DR. CHARLES CLAYTON GUIDRY JR. (NPI# 1033346531) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033346531 |
| Entity Type | Individual |
| Full Name | DR. CHARLES CLAYTON GUIDRY JR. |
| Credential | D.O. |
| Practice Address |
5141 Crenshaw Blvd Los Angeles CA 90043-1853 |
| Mailing Address |
Po Box 55378 #4105 Los Angeles CA 90055-2378 |
| Practice Telephone | 8008314767 |
| Practice Fax Number | 9093389883 |
| Mailing Telephone | 2819895952 |
| Enumeration Date | 2009-06-11 |
| Last Update Date | 2016-09-22 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208600000X | Surgery | 248950 | NY | Allopathic & Osteopathic Physicians |
| Y | 2086S0102X |
Surgery Specialization: Surgical Critical Care |
248950 | NY | Allopathic & Osteopathic Physicians |
| N | 2086S0127X |
Surgery Specialization: Trauma Surgery |
248950 | NY | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275883688 | Charles Paul Guidry | Pharmacist | 139 Alex St, Lafayette, LA 70506-2005 | 2012-09-12 |
| 1891964722 | Charles Joseph Guidry Jr. | Social Worker | 9000 Southwest Fwy Ste 400, Houston, TX 77074-1522 | 2008-02-25 |
| Street Address |
5141 CRENSHAW BLVD |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90043-1853 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689607293 | Gudata Hinika | Surgery | 5141 Crenshaw Blvd, Los Angeles, CA 90043-1853 | 2006-07-08 |
| 1023331204 | Exam Plus Medical Services | Durable Medical Equipment & Medical Supplies | 5141 Crenshaw Blvd, Los Angeles, CA 90043-1853 | 2010-03-02 |
| 1821265273 | Dur Hinika Surgical, A Professional Medical Corporation | Surgery | 5141 Crenshaw Blvd, Los Angeles, CA 90043-1853 | 2008-05-14 |
| 1689849481 | Ladera Medical Practice Inc | Surgery | 5141 Crenshaw Blvd, Los Angeles, CA 90043-1853 | 2008-04-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841772209 | Ichizo Yamada | Counselor | 5318 S Crenshaw Blvd., Los Angeles, CA 90043 | 2018-09-02 |
| 1568961613 | Marnelle Mascardo | Counselor | 5318 S. Crenshaw Blvd., Los Angeles, CA 90043 | 2018-02-05 |
| 1700315199 | Positive Imagery Foundation | Prevention Professional | 5906 7th Avenue, Suite 1, Los Angeles, CA 90043 | 2017-06-08 |
| 1770946303 | Toby Lapesarde | Licensed Vocational Nurse | 5300 Angeles Vista Boulevard, Los Angeles, CA 90043 | 2016-03-31 |
| 1134591480 | Coast Wise Solution | Case Management | 2728 54th St, Los Angeles, CA 90043 | 2015-10-27 |
| 1033589155 | Nina Gonzaga | Marriage & Family Therapist | 4401 Crendshaw Blvd, #300, Los Angeles, CA 90043 | 2015-10-01 |
| 1861743189 | Donna M. Tizenor-tate | Counselor | 5300 Angeles Vista Blvd., Los Angeles, CA 90043 | 2012-09-26 |
| 1952657736 | Willie Frank Sibley Jr. | General Practice | 4330 Monteith Dr, Los Angeles, CA 90043 | 2012-07-30 |
| 1639449119 | Nelson M Okeke | Counselor | 8814 S. Western Ave, La, CA 90043 | 2011-12-30 |
| 1578840799 | Economic Services, Incorporated | Exclusive Provider Organization | 5144 Crenshaw Blvd., Los Angeles, CA 90043 | 2011-11-16 |
| Find all providers in zip 90043 | ||||
| Taxonomy Code | 2086S0102X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Surgical Critical Care |
| A surgeon with expertise in the management of the critically ill and postoperative patient, particularly the trauma victim, who specializes in critical care medicine diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649435322 | Ruby A. Skinner, Md Apc | Surgery | 1100 S Hope St Apt 1116, Los Angeles, CA 90015-2190 | 2008-07-22 |
| 1659301620 | Demetrios Demetriades | Surgery | 1500 San Pablo St Fl 7, Los Angeles, CA 90033-5313 | 2006-07-04 |
| 1104461300 | Pacific Surgical Care | Surgery | 1215 Brockton Ave Apt 205, Los Angeles, CA 90025-1390 | 2019-11-12 |
| 1740655539 | Morgan Anne Schellenberg | Surgery | 1500 San Pablo St Fl 7, Los Angeles, CA 90033-5313 | 2015-12-05 |
| 1548674732 | Emily Erin Switzer | Surgery | 1500 San Pablo St Fl 7, Los Angeles, CA 90033-5313 | 2014-06-16 |
| 1548673379 | Eugenia Ester Lee | Surgery | 1500 San Pablo St Fl 7, Los Angeles, CA 90033-5313 | 2014-06-10 |
| 1558789099 | Joelle Erika Getrajdman | Surgery | 1500 San Pablo St Fl 7, Los Angeles, CA 90033-5313 | 2014-04-02 |
| 1255621397 | James Migliaccio Bardes | Surgery | 1450 San Pablo St Ste 6200, Los Angeles, CA 90033-4500 | 2011-04-11 |
| 1992029599 | Edward Kwon | Surgery | 2051 Marengo Street, Ipi, C52100, Los Angeles, CA 90033-1029 | 2010-03-25 |
| 1659695054 | Aaron Marcos Strumwasser | Surgery | 1500 San Pablo St Fl 7, Los Angeles, CA 90033-5313 | 2010-03-15 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90043 |
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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.