SOUTH BAY ELECTROPHYSIOLOGY INC (NPI# 1346589900) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346589900 |
| Entity Type | Organization |
| Organization Name | SOUTH BAY ELECTROPHYSIOLOGY INC |
| Practice Address |
11633 Hawthorne Blvd Suite 400 Hawthorne CA 90250-2321 |
| Practice Telephone | 3109730600 |
| Enumeration Date | 2013-02-01 |
| Last Update Date | 2013-04-01 |
| Authorized Official Name | DUANE BRIDGES (PRESIDENT) |
| Authorized Official Telephone | 3109730600 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
Allopathic & Osteopathic Physicians | ||
| Y | 207RC0001X |
Internal Medicine Specialization: Clinical Cardiac Electrophysiology |
Allopathic & Osteopathic Physicians |
| Street Address |
11633 HAWTHORNE BLVD SUITE 400 |
| City | HAWTHORNE |
| State | CA |
| Zip Code | 90250-2321 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124025119 | Always Stay Home Nursing Service | Home Health | 11633 Hawthorne Blvd, Suite 220, Hawthorne, CA 90250-2321 | 2005-07-05 |
| 1740722826 | Citycare Homehealth Provider Inc | Home Health | 11633 Hawthorne Blvd, Suite 401, Hawthorne, CA 90250-2321 | 2016-11-07 |
| 1689025538 | Farel A. Rosenberg Dds Inc | Dentist | 11633 Hawthorne Blvd, 500, Hawthorne, CA 90250-2321 | 2016-06-22 |
| 1730534751 | Orthodontics Only | Dentist | 11633 Hawthorne Blvd, Ste. 500, Hawthorne, CA 90250-2321 | 2016-04-27 |
| 1861874398 | Olivia Ghaussy | Nurse Practitioner | 11633 Hawthorne Blvd, Hawthorne, CA 90250-2321 | 2015-06-20 |
| 1396028700 | Continuity Providers Healthcare Inc. | Home Health | 11633 Hawthorne Blvd, 308, Hawthorne, CA 90250-2321 | 2011-09-21 |
| 1134377856 | Hala A.ahmed Al-shawe | Dentist | 11633 Hawthorne Blvd, #502, Hawthorne, CA 90250-2321 | 2008-09-06 |
| 1356531297 | Ali M. Awada M.d. Inc. | Pediatrics | 11633 Hawthorne Blvd, 100, Hawthorne, CA 90250-2321 | 2007-07-26 |
| 1447465976 | Collins Benye | Psychologist | 11633 Hawthorne Blvd, 210, Hawthorne, CA 90250-2321 | 2007-05-10 |
| 1356553564 | Brightlife International, Inc | Durable Medical Equipment & Medical Supplies | 11633 Hawthorne Blvd, Suite 216, Hawthorne, CA 90250-2322 | 2007-05-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508479627 | Alexis Lemmon | Dental Hygienist | 13450 Hawthrone Blvd, Hawthorne, CA 90250 | 2020-08-28 |
| 1336620459 | Lan Ngoc Ton | Dentist | 13450 S. Hawthorne Blvd, Hawthorne, CA 90250 | 2018-08-27 |
| 1356829261 | Karneth Health Inc | Internal Medicine | 4512 W. Imperial Hwy, Ste B, Hawthorne, CA 90250 | 2018-08-02 |
| 1225524663 | Viridian Healthcare LLC | In Home Supportive Care | 13658 Hawthorne Blvd Ste 201, Hawthorne, CA 90250 | 2018-07-09 |
| 1235636044 | Sonia Medical Center Inc | Clinic/Center | 4512 W Imperial Hwy, Hawthorne, CA 90250 | 2018-04-09 |
| 1518484807 | Jessica Anne-marie Auzenne-harris | Nurse Practitioner | 12618 Hawthorne Blvd, Hawthorne, CA 90250 | 2017-08-28 |
| 1669993358 | Ololade Olamide Obafemi | Nurse Practitioner | 12954 Hawthorne Boulevard, Suite 104, Hawthorne Morningside Medical Clinic, Hawthorne, CA 90250 | 2017-07-03 |
| 1588194534 | Marissam Medical Inc. | Durable Medical Equipment & Medical Supplies | 13508 Inglewood Ave, Hawthorne, CA 90250 | 2017-06-13 |
| 1043751886 | Ogbonna Iwuamadi Olelewe | Nurse Practitioner | 11712 S. Hawthorne Blvd, Hawthorne, CA 90250 | 2017-03-13 |
| 1952758898 | La Shada Kai Martin | Contractor | 13010 Kornblum Ave, Unit D, Hawthorne, CA 90250 | 2016-05-20 |
| Find all providers in zip 90250 | ||||
| Taxonomy Code | 207RC0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Clinical Cardiac Electrophysiology |
| A field of special interest within the subspecialty of cardiovascular disease, specialty of Internal Medicine, which involves intricate technical procedures to evaluate heart rhythms and determine appropriate treatment for them. |
| 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 Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
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|---|---|---|---|---|
| 1568027043 | Central Coast Cardiovascular Group Inc | Internal Medicine | 334 S Patterson Ave Ste 208, Santa Barbara, CA 93111-2400 | 2019-05-09 |
| 1225501133 | Mokabberi Md Inc | Internal Medicine | 1200 N Tustin Ave Ste 260, Santa Ana, CA 92705-3534 | 2019-01-03 |
| 1548780497 | Advanced Cardiology & Vascular Specialists | Internal Medicine | 51 N 5th Ave Ste 303, Arcadia, CA 91006-3711 | 2017-06-22 |
| 1407376304 | Christen A Hyde-treuhaft | Internal Medicine | 1526 Edgemont St., Icd Clinic, 2nd Floor Cardiology, Los Angeles, CA 90027 | 2017-06-21 |
| 1174956270 | Ravindra Prabhu Md A Medical Corporation | Internal Medicine | 754 Medical Center Ct., Suite 206, Chula Vista, CA 91911-6656 | 2013-08-13 |
| 1194022996 | David W. Orias, M.d. Inc. | Internal Medicine | 1700 N. Rose Avenue, Suite 420, Oxnard, CA 93030 | 2011-02-15 |
| 1750613329 | Desert Heart Rhythm Consultants Inc | Internal Medicine | 1100 North Palm Canyon Drive, 206, Palm Springs, CA 92262-4426 | 2010-02-08 |
| 1285968909 | Ccoc, Inc. | Internal Medicine | 333 Corporate Dr Ste 102, Ladera Ranch, CA 92694-2113 | 2009-09-28 |
| 1588890743 | Ruchir Sehra | Internal Medicine | Sandiego Va Hospital 3350 La Jolla Village Dr, Cardiology 111, San Diego, CA 92161-0001 | 2009-06-02 |
| 1154567394 | Ronald Carlish Medical Corporation | Internal Medicine | 135 E Live Oak Ave, Ste 205, Arcadia, CA 91006-5281 | 2008-12-17 |
| 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.