PLATINUM HEALTH PARTNERS A MEDICAL CORPORATION (NPI# 1053742106) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053742106 |
| Entity Type | Organization |
| Organization Name | PLATINUM HEALTH PARTNERS A MEDICAL CORPORATION |
| Practice Address |
501 E Hardy St Suite 425 Inglewood CA 90301 |
| Mailing Address |
501 E Hardy St Suite 425 Inglewood CA 90301-4054 |
| Practice Telephone | 3104194303 |
| Mailing Telephone | 3108638172 |
| Enumeration Date | 2013-11-27 |
| Last Update Date | 2020-08-27 |
| Authorized Official Name | MR. JENNY BRAGANZA (CREDENTIALING MANAGER) |
| Authorized Official Telephone | 5624144222 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| N | 207V00000X | Obstetrics & Gynecology | Allopathic & Osteopathic Physicians | ||
| N | 207Y00000X | Otolaryngology | Allopathic & Osteopathic Physicians | ||
| N | 291U00000X | Clinical Medical Laboratory | Laboratories | ||
| Y | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4644 Lincoln Blvd Ste 409, Marina Del Rey, CA 902926390 | 3105786747 | |
| 2850 Artesia Blvd Ste 105, Redondo Beach, CA 902783412 | 3108638172 | |
| 1762 Westwood Blvd Ste 110, Los Angeles, CA 900245622 | 5624144222 | |
| 13160 Mindanao Way Ste 300, Marina Del Rey, CA 902926393 | 5624144222 |
| Street Address |
501 E HARDY ST SUITE 425 |
| City | INGLEWOOD |
| State | CA |
| Zip Code | 90301 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497751689 | Robert B Chesne | Specialist | 501 E Hardy St, Ste 200, Inglewood, CA 90301-4057 | 2005-06-22 |
| 1609341379 | Kira Rohrer | Physician Assistant | 501 E Hardy St, Inglewood, CA 90301-4054 | 2018-10-09 |
| 1306290085 | Rj Physical Therapy Group Inc | Physical Therapist | 501 E Hardy St, Suite 160, Inglewood, CA 90301-4054 | 2016-04-19 |
| 1184099335 | Eri Hirofuji | Nurse Practitioner | 501 E Hardy St, #408, Inglewood, CA 90301-4054 | 2015-12-13 |
| 1699151043 | Chiharu Ito | Nurse Practitioner | 501 E Hardy St, #408, Inglewood, CA 90301-4054 | 2015-08-08 |
| 1457637340 | Kevin Anthony Pape | Physician Assistant | 501 E Hardy St, Suite 200, Inglewood, CA 90301-4054 | 2011-10-24 |
| 1154630002 | Mary Pinero, Dpt Physical Therapy, PC | Clinic/Center | 501 E Hardy St, Suite 410, Inglewood, CA 90301-4054 | 2010-09-27 |
| 1659502664 | Mission City Community Network Inc | Clinic/Center | 501 E Hardy St, Suite 110, Inglewood, CA 90301-4054 | 2009-08-07 |
| 1730325820 | Michael F Robinson Md A Prof Corp | Internal Medicine | 501 E Hardy St, Suite 425, Inglewood, CA 90301-4054 | 2008-12-19 |
| 1427202183 | Mary Jeanne Waskowitz Waskowitz Pinero | Physical Therapist | 501 E Hardy St, Suite 410, Inglewood, CA 90301-4054 | 2008-11-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548897945 | Genevieve V. Angel | Registered Nurse | 555 East Hardy Street, Director of Cm Sw, Centinela Hospital Medical Center, Inglewood, CA 90301 | 2020-03-25 |
| 1992338552 | Ralph Kevin Roque | Licensed Practical Nurse | 614 W Manchester Blvd, Inglewood, Ca 90301, 104, Inglewood, CA 90301 | 2020-02-21 |
| 1043841562 | Evelyn Jones | Social Worker | 555 E. Hardy Street, Inglewood, Ca, CA 90301 | 2020-02-03 |
| 1447896444 | Coral Dabarera Edelson | Dietitian, Registered | 110 North La Brea Ave, Inglewood, CA 90301 | 2019-11-25 |
| 1821642125 | Jennifer Robert Umoh | Student in an Organized Health Care Education/Training Program | 412 E Florence Avenue, Inglewood, CA 90301 | 2019-07-25 |
| 1821567751 | Esther Voltaire | Behavior Technician | 619 E Arbor Vitae St, Inglewood, CA 90301 | 2018-11-21 |
| 1902372832 | Pool Medical Supply Inc | Durable Medical Equipment & Medical Supplies | 323 North Prairie Ave, Suite 200, Ingelwood, CA 90301 | 2018-10-18 |
| 1174003594 | Xelnt Healthcare Inc. | Clinic/Center | 501 E Hardy St Ste 425, Inglewood, CA 90301 | 2018-08-15 |
| 1710409321 | Rae Shelston Mcintosh | Licensed Vocational Nurse | 1007 Myrth Ave, Inglewood, CA 90301 | 2017-07-14 |
| 1477093789 | Lewis E Logan II | Counselor | 332 N. Prairie Ave., Suite 417, Inglewood, CA 90301 | 2017-03-06 |
| Find all providers in zip 90301 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| 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 |
|---|---|---|---|---|
| 1609086727 | Progressive Medical Group | Internal Medicine | 1035 S Prairie Ave, Ste. 1, Inglewood, CA 90301-5272 | 2007-05-24 |
| 1285711812 | Luzviminda T Montecillo Md A Professional Corporation | Internal Medicine | 645 Aerick Street, Suite 1, Inglewood, CA 90301-4882 | 2006-11-01 |
| 1134132798 | Jamshid Niknam | Internal Medicine | 401 S La Brea Ave Ste 205, Inglewood, CA 90301-2321 | 2006-08-14 |
| 1114946191 | John C. Weaver Jr. | Internal Medicine | 1035 S Prairie Ave Ste 1, Inglewood, CA 90301-5273 | 2006-07-19 |
| 1255358214 | Orlando H. Pile,md A Professional Medical Corporation | Internal Medicine | 140 W Queen St, Inglewood, CA 90301-1726 | 2006-07-16 |
| 1326073081 | Keith E Damsker | Internal Medicine | 110 N La Brea Ave, Inglewood, CA 90301-1708 | 2006-07-11 |
| 1992745285 | Mehran Sourehnissani | Internal Medicine | 3451 W Century Blvd, B-1, Inglewood, CA 90303-1227 | 2006-06-07 |
| 1760438725 | Babak Baradar-bokaie Md Inc | Internal Medicine | 511 East Manchester Blvd, Inglewood, CA 90301-1907 | 2006-05-25 |
| 1184611816 | Henri C Atkinson | Internal Medicine | 8420 S 8th Ave, Inglewood, CA 90305-1333 | 2005-09-27 |
| 1265437925 | Cranford Lavern Scott | Internal Medicine | 233 N Prairie Ave, Inglewood, CA 90301-1412 | 2005-06-17 |
| Find all providers in INGLEWOOD | ||||
Please comment or provide details below to improve the information on PLATINUM HEALTH PARTNERS A MEDICAL CORPORATION.
| 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.