DR. CHRISTOPHER LEE METCHNIKOFF (NPI# 1023365939) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023365939 |
| Entity Type | Individual |
| Full Name | DR. CHRISTOPHER LEE METCHNIKOFF |
| Credential | M.D. |
| Practice Address |
14445 Olive View Dr # 2b-182 Sylmar CA 91342-1437 |
| Mailing Address |
1000 W. Carson Street, Box 400 Torrance CA 90509-2910 |
| Practice Telephone | 7472103205 |
| Practice Fax Number | 7472104573 |
| Mailing Telephone | 3102222401 |
| Enumeration Date | 2012-08-09 |
| Last Update Date | 2019-12-19 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | A129294 | CA | Allopathic & Osteopathic Physicians |
| N | 207RA0401X |
Internal Medicine Specialization: Addiction Medicine |
A129294 | CA | Allopathic & Osteopathic Physicians |
| Y | 207RH0002X |
Internal Medicine Specialization: Hospice and Palliative Medicine |
A129294 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
14445 OLIVE VIEW DR # 2B-182 |
| City | SYLMAR |
| State | CA |
| Zip Code | 91342-1437 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558563700 | Charissa Hoi Yan So | Internal Medicine | 14445 Olive View Dr # 2b-182, Sylmar, CA 91342-1437 | 2007-06-01 |
| 1467081190 | Tarek Samir Karam | Student in an Organized Health Care Education/Training Program | 14445 Olive View Dr # 2b-182, Sylmar, CA 91342-1437 | 2020-04-04 |
| 1205464336 | Nawal Afif | Student in an Organized Health Care Education/Training Program | 14445 Olive View Dr # 2b-182, Sylmar, CA 91342-1437 | 2020-04-01 |
| 1619439684 | Elizabeth Rafaela Aquije | Student in an Organized Health Care Education/Training Program | 14445 Olive View Dr # 2b-182, Sylmar, CA 91342-1437 | 2019-04-01 |
| 1932606720 | Dennis D Su | Student in an Organized Health Care Education/Training Program | 14445 Olive View Dr # 2b-182, Sylmar, CA 91342-1437 | 2018-04-09 |
| 1457858458 | Christina Chung | Student in an Organized Health Care Education/Training Program | 14445 Olive View Dr # 2b-182, Sylmar, CA 91342-1437 | 2018-04-07 |
| 1104270305 | Kirollos Zaki | Internal Medicine | 14445 Olive View Dr # 2b-182, Sylmar, CA 91342-1437 | 2016-04-14 |
| 1568826956 | Fabiola Ochoa | Internal Medicine | 14445 Olive View Dr # 2b-182, Sylmar, CA 91342-1437 | 2016-04-11 |
| 1386006369 | David Reza Oveisi | Student in an Organized Health Care Education/Training Program | 14445 Olive View Dr # 2b-182, Sylmar, CA 91342-1437 | 2016-03-28 |
| 1457731325 | Justina Gamache | Student in an Organized Health Care Education/Training Program | 14445 Olive View Dr # 2b-182, Sylmar, CA 91342-1437 | 2015-06-04 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629687223 | Evelyn Pinto Morales | Technician, Other | 14445 Olive View Dr, Sylmar, CA 91342 | 2020-07-29 |
| 1528520988 | Yeun Lim | Student in an Organized Health Care Education/Training Program | 14445 Olive View Dr., Cottage H1, Attn D. Ray, Sylmar, CA 91342 | 2019-04-04 |
| 1467914317 | Sevak Hovagimyan | Pharmacist | 13677 Foothill Blvd #b, Sylmar, CA 91342 | 2019-04-01 |
| 1619455086 | Cameda Trichele Dickerson | Counselor | Phoenix House 116600 Eldridge, Lake View Terrace, CA 91342 | 2018-07-30 |
| 1407349624 | Joseph Sungkon Choi | Acupuncturist | 10274 Foothill Blvd, Sylmar, CA 91342 | 2018-06-12 |
| 1780194522 | Joe Anthony Cardenas | Specialist/Technologist | 15450 Roxford Street, Sylmar, CA 91342 | 2017-10-06 |
| 1336668466 | Juan Hernandez | Chiropractor | 13950 Foothill Blvd Apt 108, Sylmar, CA 91342 | 2017-09-09 |
| 1891213492 | Richard Ignacio Martinez | Nurse Practitioner | 14987 Oro Grande St., Sylmar, CA 91342 | 2017-09-03 |
| 1104349497 | Vanessa Gamboa | Social Worker | 13145 Bromont Ave., 14, Sylmar, CA 91342 | 2017-07-19 |
| 1982138368 | Christina Guest | Psychiatry & Neurology | Olive View Medical Center, 14445 Olive View Drive, Sylmar, CA 91342 | 2017-04-12 |
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| Taxonomy Code | 207RH0002X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hospice and Palliative Medicine |
| An internal medicine physician with special knowledge and skills to prevent and relieve the suffering experienced by patients with life-limiting illnesses. This specialist works with an interdisciplinary hospice or palliative care team to maximize quality of life while addressing physical, psychological, social and spiritual needs of both patient and family throughout the course of the disease, through the dying process, and beyond for the family. This specialist has expertise in the assessment of patients with advanced disease; the relief of distressing symptoms; the coordination of interdisciplinary patient and family-centered care in diverse venues; the use of specialized care systems including hospice; the management of the imminently dying patient; and legal and ethical decision making in end-of-life care. |
| Notes: Source: American Academy of Hospice and Palliative Medicine, www.aahpm.org [1/1/2007: new] |
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|---|---|---|---|---|
| 1437758596 | Odyssey Healthcare Operating A Lp | Internal Medicine | 2055 Gateway Pl Ste 600, San Jose, CA 95110-1083 | 2020-10-20 |
| 1851990907 | Odyssey Healthcare Operating A Lp | Internal Medicine | 9444 Balboa Ave Ste 290, San Diego, CA 92123-4901 | 2020-10-20 |
| 1700404852 | Envisage Palliative Care | Internal Medicine | 7369 Solstice Pl, Rancho Cucamonga, CA 91739-8769 | 2020-07-06 |
| 1528683398 | A-1 Healthcare Management | Internal Medicine | 5011 Argosy Ave Ste 4, Huntington Beach, CA 92649-1002 | 2020-06-08 |
| 1386275030 | Madrone Care Network LLC | Internal Medicine | 117 Brookline St, Moraga, CA 94556-1016 | 2020-01-31 |
| 1083255095 | Mendocino Care Network | Internal Medicine | 1080 N State St, Ukiah, CA 95482 | 2019-10-01 |
| 1043771678 | Linda Sara Blum | Internal Medicine | 2351 Clay St Ste 339, San Francisco, CA 94115-1931 | 2019-03-27 |
| 1710458245 | Enlightened Healthcare Alliance Medical Corporation | Internal Medicine | 662 Encinitas Blvd Ste 220, Encinitas, CA 92024-6791 | 2018-12-10 |
| 1245745009 | Haiven Hospice Inc | Internal Medicine | 1255 W Colton Ave Ste 564, Redlands, CA 92374-2861 | 2017-12-02 |
| 1174980452 | Aspire Health Medical Partners of California, PC | Internal Medicine | 117 E Colorado Blvd, Suite 600, Pasadena, CA 91105-1938 | 2016-01-18 |
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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.