DR. JEROME PITTMAN (NPI# 1114013737) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114013737 |
| Entity Type | Individual |
| Full Name | DR. JEROME PITTMAN |
| Credential | M.D., |
| Practice Address |
8635 W 3rd Street Ste 1180 W Los Angeles CA 90048 |
| Mailing Address |
6709, La Tijera Blvd Ste# 923 Los Angeles CA 90045 |
| Practice Telephone | 3236335830 |
| Mailing Telephone | 3236335830 |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | G47112 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | STATE LICENSE | G47112 | 01 |
| Street Address |
8635 W 3RD STREET STE 1180 W |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90048 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588687867 | Melinda Ashrat Hakim | Ophthalmology | 8635 W 3rd Street, #390w, Los Angeles, CA 90048-6101 | 2006-07-26 |
| 1679840359 | Lori Rene Marum | Nurse Practitioner | 8635 W 3rd Street, Suite 675 W, Los Angeles, CA 90048 | 2011-11-22 |
| 1457409211 | William Wei Chow | Psychiatry & Neurology | 8635 W 3rd Street, Suite 450 West, Los Angeles, CA 90048 | 2007-01-08 |
| 1639230766 | Americo A Simonini | Internal Medicine | 8635 W 3rd Street, #750, Los Angeles, CA 90048 | 2006-12-13 |
| 1508927005 | John Gordon Harold | Internal Medicine | 8635 W 3rd Street, Suite 750w, Los Angeles, CA 90048-6108 | 2006-12-12 |
| 1659463966 | J.kevin Drury, M.d., F.a.c.c. | Internal Medicine | 8635 W 3rd Street, Ste 1050w, Los Angeles, CA 90048 | 2006-09-28 |
| 1790891638 | American Eye Institute | Ophthalmology | 8635 W 3rd Street, #390w, Los Angeles, CA 90048-6101 | 2006-08-22 |
| 1003827056 | Kristin Elizabeth Nesburn | Ophthalmology | 8635 W 3rd Street, #390w, Los Angeles, CA 90048-6101 | 2006-08-11 |
| 1588678957 | Anthony Bart Nesburn | Ophthalmology | 8635 W 3rd Street, #390w, Los Angeles, CA 90048-6101 | 2006-07-28 |
| 1649284035 | James Joseph Salz | Ophthalmology | 8635 W 3rd Street, #390w, Los Angeles, CA 90048-6101 | 2006-07-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609473420 | Alden Advanced Surgicenter LLC | Clinic/Center | 8741 Alden Drive, Suite B, Los Angeles, CA 90048 | 2020-10-05 |
| 1760090062 | New Dawn Tms Psychiatry | Clinic/Center | 640 S San Vincente Blvd, Ste. 210, Los Angeles, CA 90048 | 2020-07-22 |
| 1114547312 | Savannah Marie Gonzales | Student in an Organized Health Care Education/Training Program | 8700 Beverly Blvd Suite 3636, Los Angeles, CA 90048 | 2020-04-17 |
| 1861048613 | Sam Dawkins | Internal Medicine | Suite 415e, 8631 West Third Street, Los Angeles, CA 90048 | 2019-08-16 |
| 1295202638 | Caleb Rogers Penn | Anesthesiology | Cedars-sinai Department of Anesthesiology, 8700 Beverly Blvd, Los Angeles, CA 90048 | 2018-10-24 |
| 1437641727 | Medical Imaging Center of Southern California-beverly Hills, Inc | Radiology | 8727 Beverly Blvd, Los Angeles, CA 90048 | 2018-06-01 |
| 1689164121 | Maulin Shah | Student in an Organized Health Care Education/Training Program | 8700 Beverly Blvd Suite 5512, Los Angeles, CA 90048 | 2018-05-10 |
| 1013423631 | Abdul Ali Qaderi | Anesthesiology | 8700 Beverly Blvd Suite 4209, Los Angeles, CA 90048 | 2017-12-19 |
| 1619483559 | Sakeenah Hakim | Social Worker | 292 S. La Cienega Blvd, Suite 102, Los Angeles, CA 90048 | 2017-12-14 |
| 1851805048 | West Hollywood Medical Group Inc | General Practice | 8733 Beverly Blvd Suite #203, West Hollywood, CA 90048 | 2017-11-27 |
| Find all providers in zip 90048 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| 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 Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710445283 | West Tower Pediatrics | Pediatrics | 8635 W 3rd St Ste 260w, Los Angeles, CA 90048-6113 | 2019-03-04 |
| 1609368471 | Children's Health Alliance of Medical Providers, Inc. | Pediatrics | 4601 W Sunset Blvd, Los Angeles, CA 90027-6020 | 2018-06-06 |
| 1245771674 | Anna Cushing | Pediatrics | 4650 W Sunset Blvd Ms# 113, Los Angeles, CA 90027-6062 | 2017-03-18 |
| 1528501822 | Harmanpreet Chawla | Pediatrics | 444 S Kingsley Dr, Apt 149, Los Angeles, CA 90020-3267 | 2016-11-18 |
| 1104276229 | Stephanie Mai Lan Be | Pediatrics | 8731 W Pico Blvd, Los Angeles, CA 90035-2205 | 2016-06-20 |
| 1063869196 | John Banks Harlow | Pediatrics | 807 Hyperion Ave, Apt 7, Los Angeles, CA 90029-3157 | 2016-05-18 |
| 1679935811 | Patricia F. Villegas | Pediatrics | 2010 Zonal Ave Fl Opd5, Los Angeles, CA 90033 | 2016-03-27 |
| 1457710808 | Barry Charles Smith | Pediatrics | 10637 Wilkins Ave, Unit 2, Los Angeles, CA 90024-5870 | 2016-02-14 |
| 1275911364 | Eric Tsay | Pediatrics | 10833 Le Conte Ave # 22-315, Los Angeles, CA 90095-3075 | 2015-05-11 |
| 1609253566 | Sinai Pediatrics | Pediatrics | 151 S Almont Dr, Los Angeles, CA 90048-2910 | 2015-04-29 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90048 |
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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.