DR. SIMON LAVOTSHKIN (NPI# 1043445398) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043445398 |
| Entity Type | Individual |
| Full Name | DR. SIMON LAVOTSHKIN |
| Credential | M.D. |
| Practice Address |
5565 Grossmont Center Drive Bld #1 Suite 221 La Mesa CA 91942 |
| Mailing Address |
5565 Grossmont Center Drive Suite 221 Bld #1 La Mesa CA 91942 |
| Practice Telephone | 6194628100 |
| Practice Fax Number | 6194627933 |
| Mailing Telephone | 6194628100 |
| Mailing Fax Number | 6194627933 |
| Enumeration Date | 2009-05-15 |
| Last Update Date | 2016-02-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | 125514 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | GROUP NUMBER | W20502 | 01 |
| Street Address |
5565 GROSSMONT CENTER DRIVE BLD #1 SUITE 221 |
| City | LA MESA |
| State | CA |
| Zip Code | 91942 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811992761 | Ear Nose and Throat Associates of San Diego A Medical Corp | Specialist | 5565 Grossmont Center Drive, Bldg 3, Suite 101, La Mesa, CA 91942-3021 | 2005-06-16 |
| 1932309200 | Talita Cila Bolomey | Physical Therapist | 5565 Grossmont Center Drive, Suite 360, La Mesa, CA 91942 | 2007-07-24 |
| 1972704054 | Anoushiravan Boghairi Md | Internal Medicine | 5565 Grossmont Center Drive, Bldg 1 Ste 115, La Mesa, CA 91942 | 2007-05-29 |
| 1255549184 | Anoushiravan Boghairi | Internal Medicine | 5565 Grossmont Center Drive, Bldg 1 Ste 115, La Mesa, CA 91942 | 2007-05-21 |
| 1144340449 | Ben A Anella | Dentist | 5565 Grossmont Center Drive, #356, La Mesa, CA 91942 | 2007-03-30 |
| 1770673238 | Geoffrey Barrett Pitzer | Otolaryngology | 5565 Grossmont Center Drive, Building 3 Suite 101, La Mesa, CA 29425-0001 | 2006-10-13 |
| 1295827830 | Grossmont Surgical Associates,inc | Surgery | 5565 Grossmont Center Drive, Suite 1-221, La Mesa, CA 91942-3020 | 2006-09-29 |
| 1811095136 | Grossmont Outpatient Surgical Center | Clinic/Center | 5565 Grossmont Center Drive, Bldg. 3 Suite 250, La Mesa, CA 91942-3026 | 2006-09-20 |
| 1770596413 | Michael E Musicant Md | Surgery | 5565 Grossmont Center Drive, Building 1 Suite 221, La Mesa, CA 91942-3022 | 2006-08-14 |
| 1730195694 | Carl Eric Orr | Surgery | 5565 Grossmont Center Drive, Building 1 Suite 221, La Mesa, CA 91942 | 2006-07-31 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902453723 | Nicole V Zappelli | Case Manager/Care Coordinator | 4990 William Ave., La Mesa, CA 91942 | 2019-08-26 |
| 1770059834 | Natalie Ngoc Nguyen | Physician Assistant | 5555 Grosmont Center Dr., La Mesa, CA 91942 | 2018-10-16 |
| 1194204297 | Courtney Pietsch | Nurse Practitioner | 8851 Health Center Circle, Suite #603, La Mesa, CA 91942 | 2018-08-09 |
| 1295214773 | Megan Gordon | Behavior Technician | 6116 Horton Dr, La Mesa, CA 91942 | 2018-08-07 |
| 1356836548 | Kimberly Denise Davis | Counselor | 3845 Avocado School Road, El Cajon, CA 91942 | 2018-06-29 |
| 1366932113 | Melanie Joyce Shepard | Physician Assistant | 7051 Alvarado Road, Suite 201, La Mesa, CA 91942 | 2018-05-17 |
| 1871013532 | Low Dental, A.p.c. | Public Health or Welfare | 7872 La Mesa Blvd., La Mesa, CA 91942 | 2017-06-23 |
| 1275069437 | Ardel Ayala | Respiratory Therapist, Registered | 5800 Lake Murray Blvd. Unit 15, La Mesa, CA 91942 | 2017-05-10 |
| 1285007583 | Counseling & Behavioral Specialists | Marriage & Family Therapist | 5520 Wellesley Street, Ste 204, La Mesa, CA 91942 | 2015-11-09 |
| 1285001875 | Emily Shozaki Rizo | Nurse Practitioner | 6285 Meadowcrest Drive, La Mesa, CA 91942 | 2015-08-31 |
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| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| 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 |
|---|---|---|---|---|
| 1982929329 | James Avery Johnson | Surgery | 8660 Sunrise Ln, La Mesa, CA 91941-5534 | 2010-03-29 |
| 1477672046 | Ronald M Johnson | Surgery | 5360 Jackson Drive, Ste 100, La Mesa, CA 91943 | 2007-03-28 |
| 1013924596 | Charles John Sarosy | Surgery | 8881 Fletcher Parkway/ Dr. Charles Sarosy, Suite241, La Mesa, CA 91942 | 2006-08-01 |
| 1487650412 | Yuan H Lin | Surgery | 5565 Grossmont Center Dr Building 1, Ste 221, La Mesa, CA 91942-3022 | 2005-06-23 |
| 1861014599 | Southern California Surgical Inc | Surgery | 8554 La Mesa Blvd, La Mesa, CA 91942-9558 | 2020-05-15 |
| 1851728141 | Jeffrey Wannares | Surgery | 8554 La Mesa Blvd, La Mesa, CA 91942-9558 | 2013-10-01 |
| 1013269182 | Ronald M Johnson Md Medical Corp | Surgery | 5565 Grossmont Center Dr, La Mesa, CA 91942-3020 | 2012-10-12 |
| 1467600270 | Phillip Dickinson, M.d., A Professional Corporation | Surgery | 8554 La Mesa Blvd, La Mesa, CA 91941-3958 | 2008-09-04 |
| 1295827830 | Grossmont Surgical Associates,inc | Surgery | 5565 Grossmont Center Drive, Suite 1-221, La Mesa, CA 91942-3020 | 2006-09-29 |
| 1306957683 | Garo Yerevanian | Surgery | 5525 Grossmont Center Dr, La Mesa, CA 91942-3009 | 2006-08-31 |
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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.