211566) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is UROLOGY.
Nation Provider ID (NPI) | 1679683742 |
PAC ID by PECOS | 9234211566 |
Professional Enrollment ID | I20120326000080 |
Full Name | Agustinus Rushanaedy |
Organization Legal Name | USC CARE MEDICAL GROUP INC |
Address |
869 N Cherry St Tulare CA 93274-2207 |
Phone Number | 5596853462 |
Gender | M |
Graduation Year | 1975 |
Primary Specialty | UROLOGY |
Group Practice PAC ID | 0446157747 |
Number of Group Practice Members | 858 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
050455 | SAN JOAQUIN COMMUNITY HOSPITAL |
050295 | MERCY HOSPITAL |
Address | Phone | Organization |
---|---|---|
1520 San Pablo St, Fl 4, Los Angeles, CA 90033-5310 | 8008722273 | USC CARE MEDICAL GROUP INC |
1520 San Pablo St, Los Angeles, CA 90033-5310 | 8008722273 | USC CARE MEDICAL GROUP INC |
1520 San Pablo St 1st Floor N, Los Angeles, CA 90033-5310 | 8008722273 | USC CARE MEDICAL GROUP INC |
869 N Cherry St, Tulare, CA 93274-2207 | 5596853462 | USC CARE MEDICAL GROUP INC |
Organization Legal Name | USC CARE MEDICAL GROUP INC |
Physicians | 1070 |
Name | Specialty | Organization | Address |
---|---|---|---|
Lisa Duong Tan | Physical Therapy | Usc Care Medical Group Inc | 1640 Marengo St, Los Angeles, CA 90033-1036 |
Chelsea Kay Cole | Qualified Audiologist | Usc Care Medical Group Inc | 806 W Adams Blvd, Los Angeles, CA 90007-2505 |
Burton L Eisenberg | Surgical Oncology | Usc Care Medical Group Inc | 1520 San Pablo St, Los Angeles, CA 90033-5310 |
Paul C Lee | Interventional Pain Management | Usc Care Medical Group Inc | 1520 San Pablo St 1st Floor N, Los Angeles, CA 90033-5310 |
Manju Aron | Pathology | Usc Care Medical Group Inc | 1500 San Pablo St, Los Angeles, CA 90033-5313 |
Caroline Hwang | Gastroenterology | Usc Care Medical Group Inc | 1450 San Pablo St, Los Angeles, CA 90033-4500 |
Clan H Hahn | Hematology/oncology | Usc Care Medical Group Inc | 1225 Wilshire Blvd, Los Angeles, CA 90017-1901 |
Eric Allan White | Diagnostic Radiology | Usc Care Medical Group Inc | 830 S Flower St, Suite B100, Los Angeles, CA 90017-4608 |
Andy E Sherrod | Pathology | Usc Care Medical Group Inc | 2011 Zonal Ave Hmr, Suite 308, Los Angeles, CA 90033-0110 |
David T Woodley | Dermatology | Usc Care Medical Group Inc | 120 Bellefontaine St, Pasadena, CA 91105-3102 |
Street Address |
869 N CHERRY ST |
City | TULARE |
State | CA |
Zip | 93274-2207 |
Name | Specialty | Organization | Address |
---|---|---|---|
Chidi Jude Ukatu | General Surgery | 869 N Cherry St, Tulare, CA 93274-2207 | |
Brian Pak-fung Ho | Emergency Medicine | Cep America - California | 869 N Cherry St, Tulare, CA 93274-2207 |
David James Tsuneji Fujihara | Emergency Medicine | Cep America - California | 869 N Cherry St, Tulare, CA 93274-2207 |
Dries M Van Dyk | Family Medicine | Cep America - California | 869 N Cherry St, Tulare, CA 93274-2207 |
Frank A Macaluso | Diagnostic Radiology | California Imaging Partners Inc | 869 N Cherry St, Tulare, CA 93274-2207 |
Yasser W Barsoum | Nephrology | 869 N Cherry St, Tulare, CA 93274-2207 | |
Dallas Beaird | Emergency Medicine | Cep America - California | 869 N Cherry St, Tulare, CA 93274-2207 |
Matthew Henschel | Emergency Medicine | Cep America - California | 869 N Cherry St, Tulare, CA 93274-2207 |
Prudence A. Smith | Diagnostic Radiology | California Imaging Partners Inc | 869 N Cherry St, Tulare, CA 93274-2207 |
Norlan A Maltez | Emergency Medicine | Cep America - California | 869 N Cherry St, Tulare, CA 93274-2207 |
Find all physicians in the same address |
Name | Specialty | Organization | Address |
---|---|---|---|
Abraham Betre | Obstetrics/gynecology | 925 E Merritt, Tulare, CA 93274 | |
Murad A Sunalp | Ophthalmology | Sunalp Vision Center | 880 E Merritt Ave, Suite 109, Tulare, CA 93274-2200 |
Kevin L Dean | Emergency Medicine | Cep America - California | 869 N Cherry St, Tulare, CA 93274-2207 |
Michael Johnson | Emergency Medicine | Cep America - California | 869 N Cherry St, Tulare, CA 93274-2207 |
Michael N Kirschner | Emergency Medicine | Cep America - California | 869 N Cherry St, Tulare, CA 93274-2207 |
Olga B Sutton | Nurse Practitioner | Tulare Local Health Care District | 869 N Cherry St, Tulare, CA 93274-2207 |
Ezequiel Gonzalez | Nurse Practitioner | Transamerica Medical Group, Inc | 810 N Cherry St, Tulare, CA 93274-2208 |
Cretia R Guzman | Nurse Practitioner | Transamerica Medical Group, Inc | 810 N Cherry St, Tulare, CA 93274-2208 |
Yadwinder Kang | Family Medicine | Transamerica Medical Group, Inc | 810 N Cherry St, Tulare, CA 93274-2208 |
Rasbinder Singh | Physician Assistant | Transamerica Medical Group, Inc | 810 N Cherry St, Tulare, CA 93274-2208 |
Find all physicians in zip 93274 |
City | TULARE |
Zip Code | 93274 |
Specialty | UROLOGY |
City + Specialty | TULARE + UROLOGY |
Please comment or provide details below to improve the information on Agustinus Rushanaedy.
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.