RAINER G BANSUAN (NPI# 1336258037) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1336258037 |
Entity Type | Individual |
Full Name | RAINER G BANSUAN |
Credential | M.D. |
Practice Address |
10305 Garvey Ave Medical Staff Office El Monte CA 91733-2211 |
Mailing Address |
10305 Garvey Ave Bansuan Medical Clinic El Monte CA 91733-2135 |
Practice Telephone | 9094257679 |
Practice Fax Number | 9094256635 |
Mailing Telephone | 6264550982 |
Mailing Fax Number | 6264550984 |
Enumeration Date | 2006-08-29 |
Last Update Date | 2015-12-02 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207QA0000X |
Family Medicine Specialization: Adolescent Medicine |
207QA51021 | CA | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CA | 00A510212 | 05 |
Street Address |
10305 GARVEY AVE MEDICAL STAFF OFFICE |
City | EL MONTE |
State | CA |
Zip Code | 91733-2211 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1639457153 | Rainer G. Bansuan Md Inc | Clinic/Center | 10305 Garvey Ave, El Monte, CA 91733-2135 | 2011-08-02 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245717941 | Edelmira N Rivas | Case Manager/Care Coordinator | 2000 Tyler Ave., South El Monte, CA 91733 | 2018-07-25 |
1083154231 | Mobilify, LLC | Non-emergency Medical Transport (VAN) | 1224 Santa Anita Ave Ste B3, South El Monte, CA 91733 | 2017-03-06 |
1518323500 | Monica Monique Viescas | Case Manager/Care Coordinator | 10113 Fern Street, El Monte, CA 91733 | 2016-01-07 |
1972912236 | Central City Community Health Center, Inc. | Clinic/Center | 10050 Garvey Ave Ste 111, El Monte, CA 91733 | 2014-08-11 |
1861805095 | Reliable Transportation Services | Non-emergency Medical Transport (VAN) | 968 N. Durfee Ave., S. El Monte, CA 91733 | 2014-06-05 |
1578834891 | John K Cheung | Acupuncturist | 9471 Cortada St, #2b, El Monte, CA 91733 | 2012-01-18 |
1831476779 | Kasinee Williams | Physician Assistant | 2727 North Peck Rd, El Monte, CA 91733 | 2011-11-07 |
1922382183 | Station One Emergency Response Inc | Ambulance | 2519 Merced Ave, South El Monte, CA 91733 | 2011-10-06 |
1447538863 | Ruby Paulina Nieto Padilla | Counselor | 2024 Durfee Ave # Wingd, El Monte, CA 91733 | 2011-08-02 |
1508164344 | April Pratt | Marriage & Family Therapist | 100 W. Foothill Bl., Suite 101, San Dimas, CA 91733 | 2011-03-02 |
Find all providers in zip 91733 |
Taxonomy Code | 207QA0000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Family Medicine |
Specialization | Adolescent Medicine |
A family medicine physician with multidisciplinary training in the unique physical, psychological and social characteristics of adolescents and their health care problems and needs. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Family Medicine, 2007. http://www.theabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Medicine. |
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1548823867 | Inland Empire Medical Group, Inc | Family Medicine | 10250 Country Club Dr Ste A, Jurupa Valley, CA 91752-1328 | 2019-04-22 |
1851869663 | Universal Urgent Care, PC | Family Medicine | 6055 Niles St, Bakersfield, CA 93306-4696 | 2018-11-09 |
1003289554 | Dunja Maglica Md Inc | Family Medicine | 23441 Madison St Ste 305, Torrance, CA 90505-4735 | 2015-11-05 |
1750581096 | Rajiv Kumra | Family Medicine | 10020 Griffith St, San Jose, CA 95127-4117 | 2007-07-24 |
1023145240 | A Diop Family Care Medical Group Inc. | Family Medicine | 2704 W Manchester Blvd, Inglewood, CA 90305-2436 | 2007-02-27 |
1528101029 | Clinica Popular Medical Group | Family Medicine | 2410 W. 7th St, Los Angeles, CA 90057-3904 | 2007-02-14 |
1801949292 | Daniel G Berdakin | Family Medicine | 2410 W 7th St, Los Angeles, CA 90057-3904 | 2007-01-19 |
1679658041 | Tracey Lee Norton | Family Medicine | 420 W Las Tunas Dr, San Gabriel, CA 91776-1268 | 2006-10-26 |
1588754675 | Kyung Soo Yoo | Family Medicine | 15446 Parthenia St, North Hills, CA 91343-5108 | 2006-10-13 |
Find all providers with the same taxonomy |
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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.