JYOTI S DATTA MD INC (NPI# 1033644075) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033644075 |
| Entity Type | Organization |
| Organization Name | JYOTI S DATTA MD INC |
| Practice Address |
1045 Atlantic Ave Ste 616 Long Beach CA 90813-3411 |
| Practice Telephone | 5624354473 |
| Practice Fax Number | 5624376937 |
| Mailing Telephone | 5624354473 |
| Mailing Fax Number | 5624376937 |
| Enumeration Date | 2017-04-27 |
| Last Update Date | 2017-05-08 |
| Authorized Official Name | MRS. JEANNIE C SAVAGE (OFFICE MANAGER) |
| Authorized Official Telephone | 5624354473 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
A33096 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00A330960 | 05 |
| Street Address |
1045 ATLANTIC AVE STE 616 |
| City | LONG BEACH |
| State | CA |
| Zip Code | 90813-3411 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598363335 | Rjm Diagnostics LLC | Respiratory Therapist, Certified | 1045 Atlantic Ave Ste 616, Long Beach, CA 90813-3411 | 2020-10-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861018491 | Marisol Zobler | Social Worker | 820 Long Beach Bvld, Long Beach, CA 90813 | 2020-06-19 |
| 1437787009 | Cho Rok Kim | Student in an Organized Health Care Education/Training Program | Graduate Medical Education, 1050 Linden Ave., Long Beach, CA 90813 | 2020-03-30 |
| 1316407596 | Vicky Sandhu | Student in an Organized Health Care Education/Training Program | Graduate Medical Education, 1050 Linden Ave, Long Beach, CA 90813 | 2019-03-22 |
| 1245734912 | Madiha Naseem | Internal Medicine | Graduate Medical Education, 1050 Linden Avenue, Long Beach, CA 90813 | 2018-03-19 |
| 1689194508 | Naomi Ruiz | Specialist/Technologist | 838 Pine Ave Apt. 314, Long Beach, CA 90813 | 2017-06-21 |
| 1851831531 | Tyler Lappen | Student in an Organized Health Care Education/Training Program | 830 Atlantic Ave., Long Beach, CA 90813 | 2017-03-01 |
| 1639628886 | Assavuth Kim | Community Health Worker | 1471 Cherry Avenue, Long Beach, CA 90813 | 2016-09-29 |
| 1881031300 | Stacy Nicole Delgado-willis | Marriage & Family Therapist | 851 Pine Ave Ste 103, Long Beach, CA 90813 | 2013-05-23 |
| 1740623453 | Paula Ann Di Thomas | Nurse Practitioner | 1043 Elm Ave #104, Long Beach, CA 90813 | 2013-04-11 |
| 1629322722 | David O Chavez | Case Manager/Care Coordinator | 820 Long Beach Blvd, Long Beach, CA 90813 | 2012-10-29 |
| Find all providers in zip 90813 | ||||
| Taxonomy Code | 207RP1001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Pulmonary Disease |
| An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568535615 | Jyoti S Datta | Internal Medicine | 1045 Atlantic #616, Long Beach, CA 90813 | 2006-11-16 |
| 1730296385 | Munagala J Reddy | Internal Medicine | 180 East Penn Street, Long Beach, NY 11561-4264 | 2006-08-23 |
| 1841200847 | Memorial Pulmonary & Sleep Consultants A Medical Group, Inc. | Internal Medicine | 701 E 28th St Ste 318, Long Beach, CA 90806-2785 | 2006-08-09 |
| 1588698161 | Stephen E Brown | Internal Medicine | 4300 Long Beach Blvd Ste 405, Long Beach, CA 90807-2008 | 2006-07-10 |
| 1053852376 | Southern California Pulmonologists and Intensivists Network | Internal Medicine | 3605 Long Beach Blvd, 405, Long Beach, CA 90807-4026 | 2017-03-20 |
| 1649513961 | American Pacific Medical Group Inc | Internal Medicine | 1045 Atlantic Ave, Suite 902, Long Beach, CA 90813-3408 | 2013-04-04 |
| 1891012860 | Christopher Yee | Internal Medicine | 3828 Schaufele Ave Ste 200, Long Beach, CA 90808-1793 | 2010-04-29 |
| 1790002236 | Michael O Liff Md Inc | Internal Medicine | 1045 Atlantic Ave, Suite 902, Long Beach, CA 90813-3408 | 2010-04-23 |
| 1861719486 | Thomas Jiang | Internal Medicine | 3828 Schaufele Ave Ste 200, Long Beach, CA 90808-1793 | 2010-04-21 |
| 1053472050 | South Shore Pulmonary,critical Care & Sleep Medicine,pllc | Internal Medicine | 430 E Bay Dr, Long Beach, NY 11561-2351 | 2006-12-13 |
| Find all providers in LONG BEACH | ||||
| City | LONG BEACH |
| Zip Code | 90813 |
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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.