DR. FREDERICK C RUTHERFORD


Address: 12021 S. Wilmington Ave, Los Angeles, CA 90059
Phone: 5624275363

DR. FREDERICK C RUTHERFORD (NPI# 1346359973) 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) 1346359973
Entity Type Individual
Full Name DR. FREDERICK C RUTHERFORD
Credential DDS
Practice Address 12021 S. Wilmington Ave
Los Angeles
CA 90059
Practice Telephone 5624275363
Practice Fax Number 5624278802
Mailing Telephone 5624275363
Mailing Fax Number 5624278802
Enumeration Date 2006-08-29
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 204E00000X Oral & Maxillofacial Surgery 31174 CA Allopathic & Osteopathic Physicians

Office Location

Street Address 12021 S. WILMINGTON AVE
City LOS ANGELES
State CA
Zip Code 90059

Providers in the same location

NPI Name Taxonomy Address Enumeration
1790793370 Xiao-quan Yuan Neurological Surgery 12021 S. Wilmington Ave, Los Angeles, CA 90059 2006-08-03
1871633826 Michael Thaddeaus Rayfield Physician Assistant 12021 S. Wilmington Ave, Los Angeles, CA 90059 2007-02-07
1801969365 Ashis Mandal Surgery 12021 S. Wilmington Ave, Los Angeles, CA 90059 2006-11-15
1184794133 Vijay Bhasin Internal Medicine 12021 S. Wilmington Ave, Los Angeles, CA 90059 2006-11-08
1528138583 Richard Findlay Pediatrics 12021 S. Wilmington Ave, Los Angeles, CA 90059 2006-11-08
1285704239 Vidya Kaushik Internal Medicine 12021 S. Wilmington Ave, Los Angeles, CA 90059 2006-11-08
1447336557 Chat V Dang Emergency Medicine 12021 S. Wilmington Ave, Los Angeles, CA 90059 2006-10-31
1629154745 Kenneth Lewis Anesthesiology 12021 S. Wilmington Ave, Los Angeles, CA 90059 2006-10-31
1497831499 Leo Lundy Surgery 12021 S. Wilmington Ave, Los Angeles, CA 90059 2006-10-31
1801971072 Frederick W James Pediatrics 12021 S. Wilmington Ave, Los Angeles, CA 90059 2006-10-26
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1235759788 Juan Jimenez Jr. Technician, Pathology 1860 E 120th St, Los Angeles, CA 90059 2020-04-24
1538717780 Donald O Nwanze Pharmacist Mlk Outpatient Center (pharmacy), 1670 East 120th Street, Los Angeles, CA 90059 2019-08-30
1295391050 Sheela Hoyle Counselor 836 East Saucer Lane, Los Angeles, CA 90059 2019-05-16
1750852471 Carlos Tovar Sr. Community Health Worker 1720 E 120st, Los Angeles, CA 90059 2018-12-06
1699293910 Amy Caryn Bolenbaugh Recreation Therapist 1720 E 120th Street, Los Angeles, CA 90059 2017-09-07
1417475757 Scott Lee Jones Recreation Therapist Augustus F. Hawkins, 1720 E. 120th Street, Rm. 2196, Los Angeles, CA 90059 2017-09-07
1881118859 Darlene Renee Tillman Speech-Language Pathologist 1670 E 120th Strret, Los Angeles, CA 90059 2017-08-01
1609306430 Valda Therese Flores Registered Nurse 1670 E. 120th Street, Los Angeles, CA 90059 2017-06-14
1093244006 Bongsill Chung Registered Nurse 1670 East 120th St, Los Angeles, CA 90059 2017-06-05
1730573395 Apollonia Godoy Registered Nurse 1670 E. 120th St, 4th Floor, Module A, Los Angeles, CA 90059 2015-03-22
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Taxonomy Information

Taxonomy Code 204E00000X
Grouping Allopathic & Osteopathic Physicians
Classification Oral & Maxillofacial Surgery

