DR. THEODOROS KELESIDIS (NPI# 1043487317) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043487317 |
| Entity Type | Individual |
| Full Name | DR. THEODOROS KELESIDIS |
| Credential | MD |
| Practice Address |
10833 Leconte Ave Chs 37 121 Los Angeles CA 90095-0001 |
| Practice Telephone | 3108257225 |
| Practice Fax Number | 3108253632 |
| Mailing Telephone | 3108257225 |
| Mailing Fax Number | 3108253632 |
| Enumeration Date | 2008-05-14 |
| Last Update Date | 2013-01-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | A106957 | CA | Allopathic & Osteopathic Physicians |
| N | 207R00000X | Internal Medicine | 228456 | MA | Allopathic & Osteopathic Physicians |
| Y | 207RI0200X |
Internal Medicine Specialization: Infectious Disease |
A106957 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 1043487317 | 05 |
| Street Address |
10833 LECONTE AVE CHS 37 121 |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90095-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982212155 | Alexandra Gubin | Social Worker | Ucla, 757 Westwood Medical Plaza, Los Angeles, CA 90095 | 2020-07-14 |
| 1952926263 | Georgina Parra | Student in an Organized Health Care Education/Training Program | 10833 Le Conteave, Los Angeles, CA 90095 | 2020-06-11 |
| 1609403575 | Yagmur Muftuoglu | Student in an Organized Health Care Education/Training Program | 757 Westwood Plaza, Neurosurgery, Los Angeles, CA 90095 | 2020-03-23 |
| 1619438173 | Brandon Covington Smith | Student in an Organized Health Care Education/Training Program | 727 Westwood Plaza, Dept of Internal Medicine, Los Angeles, CA 90095 | 2019-03-27 |
| 1184184913 | Alexander Daniel Yuen | Student in an Organized Health Care Education/Training Program | 757 Westwood Plaza (internal Medicine), Los Angeles, CA 90095 | 2019-03-19 |
| 1790266369 | Dana Saifan | Student in an Organized Health Care Education/Training Program | 1000 Veteran Avenue, Los Angeles, CA 90095 | 2018-08-22 |
| 1427549146 | Courtney Renee' Real | Registered Nurse | 757 Westwood Plz Ste 6236, Los Angeles, CA 90095 | 2018-05-29 |
| 1932605094 | Akash Atul Shah | Student in an Organized Health Care Education/Training Program | Ucla Department of Orthopaedic Surgery, 10833 Le Conte Avenue, 76-116 Chs, Los Angeles, CA 90095 | 2018-04-05 |
| 1316443435 | Dane Jensen Brodke | Orthopaedic Surgery | 757 Westwood Plaza, (orthopaedic Surgery), Los Angeles, CA 90095 | 2018-04-05 |
| 1477058824 | Thomas William Gaither Castellanos | Student in an Organized Health Care Education/Training Program | 757 Westwood Plaza, Urology, Los Angeles, CA 90095 | 2018-03-28 |
| Find all providers in zip 90095 | ||||
| Taxonomy Code | 207RI0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Infectious Disease |
| An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine. |
| 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 |
|---|---|---|---|---|
| 1053739961 | Ashlyn Sakona | Internal Medicine | 200 Ucla Medical Plz Ste 365-c, Los Angeles, CA 90095-2536 | 2014-03-29 |
| 1427309285 | Nour Khouzam | Internal Medicine | 1331 S Saltair Ave Apt 1, Los Angeles, CA 90025-1369 | 2012-09-19 |
| 1649421553 | Lois Ramer | Internal Medicine | 1300 N Mission Rd, Rand Schrader Clinic, Los Angeles, CA 90033-1021 | 2008-10-09 |
| 1992900815 | David Changjeen Rhew | Internal Medicine | 5764 San Vicente Blvd, Suite 404, Los Angeles, CA 90019-7010 | 2007-06-20 |
| 1720281439 | Maxine Elois Liggins | Internal Medicine | 1522 E 102nd St, Room 142, Los Angeles, CA 90002-3338 | 2007-06-08 |
| 1952421075 | Sheree Rene Poitier | Internal Medicine | 241 N Figueroa St Ste 306e, Los Angeles, CA 90012-2601 | 2007-03-30 |
| 1336210459 | Patricia C Samuels | Internal Medicine | 6230 Wilshire Blvd, Ste 184, Los Angeles, CA 90048-5104 | 2006-11-11 |
| 1124198312 | Masoud Rahban | Internal Medicine | 5901 W Olympic Blvd Ste 307, Los Angeles, CA 90036-4664 | 2006-11-08 |
| 1841381217 | Phyllis A. Guze | Internal Medicine | 11301 Willshire Blvd, Bldg 500; Rm 3210, Los Angeles, CA 90073 | 2006-09-28 |
| 1861594897 | Dennis Ray Schaberg | Internal Medicine | 11301 Wilshire Blvd(111), Los Angeles, CA 90073-1003 | 2006-09-01 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90095 |
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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.