KINGSHUK DAS (NPI# 1215016472) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215016472 |
| Entity Type | Individual |
| Full Name | KINGSHUK DAS |
| Credential | M.D. |
| Practice Address |
11633 San Vicente Blvd Rear Building, 4/f Los Angeles CA 90049-6511 |
| Mailing Address |
5767 W Century Blvd Suite 400 Los Angeles CA 90045-5631 |
| Practice Telephone | 3107942766 |
| Mailing Telephone | 3108255000 |
| Enumeration Date | 2006-11-06 |
| Last Update Date | 2011-02-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ZP0105X |
Pathology Specialization: Clinical Pathology/Laboratory Medicine |
A100259 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 0A1002590 | 05 |
| Street Address |
11633 SAN VICENTE BLVD REAR BUILDING, 4/F |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90049-6511 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487607685 | Jonathan Torregosa Tiongson | Podiatrist | 11633 San Vicente Blvd, Suite 200, Los Angeles, CA 90049-6511 | 2006-05-18 |
| 1912480906 | Shangxin Yang | Spec/Tech, Pathology | 11633 San Vicente Blvd, Los Angeles, CA 90049-6511 | 2018-09-14 |
| 1164941415 | Darius Terray Humphrey | Nurse Practitioner | 11633 San Vicente Blvd, Los Angeles, CA 90049-6511 | 2017-09-18 |
| 1487172391 | Azadeh Tavari | Dentist | 11633 San Vicente Blvd, Los Angeles, CA 90049-6511 | 2017-08-31 |
| 1891223210 | Peera Hemarajata | Pathology | 11633 San Vicente Blvd, Los Angeles, CA 90049-6511 | 2017-05-30 |
| 1699226530 | Romney Mckenzie Humphries | Specialist | 11633 San Vicente Blvd, 4th Floor, Rear Building, Los Angeles, CA 90049-6511 | 2016-10-15 |
| 1609118983 | Salam F Alkasspooles M D Amc | Clinic/Center | 11633 San Vicente Blvd, Suite 314, Los Angeles, CA 90049-6511 | 2013-03-25 |
| 1194000216 | Alexandra Hazel Rudd-barnard | Clinical Neuropsychologist | 11633 San Vicente Blvd, 106, Los Angeles, CA 90049-6511 | 2011-10-20 |
| 1316239080 | Matthew Schneider Dpm Inc | Podiatrist | 11633 San Vicente Blvd, Suite 200, Los Angeles, CA 90049-6511 | 2011-05-12 |
| 1063716751 | Rashel J Tahzib Do Inc | Family Medicine | 11633 San Vicente Blvd, Suite 107, Los Angeles, CA 90049-6511 | 2011-01-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316564339 | Kepp Family & Group Practice | Marriage & Family Therapist | 12011 San Vincente Blvd, 408, Los Angeles, CA 90049 | 2020-06-26 |
| 1386204493 | Steven J Lehrman | Marriage & Family Therapist | 179 S. Barrington Place, Office A, Los Angeles, CA 90049 | 2019-06-20 |
| 1922562990 | Jand. Inc. | Eyewear Supplier (Equipment, not the service) | 860 S. Sepulveda Blvd., Los Angeles, CA 90049 | 2019-01-24 |
| 1851864946 | Christie Schnur | Marriage & Family Therapist | 11911 San Vicente Blvd., Los Angeles, CA 90049 | 2019-01-10 |
| 1669954012 | Barbara Jiji Schenk | Marriage & Family Therapist | 520 S. Sepulveda Blvd #402, Los Angeles, CA 90049 | 2018-09-02 |
| 1972090710 | Community Reflections Inc | Counselor | 10020 So. Western Ave, 10020 So. Western Ave, Los Angeles, CA 90049 | 2018-04-17 |
| 1245738830 | Dr. Shirin Tabib LLC | Marriage & Family Therapist | 61133 San Vincent Blvd, Suite 318 A, Los Angeles, CA 90049 | 2018-01-29 |
| 1295240679 | Robert A Brooks | Preventive Medicine | 149 South Barrington Ave, #346, Los Angeles, CA 90049 | 2017-12-07 |
| 1598286478 | Marvin S Serrano | Physical Therapy Assistant | 11740 San Vicente Boulevard Suite 205, Los Angeles, CA 90049 | 2017-06-30 |
| 1972055812 | Evolve Growth Initiatives, LLC | Psychiatric Residential Treatment Facility | 820 Moraga Drive, Los Angeles, CA 90049 | 2016-10-26 |
| Find all providers in zip 90049 | ||||
| Taxonomy Code | 207ZP0105X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Clinical Pathology/Laboratory Medicine |
| A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/. American Osteopathic Board of Pathology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pathology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427602036 | Healthcare Clinical Laboratory Inc. | Pathology | 326 N Vermont Ave # B, Los Angeles, CA 90004-3511 | 2019-07-31 |
| 1184041501 | Shohei Ikoma | Pathology | 2011 Zonal Ave Ste 200, Los Angeles, CA 90089-1015 | 2014-03-24 |
| 1841425378 | Yi Xie | Pathology | 1200 N. State St. Ct Room A7e 7th Flr., Lac Usc Medical Center Department of Pathology, Los Angeles, CA 90033 | 2009-05-28 |
| 1033616636 | Noriyuki Kasahara | Pathology | 2100 W 3rd St Ste 301, Los Angeles, CA 90057-2285 | 2018-04-10 |
| 1508291402 | Dawn C Ward | Pathology | Ucla Path and Lab Medicine, Box 951732, 13-145 Chs, Los Angeles, CA 90095-1732 | 2013-09-10 |
| 1881913689 | William Martin | Pathology | 2011 Zonal Ave, Los Angeles, CA 90033 | 2010-05-19 |
| 1255656831 | Raul Gabriel Simental-pizarro | Pathology | 1500 San Pablo Street, 2nd Floor Pathology Lab, Los Angeles, CA 90033 | 2010-04-07 |
| 1053456285 | Alan L Hiti | Pathology | 2250 Alcazar St, Csc-108, Los Angeles, CA 90089-9064 | 2007-02-21 |
| 1629158878 | Michael Eric Selsted | Pathology | 2011 Zonal Ave, Hmr 204, Los Angeles, CA 90089-0110 | 2006-10-16 |
| 1699855734 | Jane F Emerson | Pathology | 1500 San Pablo Street, Los Angeles, CA 90089-0112 | 2006-10-16 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90049 |
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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.