Taxonomy Definition

Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery.
Notes: Source: American College of Surgeons, 2013. www.facs.org [7/1/2013: definition added, source added, additional resources added] Additional Resources: American Board of Oral and Maxillofacial Surgery and American Association of Oral and Maxillofacial Surgeons While this is generally considered a specialty of dentistry, physicians can also be board certified as oral and maxillofacial surgeons through the American Board of Oral and Maxillofacial Surgery.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1871810846 Nam Cho Oral & Maxillofacial Surgery 4040 Via Marisol, #220, Los Angeles, CA 90042-5154 2010-04-29
1679709075 Steven Kupferman Dmd Md Inc Oral & Maxillofacial Surgery 2080 Century Park East Blvd, Suite 710, Los Angeles, CA 90067 2009-06-01
1851392062 Rick Chien Chi Tsay Oral & Maxillofacial Surgery 10811 Ashton Ave, #308, Los Angeles, CA 90024-4878 2005-08-10
1780902536 Soroush Zaghi Oral & Maxillofacial Surgery 10921 Wilshire Blvd, Suite 912, Los Angeles, CA 90024-3906 2010-05-04
1568698843 Omar M Faridi Oral & Maxillofacial Surgery 1200 N State St, Ct A3c 117, Los Angeles, CA 90033-1029 2009-06-01
1851417737 Vivek Shetty Oral & Maxillofacial Surgery 10833 Le Conte Ave, Suite Ao-156, Los Angeles, CA 90095-1668 2007-03-22
1588790307 Richard D Leathers Oral & Maxillofacial Surgery 12021 Wilmington Ave, Los Angeles, CA 90059-3019 2007-02-26
1619084985 Joseph Mcquirter Sr. Oral & Maxillofacial Surgery 12021 S. Wilmington Ave, Los Angeles, CA 90059 2006-08-24

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1457983025 Olena Norris Dds Dental Corporation Oral & Maxillofacial Surgery 5060 California Ave Ste 202, Bakersfield, CA 93309-7087 2020-02-11
1306498829 Henry Mayo Newhall Clinics, LLC Oral & Maxillofacial Surgery 25751 Mcbean Pkwy Ste 220, Valencia, CA 91355-3701 2019-07-15
1396211926 Fremont Oral & Maxillofacial Surgery Oral & Maxillofacial Surgery 39210 State St Ste 115, Fremont, CA 94538-1456 2018-10-22
1013495985 Ned L. Nix, Dds, Inc Oral & Maxillofacial Surgery 704 Blossom Hill Rd Ste 102, San Jose, CA 95123-5403 2018-08-02
1811475759 University of California Sfgh Medical Group Oral & Maxillofacial Surgery 1001 Potrero Avenue, Bldg 5, Room 1n1, San Francisco, CA 94110-3518 2018-08-02
1235649690 Mac Dental Corporation Oral & Maxillofacial Surgery 9855 Erma Road, #110, Scripps Periodontics, San Diego, CA 92131 2017-10-11
1710354162 Michael J. Belton Dds,md Inc. Oral & Maxillofacial Surgery 2045 Compton Ave Ste 102, Corona, CA 92881-7293 2015-09-01
1508263740 F.a.c.e. Surgical Center of The Desert Oral & Maxillofacial Surgery 1900 E Tahquitz Canyon Way Ste C4, Palm Springs, CA 92262-7062 2014-12-03
1407114499 Niloofar Deyhim Oral & Maxillofacial Surgery 853 Middlefield Rd Ste 1, Palo Alto, CA 94301-2900 2012-04-26
1437479144 Brian Robert Carr Oral & Maxillofacial Surgery 521 Parnassus Ave # C-522, San Francisco, CA 94143-0440 2010-06-03
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Competitor

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City LOS ANGELES
Zip Code 90059

Improve Information

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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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