ADVANCED MEDICAL GROUP, INC (NPI# 1003296369) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003296369 |
| Entity Type | Organization |
| Organization Name | ADVANCED MEDICAL GROUP, INC |
| Practice Address |
510 N Prospect Ave Ste 306 Redondo Beach CA 90277-3028 |
| Practice Telephone | 3103767555 |
| Enumeration Date | 2015-06-02 |
| Last Update Date | 2015-06-09 |
| Authorized Official Name | MICHAEL ESKAROUS (SECRETARY) |
| Authorized Official Telephone | 60821328363 |
| Authorized Official Credential | DPM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 213E00000X | Podiatrist | E4996 | CA | Podiatric Medicine & Surgery Service Providers |
| Y | 207Q00000X | Family Medicine | C55850 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
510 N PROSPECT AVE STE 306 |
| City | REDONDO BEACH |
| State | CA |
| Zip Code | 90277-3028 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619948395 | Cheryl Lynn Sanders | Obstetrics & Gynecology | 510 N Prospect Ave, #320, Redondo Beach, CA 90277 | 2006-01-30 |
| 1528591898 | Kristen Smith | Physician Assistant | 510 N Prospect Ave, Suite 209, Redondo Beach, CA 90277-3028 | 2017-04-04 |
| 1689055873 | Advanced Podiatry Group Inc | Podiatrist | 510 N Prospect Ave, Suite 306, Redondo Beach, CA 90277-3028 | 2015-06-12 |
| 1285906669 | Gail Levee, M.d. | Family Medicine | 510 N Prospect Ave, 304, Redondo Beach, CA 90277-3030 | 2012-02-01 |
| 1225335805 | Albert A. Reff, M.d.,inc. | Orthopaedic Surgery | 510 N Prospect Ave, Suite 105, Redondo Beach, CA 90277-3028 | 2011-02-17 |
| 1841508652 | James W. Bryan, Md Inc | Ophthalmology | 510 N Prospect Ave, Suite 305, Redondo Beach, CA 90277-3028 | 2010-09-15 |
| 1386961779 | Diane Lisabeth Blagojevich | Physical Therapist | 510 N Prospect Ave, Suite 105, Redondo Beach, CA 90277-3028 | 2010-04-26 |
| 1154552479 | Karen Corey | Social Worker | 510 N Prospect Ave, Suite 208, Redondo Beach, CA 90277-3028 | 2009-08-04 |
| 1184894693 | La/oc Surgical Center, Inc. | Clinic/Center | 510 N Prospect Ave, Suite 202, Redondo Beach, CA 90277-3028 | 2008-03-11 |
| 1306039755 | Jennifer Malin Timmons | Family Medicine | 510 N Prospect Ave, Suite # 304, Redondo Beach, CA 90277-3030 | 2007-08-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780215103 | Robert John Coffman | Psychologist | 316b North Pacific Coast Hwy., Redondo Beach, CA 90277 | 2020-02-04 |
| 1952949786 | Anne E Pitts | Dietitian, Registered | 360 The Village Drive Unit 207, Redondo Beach, CA 90277 | 2019-12-11 |
| 1558916841 | Dana Bryon Staub | Social Worker | 205 Ave. I, Suite 17, Redondo Beach, CA 90277 | 2019-08-05 |
| 1376033860 | Lisa Ann Graziano | Marriage & Family Therapist | 514 N. Prospect Avenue, Suite 111 Lower Level, Redondo Beach, CA 90277 | 2018-05-10 |
| 1275981326 | Carla Marie Vasquez | Marriage & Family Therapist | 901 N. Pacific Coast Highway, 200a, Redondo Beach, CA 90277 | 2016-05-31 |
| 1154793628 | Marianne M. Cuttic, Dpm, Inc | Podiatrist | 1970 S Prospect Avenue, Suite 4, Redondo Beach, CA 90277 | 2015-10-23 |
| 1841682994 | Mary Schopfel | Counselor | 901 Pacific Coast Highway, 200a, Redondo Beach, CA 90277 | 2015-02-26 |
| 1700287141 | Rose Ross | Marriage & Family Therapist | 901 North Pacific Coast Highway, Suite 200a, Redondo Beach, CA 90277 | 2014-09-04 |
| 1912307661 | Gale Hazeltine | Physical Therapist | 409 N PCh Hwy # 308, Redondo Beach, CA 90277 | 2014-08-31 |
| 1194135889 | Physical Therapy Concierge Service Inc | Clinic/Center | 704 N. Irena, B, Redondo Beach, CA 90277 | 2014-05-02 |
| Find all providers in zip 90277 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578989059 | Dorothy Gwen Moore | Family Medicine | 626 N Paulina Ave, Redondo Beach, CA 90277-3022 | 2014-03-09 |
| 1891039012 | Maheshni Rukmal Karunasena | Family Medicine | 432 S Pacific Coast Highway, Redondo Beach, CA 90277 | 2012-11-15 |
| 1366581290 | Michael Chien Yu | Family Medicine | 2114 Artesia Blvd, Redondo Beach, CA 90278-3014 | 2007-02-06 |
| 1649355256 | Robert Hosseini | Family Medicine | 1728 S Catalina Ave, Redondo Beach, CA 90277-5504 | 2006-10-25 |
| 1578676334 | Jason Ho | Family Medicine | 520 N Prospect Ave Ste 102, Redondo Beach, CA 90277-3033 | 2006-08-16 |
| 1417924804 | Lisa Marie Santora | Family Medicine | 1200 Del Amo Street, Redondo Beach, CA 90277 | 2006-03-03 |
| 1760466700 | Madison Park Family Medical | Family Medicine | 1970 So Prospect Ave, Suite 3, Redondo Beach, CA 90277 | 2005-12-02 |
| 1306820758 | Ocean Medical Family and Urgent Care Medical Corporation Inc | Family Medicine | 1106 S Pacific Coast Hwy, Redondo Beach, CA 90277 | 2005-11-30 |
| 1164415071 | Ludmila T Pyter | Family Medicine | 502 Torrance Blvd, Redondo Beach, CA 90277-3413 | 2005-08-25 |
| 1255895686 | Marlene E Roberts | Family Medicine | 2850 Artesia Blvd, Redondo Beach, CA 90278-3419 | 2019-01-30 |
| Find all providers in REDONDO BEACH | ||||
| City | REDONDO BEACH |
| Zip Code | 90277 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.