DR. NICK MELVIN SHILLINGFORD


Address: 4650 W Sunset Blvd, Ms # 43, Los Angeles, CA 90027
Phone: 3233615917

DR. NICK MELVIN SHILLINGFORD (NPI# 1346404969) 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) 1346404969
Entity Type Individual
Full Name DR. NICK MELVIN SHILLINGFORD
Credential M.D
Practice Address 4650 W Sunset Blvd
Ms # 43
Los Angeles
CA 90027
Mailing Address 19024 110th Rd
Saint Albans
NY 11412-2002
Practice Telephone 3233615917
Practice Fax Number 3233611087
Mailing Telephone 6467193703
Enumeration Date 2008-07-13
Last Update Date 2018-07-17
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207ZP0213X Pathology
Specialization: Pediatric Pathology
A125802 CA Allopathic & Osteopathic Physicians

Office Location

Street Address 4650 W SUNSET BLVD
MS # 43
City LOS ANGELES
State CA
Zip Code 90027

Providers in the same location

NPI Name Taxonomy Address Enumeration
1144223926 Fariba Navid Pediatrics 4650 W Sunset Blvd, Los Angeles, CA 90027-6062 2005-05-24
1811596810 Samih Samaha Social Worker 4650 W Sunset Blvd, Los Angeles, CA 90027-6062 2020-10-21
1437756988 Amanda Ruth Mendelis Nurse Practitioner 4650 W Sunset Blvd, Los Angeles, CA 90027-6062 2020-10-07
1124638119 Hayden Mensah Mbroh Rehabilitation Counselor 4650 W Sunset Blvd, Los Angeles, CA 90027-6062 2020-08-04
1619587854 Allyssa Marie Asperin Cayago Nurse Practitioner 4650 W Sunset Blvd, Los Angeles, CA 90027-6062 2020-08-03
1134739592 Alison Coombs Physical Therapist 4650 W Sunset Blvd, Los Angeles, CA 90027-6062 2020-07-31
1679190482 Jearelly Pinedo Registered Nurse 4650 W Sunset Blvd, Los Angeles, CA 90027-6062 2020-06-26
1124644901 Corey Hacker Nurse Practitioner 4650 W Sunset Blvd, Los Angeles, CA 90027-6062 2020-06-17
1720602667 Bhavna Shah Physical Therapist 4650 W Sunset Blvd, Mailstop # 154, Los Angeles, CA 90027 2020-06-06
1023632528 Bethany L Burdick Student in an Organized Health Care Education/Training Program 4650 W Sunset Blvd, Los Angeles, CA 90027-6062 2020-06-01
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1326653593 Lamia Binhuwaishel Student in an Organized Health Care Education/Training Program 4650 Sunset Blvd, Craniofacial and Special Needs Ortho, Los Angeles, CA 90027 2020-09-14
1285242594 Rocio Jimenez Case Manager/Care Coordinator 4650 Sunset Blvd, Mailstop #53, Los Angeles, CA 90027 2020-07-22
1558984799 Integrative Endodontics, Inc Dentist 10850 Wilshine Blvd Ste 301, Los Angeles, CA 90027 2020-05-22
1104450295 Sarayana Sercarz Marriage & Family Therapist 4080 Woking Way, Los Angeles, CA 90027 2020-02-27
1457991143 George Michaiel Pediatrics 4650 Sunset Blvd., Ms #54, Los Angeles, CA 90027 2020-01-09
1477199297 Molly Rose Holmes Marriage & Family Therapist 3901 Los Feliz Boulevard, #303, Los Angeles, CA 90027 2019-11-27
1588206171 Dental Help Solutions, LLC Dentist 4606 Hollywood Blvd, Suite A, Los Angeles, CA 90027 2019-10-15
1457905986 Carmen L Ponce Physical Therapy Assistant 4867 Sunset Ave, Los Angeles, CA 90027 2019-08-01
1447729009 Matthew Mendoza Respiratory Therapist, Registered 4867 Sunset Blvd, Los Angeles, Ca, Los Angeles, CA 90027 2018-11-13
1659856284 Leticia Mendez Nurse Practitioner 1300 N Vermont Ave 606, Los Angeles, CA 90027 2018-09-29
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Taxonomy Information

Taxonomy Code 207ZP0213X
Grouping Allopathic & Osteopathic Physicians
Classification Pathology
Specialization Pediatric Pathology

Taxonomy Definition

A pediatric pathologist is expert in the laboratory diagnosis of diseases that occur during fetal growth, infancy and child development. The practice requires a strong foundation in general pathology and substantial understanding of normal growth and development, along with extensive knowledge of pediatric medicine.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1538715529 Murad Alturkustani Pathology 620 S Virgil Ave Apt 252, Los Angeles, CA 90005-4082 2019-08-15
1790960441 University Childrens Medical Group Pathology 4650 W Sunset Blvd # 43, Los Angeles, CA 90027-6062 2007-12-31
1265875256 Le Le Aye Pathology 4650 W Sunset Blvd, Los Angeles, CA 90027-6062 2013-04-09
1982993580 Jennifer Ann Cotter Pathology 4650 W Sunset Blvd, Los Angeles, CA 90027-6062 2011-04-04
1568785004 Chintan Parekh Pathology 4650 W Sunset Blvd, Mail Stop 54, Los Angeles, CA 90027-6062 2010-03-11
1528298346 Matthew J Oberley Pathology 4650 W Sunset Blvd, Los Angeles, CA 90027 2009-07-15
1780824359 Masoud Shamszadeh Pathology 4650 W Sunset Blvd, Ms #43, Los Angeles, CA 90027-6062 2009-02-23
1114125283 Mikako Warren Pathology 4650 W Sunset Blvd, Los Angeles, CA 90027-6062 2007-07-10
1689773269 Clark B Inderlied Pathology 4650 W Sunset Blvd, Los Angeles, CA 90027-6062 2006-09-21
1881792711 Timothy J Triche Pathology 4650 W Sunset Blvd, Los Angeles, CA 90027-6062 2006-09-21
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Competitor

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City LOS ANGELES
Zip Code 90027

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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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