BROTMAN MEDICAL ANESTHESIA GROUP (NPI# 1154378362) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154378362 |
| Entity Type | Organization |
| Organization Name | BROTMAN MEDICAL ANESTHESIA GROUP |
| Practice Address |
20750 Ventura Blvd Ste. #210 Woodland Hills CA 91364-2338 |
| Mailing Address |
Po Box 7001 Tarzana CA 91357-7001 |
| Practice Telephone | 8188887815 |
| Practice Fax Number | 8187151722 |
| Mailing Telephone | 8188887815 |
| Mailing Fax Number | 8187151722 |
| Enumeration Date | 2006-05-31 |
| Last Update Date | 2017-07-19 |
| Authorized Official Name | MICHAEL KELLY (DIRECT OWNER) |
| Authorized Official Telephone | 8188887815 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
A69217 | CA | Allopathic & Osteopathic Physicians |
| Y | 207L00000X | Anesthesiology | A69217 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | EDS MEDICAL | GR0103820 | 01 |
| Street Address |
20750 VENTURA BLVD STE. #210 |
| City | WOODLAND HILLS |
| State | CA |
| Zip Code | 91364-2338 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245600550 | Annie D Lee Md Inc | Anesthesiology | 20750 Ventura Blvd, Ste.#210, Woodland Hills, CA 91364-2338 | 2015-09-29 |
| 1295086791 | Mmp Solution | Durable Medical Equipment & Medical Supplies | 20750 Ventura Blvd, Suite 220, Woodland Hills, CA 91364-2338 | 2012-09-24 |
| 1952674095 | Ffc Billing Corporation | Anesthesiology | 20750 Ventura Blvd, Ste. #210, Woodland Hills, CA 91364-2338 | 2012-02-21 |
| 1124146162 | Diane Simon Smith | Marriage & Family Therapist | 20750 Ventura Blvd, Suite 245, Woodland Hills, CA 91364-2338 | 2007-03-27 |
| 1942311840 | Craig Dale Fisher | Anesthesiology | 20750 Ventura Blvd, Suite #210, Woodland Hills, CA 91364-2338 | 2006-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316574890 | Woodland Hills Cardiology Group, PC | Internal Medicine | Woodland Hills Cardiology Group, PC, 22900 Ventura Blvd, Ste 165, Woodland Hills, CA 91364 | 2020-03-25 |
| 1952940967 | Creative Care, Inc. | Substance Abuse Rehabilitation Facility | 5311 Topanga Canyon Blvd, Suites 203 & 207, Woodland Hills, CA 91364 | 2019-12-23 |
| 1629544531 | Jessica Sarah Anishban | Marriage & Family Therapist | 22935 Ventura Blvd Ste 212, Woodland Hills, CA 91364 | 2018-10-17 |
| 1194249128 | Katia Siri | Acupuncturist | 4830 Winnetka Avenue, Woodland Hills, CA 91364 | 2017-08-01 |
| 1457881070 | Navid Messian | Marriage & Family Therapist | 5308 Penfield Ave., Woodland Hills, CA 91364 | 2017-06-15 |
| 1801330766 | Samantha Meghann Mathew | Behavioral Analyst | 20259 Ventura Blvd Ste 259a, Woodland Hills, CA 91364 | 2016-12-12 |
| 1356793947 | Evolve Growth Initiatives, LLC | Clinic/Center | 4810 Azucena Rd, Woodland Hills, CA 91364 | 2016-07-07 |
| 1538516976 | Chris Massman | Marriage & Family Therapist | 5242 Darro Road, Woodland Hills, CA 91364 | 2016-05-16 |
| 1588065874 | Morrice Barkers Apprey | Marriage & Family Therapist | 21031 Ventura Blvd., #704, Woodland Hills, CA 91364 | 2014-09-06 |
| 1144640723 | Kenneth Gustafson | Physical Therapy Assistant | 23888 Mulholland Drive, Ms # 270, Woodland Hills, CA 91364 | 2014-04-22 |
| Find all providers in zip 91364 | ||||
| Taxonomy Code | 207L00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery. |
| 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 Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730198011 | Mark E. Merriman, Md, A Medical Corporation | Anesthesiology | 20750 Ventura Blvd Suite 210, Woodland Hills, CA 91364-6235 | 2006-08-05 |
| 1245600550 | Annie D Lee Md Inc | Anesthesiology | 20750 Ventura Blvd, Ste.#210, Woodland Hills, CA 91364-2338 | 2015-09-29 |
| 1922341114 | Chester Chan | Anesthesiology | 5601 De Soto Ave, Woodland Hills, CA 91367-6701 | 2013-04-05 |
| 1881959393 | Kevin Lee Chang | Anesthesiology | 5601 De Soto Ave, Woodland Hills Medical Center, Dept of Anesthesiology, Woodland Hills, CA 91367-6701 | 2012-07-10 |
| 1952674095 | Ffc Billing Corporation | Anesthesiology | 20750 Ventura Blvd, Ste. #210, Woodland Hills, CA 91364-2338 | 2012-02-21 |
| 1902122757 | Christopher Jamora | Anesthesiology | 5601 De Soto Ave, Woodland Hills, CA 91367-6701 | 2010-04-19 |
| 1245429778 | Kathy Honey Chang | Anesthesiology | 5601 De Soto Ave, Woodland Hills, CA 91367-6701 | 2007-10-22 |
| 1215052725 | Elizabeth Myung-hi Lee | Anesthesiology | 5601 De Soto Ave, Woodland Hills, CA 91367-6701 | 2007-03-21 |
| 1659429454 | Balbir K. Dogra | Anesthesiology | 5601 De Soto Ave, Woodland Hills, CA 91367-6701 | 2007-01-08 |
| 1447308259 | Carlos E. Gelpi | Anesthesiology | 5601 De Soto Ave, Woodland Hills, CA 91367-6701 | 2007-01-08 |
| Find all providers in WOODLAND HILLS | ||||
| City | WOODLAND HILLS |
| Zip Code | 91364 |
Please comment or provide details below to improve the information on BROTMAN MEDICAL ANESTHESIA GROUP.
| 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.