NEIL GHODADRA M.D. INC


Address: 10780 Santa Monica Blvd, Suite 210, Los Angeles, CA 90025-4749
Phone: 3105618825

NEIL GHODADRA M.D. INC (NPI# 1164979803) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1164979803
Entity Type Organization
Organization Name NEIL GHODADRA M.D. INC
Practice Address 10780 Santa Monica Blvd
Suite 210
Los Angeles
CA 90025-4749
Mailing Address 25451 Prado De Azul
Calabasas
CA 91302-3667
Practice Telephone 3105618825
Practice Fax Number 3105611912
Mailing Telephone 3105618825
Mailing Fax Number 3105611912
Enumeration Date 2016-09-09
Last Update Date 2016-10-10
Authorized Official Name DR. NEIL GHODADRA (MEDICAL DIRECTOR)
Authorized Official Telephone 3105618825
Authorized Official Credential M.D.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207XX0005X Orthopaedic Surgery
Specialization: Sports Medicine
Allopathic & Osteopathic Physicians

Office Location

Street Address 10780 SANTA MONICA BLVD
SUITE 210
City LOS ANGELES
State CA
Zip Code 90025-4749

Providers in the same location

NPI Name Taxonomy Address Enumeration
1275596694 Renal Treatment Centers-california, Inc Clinic/Center 10780 Santa Monica Blvd, Ste 480, Los Angeles, CA 90025-4749 2006-04-07
1215583208 Afsoun Delshad Speech-Language Pathologist 10780 Santa Monica Blvd, Los Angeles, CA 90025-4749 2019-08-14
1295388619 Macy Morikawa Speech-Language Pathologist 10780 Santa Monica Blvd, Los Angeles, CA 90025-4749 2019-07-24
1457890576 Veronica Christiana Cleary Marriage & Family Therapist 10780 Santa Monica Blvd, Suite #260, Los Angeles, CA 90025-4749 2017-02-22
1710432372 Hallie Schiff Physical Therapist 10780 Santa Monica Blvd, Suite 405, Los Angeles, CA 90025-4749 2016-08-23
1609235324 Megan Auster-rosen Psychologist 10780 Santa Monica Blvd, 105, Los Angeles, CA 90025-4749 2016-02-23
1235502360 Prospect Health Plan, Inc. Health Maintenance Organization 10780 Santa Monica Blvd, Suite 400, Los Angeles, CA 90025-4749 2015-11-11
1306219845 Orthohealing Center Association A Ca General Partnership Physical Medicine & Rehabilitation 10780 Santa Monica Blvd, Suite 210, Los Angeles, CA 90025-4749 2015-11-05
1790156271 Camden Physicians Grou, Inc. Psychologist 10780 Santa Monica Blvd, Suite 105, Los Angeles, CA 90025-4749 2015-10-09
1215323902 Claudia Lewis Marriage & Family Therapist 10780 Santa Monica Blvd, Suite 105, Los Angeles, CA 90025-4749 2015-04-09
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 207XX0005X
Grouping Allopathic & Osteopathic Physicians
Classification Orthopaedic Surgery
Specialization Sports Medicine

Taxonomy Definition

An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton changed, source changed] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. ACGME Accredited Program Requirements: 1 year GME in the specialty + 5 years of Orthopaedic Surgery for a total of 6 years

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1619218559 Yung Han Orthopaedic Surgery 505 S Virgil Ave Ste 205, Los Angeles, CA 90020-1443 2013-03-01
1063769883 Pascual Dutton Orthopaedic Surgery 6801 Park Ter Ste 500, Los Angeles, CA 90045-9212 2012-08-10
1255658332 Carlos Andres Uquillas Orthopaedic Surgery Kerlan - Jobe Orthopaedic Clinic, 6801 Park Terrace, Suite 500, Los Angeles, CA 90025 2010-04-28
1942322060 Rodney A Gabriel M.d. Inc Orthopaedic Surgery 444 S. San Vicente Blvd., Los Angeles, CA 90048 2007-04-06
1992801203 David Ray Mcallister Orthopaedic Surgery Ucla Orthopaedic Surgery, 10833 Leconte Avenue, Los Angeles, CA 90095-0001 2006-09-15
1215039284 Marc Arnold Samson Orthopaedic Surgery 1245 Wilshire Blvd., Suite 200, Los Angeles, CA 90017 2006-09-01
1447229570 Mark Ganjianpour Orthopaedic Surgery 6330 San Vicente Blvd, Suite 310, Los Angeles, CA 90048-5425 2006-03-14
1376514984 Orr Limpisvasti Orthopaedic Surgery 6801 Park Terrace, Los Angeles, CA 90045-0000 2006-01-31
1417941535 Julian E Girod Orthopaedic Surgery 5230 Pacific Concourse Dr, Suite 110, Los Angeles, CA 90045-6200 2005-09-02
1447787569 Health Link Medical Group Inc Orthopaedic Surgery 1125 S Beverly Dr Ste 720, Los Angeles, CA 90035-1180 2017-05-19
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Competitor

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City LOS ANGELES
Zip Code 90025

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Dataset Information

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.

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