BEVERLEY PETRIE (NPI# 1275544116) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275544116 |
| Entity Type | Individual |
| Full Name | BEVERLEY PETRIE |
| Credential | M.D. |
| Practice Address |
21840 Normandie Ave Torrance CA 90502-2047 |
| Practice Telephone | 3102225015 |
| Practice Fax Number | 3102225027 |
| Mailing Telephone | 3102225015 |
| Mailing Fax Number | 3102225027 |
| Enumeration Date | 2006-08-09 |
| Last Update Date | 2013-09-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208C00000X | Colon & Rectal Surgery | A55817 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00A558170 | 05 |
| Street Address |
21840 NORMANDIE AVE |
| City | TORRANCE |
| State | CA |
| Zip Code | 90502-2047 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598744252 | John Samuel Mcdonald | Anesthesiology | 21840 Normandie Ave, Ste. 700, Torrance, CA 90502-2047 | 2006-01-11 |
| 1609226877 | Prohealth Partners A Medical Group | Dermatology | 21840 Normandie Ave, Torrance, CA 90502-2047 | 2016-06-17 |
| 1174956064 | Riza Grace Nielsen | Nurse Practitioner | 21840 Normandie Ave, Torrance, CA 90502-2047 | 2013-08-14 |
| 1386917169 | Lily Anna Nichols | Dietitian, Registered | 21840 Normandie Ave, Suite 1000, Torrance, CA 90502-2047 | 2012-02-09 |
| 1295029429 | Laura Figueroa-phillips | Pediatrics | 21840 Normandie Ave, Torrance, CA 90502-2047 | 2011-06-06 |
| 1639460322 | Lilliana Po-garcia | Registered Nurse | 21840 Normandie Ave, Torrance, CA 90502-2047 | 2011-04-28 |
| 1972740223 | Youngmee Kim | Registered Nurse | 21840 Normandie Ave, Torrance, CA 90502-2047 | 2009-01-08 |
| 1366548646 | Dilrukshie Cooray | Internal Medicine | 21840 Normandie Ave, Ste. 700, Torrance, CA 90502-2047 | 2006-09-15 |
| 1326142928 | Harbor-ucla Faculty Practice Plan, A Medical Group Inc. | Specialist | 21840 Normandie Ave, Torrance, CA 90502-2047 | 2006-09-12 |
| 1225131170 | Christina Wang | Internal Medicine | 21840 Normandie Ave, Ste. 700, Torrance, CA 90502-2047 | 2006-09-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992319149 | Gia Chodzen | Student in an Organized Health Care Education/Training Program | Harbor-ucla Dmh, 1000 W Carson St, #488, Torrance, CA 90502 | 2020-09-04 |
| 1750994919 | Desiree Elise Cervantes | Social Worker | Harbor Ucla Medical Center, 1000 West Carson Street, Torrance, CA 90502 | 2020-08-27 |
| 1205448644 | Tabitha Tamara Black | Student in an Organized Health Care Education/Training Program | Harbor Ucla Dmh 1000 W Carson Street, Number 488, Torrance, CA 90502 | 2020-08-18 |
| 1538718531 | Harbor-ucla Dmh | Student in an Organized Health Care Education/Training Program | Harbor-ucla Dmh, 1000 W Carson St Box #498, Torrance, CA 90502 | 2019-09-11 |
| 1891345831 | Sydney Del Carmen Wheat | Student in an Organized Health Care Education/Training Program | 1000 W Carson St Box #488, Torrance, CA 90502 | 2019-09-11 |
| 1467971283 | Grace Y Kim | Student in an Organized Health Care Education/Training Program | Lacdmh Hucla 1000 W. Carson Street, Torrance, CA 90502 | 2017-09-13 |
| 1619498631 | Shauntel Locus | Case Manager/Care Coordinator | 1124 W. Carson Street, Torrance, CA 90502 | 2017-06-29 |
| 1740700079 | Charlise Brown-scranton | Registered Nurse | 711 W. Del Amo Blvd, Torrance, CA 90502 | 2017-06-27 |
| 1497280978 | C Edward Villasenor Castelo | Specialist | 1000 W Carson St # D5, Torrance, CA 90502 | 2017-04-21 |
| 1114464393 | Brissa Giron | Counselor | 19401 Vermont Ave, Suite C100, Torrance, CA 90502 | 2017-01-25 |
| Find all providers in zip 90502 | ||||
| Taxonomy Code | 208C00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Colon & Rectal Surgery |
| A colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Colon and Rectal Surgery, 2007. http://www.abcrs.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Colon and Rectal Surgery. Colon and rectal surgeons have the expertise to diagnose and often manage anorectal conditions such as hemorrhoids, fissures (painful tears in the anal lining), abscesses and fistulae (infections located around the anus and rectum) in the office setting. They also treat problems of the intestine and colon, and perform endoscopic procedures to evaluate and treat problems such as cancer, polyps (precancerous growths) and inflammatory conditions. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104825066 | Stuart Russell Grant | Colon & Rectal Surgery | 3400 Lomita Blvd, Suite 500, Torrance, CA 90505-4909 | 2005-07-21 |
| 1982053278 | Ravin R Kumar Md, Medical Corporation | Colon & Rectal Surgery | 3400 Lomita Blvd, Ste 200, Torrance, CA 90505-4909 | 2016-06-07 |
| 1356553168 | Hima Ghanta | Colon & Rectal Surgery | 23451 Madison St, Suite 340, Torrance, CA 90505-4763 | 2007-05-04 |
| 1194789875 | Ravin R. Kumar | Colon & Rectal Surgery | 21840 Normandie Ave, Ste. 700, Torrance, CA 90502-2047 | 2006-04-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528437332 | George R. Moro | Colon & Rectal Surgery | 1140 W La Veta Ave Ste 830, Orange, CA 92868-4230 | 2015-09-22 |
| 1881087476 | Mark Paul Hachigian | Colon & Rectal Surgery | 16 Pinehurst Ln, Newport Beach, CA 92660-5229 | 2015-03-06 |
| 1982841250 | Central Valley Colon & Rectal Surgical Associates, Inc. | Colon & Rectal Surgery | 6121 N Thesta St Ste 202, Fresno, CA 93710-5294 | 2009-01-08 |
| 1972766970 | James Michael Conner | Colon & Rectal Surgery | 6450 Coyle Ave Ste 2, Carmichael, CA 95608-0313 | 2008-07-09 |
| 1063684850 | Marjun Philip Narciso Duldulao IIi | Colon & Rectal Surgery | 1450 San Pablo Street Suite 6200, Los Angeles, CA 90089-0112 | 2008-04-01 |
| 1144411414 | Theodore Coutsoftides | Colon & Rectal Surgery | 4061 Morning Star Dr, Huntington Beach, CA 92649-3009 | 2007-08-02 |
| 1023223849 | Robert Leroy Belt | Colon & Rectal Surgery | 31561 Table Rock Dr, Unit 108, Laguna Beach, CA 92651 | 2007-05-14 |
| 1063531176 | Chau V Dang Md Inc A Medical Corporation | Colon & Rectal Surgery | 5575 W Las Positas Blvd Ste 270, Pleasanton, CA 94588-5803 | 2007-03-28 |
| 1710029681 | Andrew Alan Shelton | Colon & Rectal Surgery | 875 Blake Wilbur Drive Clinic B, Stanford, CA 94305-5820 | 2007-02-13 |
| 1720139488 | Beth A Moore | Colon & Rectal Surgery | 8737 Beverly Blvd Ste 402, West Hollywood, CA 90048-1838 | 2007-01-16 |
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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.