BASSAM M ZAHLAN (NPI# 1346289220) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346289220 |
| Entity Type | Individual |
| Full Name | BASSAM M ZAHLAN |
| Credential | M.D. |
| Practice Address |
1045 Atlantic Ave Suite 105 Long Beach CA 90813 |
| Mailing Address |
1045 Atlantic Ave Suite 105 Long Beach CA 90813-3408 |
| Practice Telephone | 5624919167 |
| Practice Fax Number | 5624917969 |
| Mailing Telephone | 5624919167 |
| Mailing Fax Number | 5624917969 |
| Enumeration Date | 2006-06-06 |
| Last Update Date | 2018-08-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 174400000X | Specialist | A45996 | CA | Other Service Providers |
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
A45996 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | GROUP PTAN | HW8412 | 01 |
| CA | PTAN/LEGACY-COMMUNITY HOSP | HW8412B | 01 |
| CA | 00A459960 | 05 | |
| CA | PTAN/LEGACY PACIFIC HOSP | HW8412A | 01 |
| CA | ST MARYS PTAN | HW881 | 01 |
| Street Address |
1045 ATLANTIC AVE SUITE 105 |
| City | LONG BEACH |
| State | CA |
| Zip Code | 90813 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841294733 | Merrill M Knopf | Ophthalmology | 1045 Atlantic Ave, Ste 1007, Long Beach, CA 90813-3413 | 2005-06-08 |
| 1760928329 | Ps Ahuja Dental Corp | Dentist | 1045 Atlantic Ave, Ste 602, Long Beach, CA 90813-3408 | 2017-01-06 |
| 1821448028 | Cardiovascular Innovation and Research Center Inc | Internal Medicine | 1045 Atlantic Ave, Suite 611, Long Beach, CA 90813-3408 | 2016-06-17 |
| 1285007419 | St. Mary Medical Center | Clinic/Center | 1045 Atlantic Ave, Suite 914, Long Beach, CA 90813-3408 | 2015-11-10 |
| 1508289158 | Healthy Foundations Medical Group | Pediatrics | 1045 Atlantic Ave, Ste 715, Long Beach, CA 90813-3408 | 2014-01-31 |
| 1649513961 | American Pacific Medical Group Inc | Internal Medicine | 1045 Atlantic Ave, Suite 902, Long Beach, CA 90813-3408 | 2013-04-04 |
| 1235436023 | Janet Do | Pediatrics | 1045 Atlantic Ave, #605, Long Beach, CA 90813-3408 | 2011-02-15 |
| 1578864211 | Amar S Kapoor M D Inc | Internal Medicine | 1045 Atlantic Ave, Suite 611, Long Beach, CA 90813-3408 | 2010-11-11 |
| 1063720324 | Coreen Marie Correa | Nurse Practitioner | 1045 Atlantic Ave, 508, Long Beach, CA 90813-3408 | 2010-09-21 |
| 1790002236 | Michael O Liff Md Inc | Internal Medicine | 1045 Atlantic Ave, Suite 902, Long Beach, CA 90813-3408 | 2010-04-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861018491 | Marisol Zobler | Social Worker | 820 Long Beach Bvld, Long Beach, CA 90813 | 2020-06-19 |
| 1437787009 | Cho Rok Kim | Student in an Organized Health Care Education/Training Program | Graduate Medical Education, 1050 Linden Ave., Long Beach, CA 90813 | 2020-03-30 |
| 1316407596 | Vicky Sandhu | Student in an Organized Health Care Education/Training Program | Graduate Medical Education, 1050 Linden Ave, Long Beach, CA 90813 | 2019-03-22 |
| 1245734912 | Madiha Naseem | Internal Medicine | Graduate Medical Education, 1050 Linden Avenue, Long Beach, CA 90813 | 2018-03-19 |
| 1689194508 | Naomi Ruiz | Specialist/Technologist | 838 Pine Ave Apt. 314, Long Beach, CA 90813 | 2017-06-21 |
| 1851831531 | Tyler Lappen | Student in an Organized Health Care Education/Training Program | 830 Atlantic Ave., Long Beach, CA 90813 | 2017-03-01 |
| 1639628886 | Assavuth Kim | Community Health Worker | 1471 Cherry Avenue, Long Beach, CA 90813 | 2016-09-29 |
| 1881031300 | Stacy Nicole Delgado-willis | Marriage & Family Therapist | 851 Pine Ave Ste 103, Long Beach, CA 90813 | 2013-05-23 |
| 1740623453 | Paula Ann Di Thomas | Nurse Practitioner | 1043 Elm Ave #104, Long Beach, CA 90813 | 2013-04-11 |
| 1629322722 | David O Chavez | Case Manager/Care Coordinator | 820 Long Beach Blvd, Long Beach, CA 90813 | 2012-10-29 |
| Find all providers in zip 90813 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649815903 | United Medical Radiology Network, Inc | Radiology | 2600 Redondo Ave # 101, Long Beach, CA 90806-2325 | 2019-11-11 |
| 1689221103 | Los Alamitos Radiology Group Inc | Radiology | 3747 Worsham Ave Ste 200, Long Beach, CA 90808-1734 | 2019-08-20 |
| 1679901656 | Alan Brooks | Radiology | 204 Prospect Ave, Long Beach, CA 90803-1617 | 2013-10-29 |
| 1669814273 | Sun Imaging Associates Plc | Radiology | 3342 Terrace Ridge Ln, Long Beach, CA 90804-1203 | 2013-07-24 |
| 1760823819 | Carleton Allen A Professional Medical Corporation | Radiology | 300 W Ocean Blvd, Suite 6806, Long Beach, CA 90802-7954 | 2013-07-17 |
| 1245587070 | Southland Neurologic Associates | Radiology | 3747 Worsam Ave, #100, Long Beach, CA 90808-1774 | 2012-08-10 |
| 1578827697 | Christine A Khong-mcbride | Radiology | 1333 Chestnut Ave., Radiology Dept Room 23, Long Beach, CA 90813 | 2012-07-03 |
| 1851664932 | Samuel Louis Fenichel | Radiology | 5203 S. Marina Pacifica Dr, Long Beach, CA 90803 | 2012-02-20 |
| 1538208574 | Stephen B Haltom | Radiology | 1025 El Mirador Ave, Long Beach, CA 90815-4420 | 2007-02-06 |
| 1154346336 | Carol Manning | Radiology | 3320 N Los Coyotes Diagonal, Suite 120, 112 & 260, Long Beach, CA 90808-3918 | 2006-07-12 |
| Find all providers in LONG BEACH | ||||
| City | LONG BEACH |
| Zip Code | 90813 |
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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.