ERNEST ANTHONY BAGNER III (NPI# 1194970061) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194970061 |
| Entity Type | Individual |
| Full Name | ERNEST ANTHONY BAGNER III |
| Practice Address |
6051 Hollywood Blvd Suite 107 Hollywood CA 90028 |
| Mailing Address |
6051 Hollywood Blvd Suite 107 Hollywood CA 90028-5485 |
| Practice Telephone | 3234617575 |
| Mailing Telephone | 3234617575 |
| Enumeration Date | 2008-11-19 |
| Last Update Date | 2010-06-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | A69614 | CA | Allopathic & Osteopathic Physicians |
| Y | 208D00000X | General Practice | A69614 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | LICENSE NUMBER | A69614 | 01 |
| Street Address |
6051 HOLLYWOOD BLVD SUITE 107 |
| City | HOLLYWOOD |
| State | CA |
| Zip Code | 90028 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154929859 | Luxottica of America Inc | Eyewear Supplier (Equipment, not the service) | 5500 W Sunset Blvd, Los Angeles, CA 90028 | 2020-10-14 |
| 1558993527 | Garfield Beach Cvs LLC | Durable Medical Equipment & Medical Supplies | 5500 West Sunset Boulevard, Los Angeles, CA 90028 | 2020-02-07 |
| 1639715030 | Michelle Jennifer Martinez | Case Manager/Care Coordinator | 6838 Sunset Blvd., Hollywood, CA 90028 | 2019-11-20 |
| 1821562315 | Ronnie Jerome Jackson | Case Manager/Care Coordinator | Bhs Hollywood Recovery Center, 6838 Sunset Blvd, Hollywood, CA 90028 | 2019-01-17 |
| 1669961595 | Danielle Arce | Dietitian, Registered | 6721 De Longpre Ave, Los Angeles, CA 90028 | 2018-05-07 |
| 1982124772 | Yoon Kyung Lee | Pharmacist | 7201 Hollywood Blvd, Los Angeles, CA 90028 | 2017-06-22 |
| 1982133245 | Julia West | Pharmacist | 6201 Hollywood Blvd #126, Los Angeles, CA 90028 | 2017-06-08 |
| 1720527971 | Melissa Susac | Marriage & Family Therapist | 1540 Schrader Blvd, Garden Suite 12, Hollywood, CA 90028 | 2017-02-21 |
| 1023554284 | Arlene Aranda | Social Worker | 1873 Taft Ave, Los Angeles, CA 90028 | 2017-01-12 |
| 1912304775 | Damon Dodge | Marriage & Family Therapist | 7083 Hollywood Blvd, Los Angeles, CA 90028 | 2014-11-21 |
| Find all providers in zip 90028 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184232522 | Buen Pastor Medical Center, Inc. | General Practice | 4400 Sheridan St Ste C, Hollywood, FL 33021-3514 | 2020-07-22 |
| 1639734148 | Management Care LLC | General Practice | 7900 Nw 33rd St Ste 103, Hollywood, FL 33024-2209 | 2019-05-09 |
| 1730671504 | Rafael Torres | General Practice | 1915 Monroe St Apt 15, Hollywood, FL 33020-7700 | 2018-06-06 |
| 1003311051 | David Lee Arnold | General Practice | 1701 Fletcher St, Hollywood, FL 33020-6538 | 2018-03-29 |
| 1528468956 | Centro Medico Familiar Buen Pastor Pharmacy | General Practice | 4440 Sheridan St Ste C, Hollywood, FL 33021-3535 | 2014-09-04 |
| 1255741088 | Bonne Medical Center, Inc. | General Practice | 5928 Sheridan St Ste A, Hollywood, FL 33021 | 2014-05-01 |
| 1518388503 | Marc Joseph | General Practice | 2629 Funston St, Hollywood, FL 33020-5727 | 2013-12-18 |
| 1972871937 | Carevantage Medical Centers of Broward At Sterling Road,llc | General Practice | 2536 N State Road 7, Hollywood, FL 33021-3205 | 2011-12-06 |
| 1639379761 | Gabriel Gregorio Florez | General Practice | 4440 Sheridan St, Suite C, Hollywood, FL 33021 | 2007-07-18 |
| 1174697288 | William H Hayling | General Practice | 3301 Barham Blvd Ste 400, Hollywood, CA 90068-1477 | 2006-11-20 |
| Find all providers in HOLLYWOOD | ||||
Please comment or provide details below to improve the information on ERNEST ANTHONY BAGNER III.
| 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.