SCOTT KUBOMOTO (NPI# 1073744546) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073744546 |
| Entity Type | Individual |
| Full Name | SCOTT KUBOMOTO |
| Credential | M.D. |
| Practice Address |
11100 Santa Monica Blvd Suite 250 Los Angeles CA 90025-3384 |
| Practice Telephone | 4243216309 |
| Mailing Telephone | 4243216309 |
| Enumeration Date | 2009-08-01 |
| Last Update Date | 2017-05-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | A115254 | CA | Allopathic & Osteopathic Physicians |
| Y | 208M00000X | Hospitalist | A115254 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
11100 SANTA MONICA BLVD SUITE 250 |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90025-3384 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558962324 | Marjan-marcia Khalitchi-alavi | Psychologist | 12400 Wilshire Blvd #230, Los Angeles, CA 90025 | 2020-11-06 |
| 1245852599 | Maureen Bridget Mcglynn | Marriage & Family Therapist | 1531 Purdue Avenue, Los Angeles, CA 90025 | 2020-05-09 |
| 1578118857 | Gregory J Bogie | Physical Therapist | 10351 Santa Monica Blvd. Suite 101, Los Angeles, CA 90025 | 2019-08-05 |
| 1518527712 | David Allen Goldstein | Marriage & Family Therapist | 12301 Wilshire Blvd., Suite 515, Los Angeles, CA 90025 | 2019-06-19 |
| 1386104875 | Kevin Meir Youssefzadeh | Student in an Organized Health Care Education/Training Program | 304 Dowlen Dr, Los Angeles, CA 90025 | 2019-03-21 |
| 1336609189 | Psychotherapy Center for Healing and Personal Growth | Psychologist | 2001 S. Barington Ave Suite 222, Los Angeles, CA 90025 | 2019-03-20 |
| 1477028819 | Flora Ma | Nurse Practitioner | 1726 Purdue Ave, Apt 2, Los Angeles, CA 90025 | 2018-10-12 |
| 1457834285 | Yeesul Yoo | Chiropractor | 2001 S. Barrington Ave Suite 101, Los Angeles, CA 90025 | 2018-09-07 |
| 1902387160 | Angelica Carmen Regalado | Behavior Technician | 7400 Pacific Blvd. Suite A & B, Walnut Park, CA 90025 | 2018-08-26 |
| 1033603378 | Craig Allen Gillett | Marriage & Family Therapist | 11847 Wilshire Blvd., #300, Los Angeles, CA 90025 | 2018-06-20 |
| Find all providers in zip 90025 | ||||
| Taxonomy Code | 208M00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Hospitalist |
| Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients. |
| Notes: Source: American Society of Hospital Medicine, 2007. http://www.hospitalmedicine.org/ [7/1/2009: definition aded] Additional Resources: Hospitalist is a recognized fellowship specialty program offered by many medical institutions. There is no board certification for the specialty at this point. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629411053 | Daniel Marciano, Md Inc | Hospitalist | 1440 Reeves St Apt 208, Los Angeles, CA 90035-2951 | 2013-04-16 |
| 1659542975 | William John Reid Iv | Hospitalist | 10837 Le Conte Ave, Mailroom 16-155, Los Angeles, CA 90095-0001 | 2008-03-13 |
| 1447455449 | Nasim Afsarmanesh | Hospitalist | 757 Westwood Plz Ste 7-7501a, Los Angeles, CA 90095-0001 | 2007-06-19 |
| 1114483146 | Ca Hospital Hospitalist Medical Group Inc | Hospitalist | 1401 S Grand Ave, Los Angeles, CA 90015-3010 | 2019-02-14 |
| 1588139836 | Sycamore Hill Hospitalist Medical Group Inc | Hospitalist | 1300 N Vermont Ave, Los Angeles, CA 90027-6098 | 2018-10-12 |
| 1366964009 | Samaritan Hospitalist Medical Group Inc | Hospitalist | 1225 Wilshire Blvd, Los Angeles, CA 90017 | 2017-07-14 |
| 1306371117 | Sunmin Park | Hospitalist | 1500 San Pablo St, Los Angeles, CA 90033-5313 | 2017-04-30 |
| 1285169466 | Farah Shirazi | Hospitalist | 1500 San Pablo St, Los Angeles, CA 90033-5313 | 2017-04-26 |
| 1306387519 | Philip Sheth | Hospitalist | 1500 San Pablo St, Los Angeles, CA 90033-5313 | 2017-03-20 |
| 1952842221 | Stefan Nguyen | Hospitalist | 1500 San Pablo St, Los Angeles, CA 90033-5313 | 2017-03-20 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90025 |
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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.