CANCER INSTITUTE OF AMERICA MEDICAL CORPORATION (NPI# 1265908966) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265908966 |
| Entity Type | Organization |
| Organization Name | CANCER INSTITUTE OF AMERICA MEDICAL CORPORATION |
| Practice Address |
250 N Robertson Blvd Ste 106 Beverly Hills CA 90211-1767 |
| Practice Telephone | 3109934679 |
| Practice Fax Number | 4243243880 |
| Mailing Telephone | 3109934679 |
| Mailing Fax Number | 4243243880 |
| Enumeration Date | 2018-10-19 |
| Last Update Date | 2020-02-07 |
| Authorized Official Name | CRISTIANO BONETI (PRESIDENT) |
| Authorized Official Telephone | 3059516543 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208600000X | Surgery | Allopathic & Osteopathic Physicians | ||
| Y | 208200000X | Plastic Surgery | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | CRISTIANO BONETI | 1265649487 | 01 |
| Street Address |
250 N ROBERTSON BLVD STE 106 |
| City | BEVERLY HILLS |
| State | CA |
| Zip Code | 90211-1767 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952575342 | Som Kohanzadeh | Surgery | 250 N Robertson Blvd Ste 106, Beverly Hills, CA 90211-1767 | 2008-04-16 |
| 1558909945 | Annie Y Tsai, Md, Inc. | Anesthesiology | 250 N Robertson Blvd Ste 106, Beverly Hills, CA 90211-1767 | 2019-12-16 |
| 1275181299 | Kelsey Jean Barth | Physician Assistant | 250 N Robertson Blvd Ste 106, Beverly Hills, CA 90211-1767 | 2019-09-03 |
| 1053862029 | Marina Russman M.d., Apc | Specialist | 250 N Robertson Blvd Ste 106, Beverly Hills, CA 90211-1767 | 2016-10-14 |
| 1437505393 | Wound Institute of America, Inc. | Podiatrist | 250 N Robertson Blvd Ste 106, Beverly Hills, CA 90211-1767 | 2016-05-10 |
| 1912373952 | David A. Pougatsch, Dpm, Inc. | Podiatrist | 250 N Robertson Blvd Ste 106, Beverly Hills, CA 90211-1767 | 2015-08-13 |
| 1619271616 | David Pougatsch | Podiatrist | 250 N Robertson Blvd Ste 106, Beverly Hills, CA 90211-1767 | 2011-01-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649817610 | Doris Yaghoubtil | Physician Assistant | 220 S. Hamel Dr., Beverly Hills, CA 90211 | 2019-12-09 |
| 1649831348 | Optimum Surgical Inc. | Clinic/Center | 9090 Wilshire Blvd Suite 100, Beverly Hills, CA 90211 | 2019-06-24 |
| 1760972467 | Francisco Javier Iribarren | Psychologist | 8383 Wilshire Blvd Ste 800, Beverly Hills, CA 90211 | 2018-05-17 |
| 1821533803 | The Wright Home Care Inc | Respite Care | 8383 Wiltshire Blvd, Suite 800, Beverly Hills, CA 90211 | 2016-12-29 |
| 1497298772 | Brain Health Acupuncture Center | Acupuncturist | 201 N. Robertson Boulevard, Suite 207, Beverly Hills, CA 90211 | 2016-11-18 |
| 1568918712 | Plbc Medical Group, Inc | Medical Genetics, Ph.D. Medical Genetics | 8900 Wilshire Blvd, Suite 300, Beverly Hills, CA 90211 | 2016-08-28 |
| 1104283084 | Gilbert Kwong | Dentist | 127 N. Wetherly Drive, Beverly Hills, CA 90211 | 2016-01-22 |
| 1033511126 | Michelle Dabadie | Prosthetic/Orthotic Supplier | 9022 Burton Way, Los Angeles, CA 90211 | 2014-09-19 |
| 1831599802 | Spine Group Beverly Hills Inc | Orthopaedic Surgery | 8929 Wilshire Blvd, Suite 302, Bevelry Hills, CA 90211 | 2014-08-27 |
| 1144653650 | Jean Alejo Fiore | Radiologic Technologist | 8670 Wilshire Boulevard, 300, Beverly Hills, CA 90211 | 2013-08-20 |
| Find all providers in zip 90211 | ||||
| Taxonomy Code | 208200000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Plastic Surgery |
| A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Plastic Surgery, 2007. http://www.abplsurg.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Plastic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841644366 | Joubin S. Gabbay Md Inc | Plastic Surgery | 9663 Santa Monica Blvd # 154, Beverly Hills, CA 90210-4303 | 2016-04-21 |
| 1295195642 | Sap Reconstructive Surgery Inc | Plastic Surgery | 3060 Deep Canyon Dr, Beverly Hills, CA 90210-1043 | 2016-02-28 |
| 1912263641 | Warren M. Lent Md Inc | Plastic Surgery | 150 N Robertson Blvd Ste 140, Beverly Hills, CA 90211-2143 | 2012-04-06 |
| 1881987832 | Omar Nomaan Hussain | Plastic Surgery | 8907 Wilshire Blvd Ste 100, Beverly Hills, CA 90211-1928 | 2011-05-24 |
| 1316260953 | Daniel Barrett | Plastic Surgery | 9701 Wilshire Blvd Ste Ml1, Beverly Hills, CA 90212 | 2010-03-10 |
| 1093038135 | John Fu-tsun Hsu | Plastic Surgery | 416 N Bedford Dr Ste 100, Beverly Hills, CA 90210-4308 | 2010-03-03 |
| 1699938225 | Shahrokh Jimmy Firouz | Plastic Surgery | 416 N Bedford Dr Ste 310, Beverly Hills, CA 90210-4309 | 2008-07-03 |
| 1588823181 | Payam Jarrahnejad | Plastic Surgery | 465 N Roxbury Dr Ste 1017, Beverly Hills, CA 90210-4213 | 2008-06-09 |
| 1770759177 | Amir H Tahernia | Plastic Surgery | 145 N Robertson Blvd, Beverly Hills, CA 90211 | 2008-05-06 |
| 1154597417 | Ronald P. Chao | Plastic Surgery | 240 N Crescent Dr Apt 104, Beverly Hills, CA 90210-4829 | 2008-05-06 |
| Find all providers in BEVERLY HILLS | ||||
| City | BEVERLY HILLS |
| Zip Code | 90211 |
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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.