RAINER G BANSUAN


Address: 10305 Garvey Ave, Medical Staff Office, El Monte, CA 91733-2211
Phone: 9094257679

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207QA0000X Family Medicine
Specialization: Adolescent Medicine
207QA51021 CA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
CA 00A510212 05

Office Location

Street Address 10305 GARVEY AVE
MEDICAL STAFF OFFICE
City EL MONTE
State CA
Zip Code 91733-2211

Providers in the same location

NPI Name Taxonomy Address Enumeration
1639457153 Rainer G. Bansuan Md Inc Clinic/Center 10305 Garvey Ave, El Monte, CA 91733-2135 2011-08-02

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 207QA0000X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine
Specialization Adolescent Medicine

Taxonomy Definition

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.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1184247876 Lori A Musto, Do Family Medicine 881 Alma Real Dr Ste 110, Pacific Palisades, CA 90272-5008 2020-05-28
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
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Competitor

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City EL MONTE
Zip Code 91733

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Dataset Information

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.

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