JASON C KANTOR (NPI# 1356323828) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1356323828 |
Entity Type | Individual |
Full Name | JASON C KANTOR |
Credential | MD |
Practice Address |
1300 W 7th St San Pedro CA 90732-3505 |
Mailing Address |
100 Oceangate Suite 1000 Long Beach CA 90802-4312 |
Practice Telephone | 3108323311 |
Mailing Telephone | 5625907400 |
Mailing Fax Number | 5625907452 |
Enumeration Date | 2005-11-18 |
Last Update Date | 2014-05-08 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 2085N0904X |
Radiology Specialization: Nuclear Radiology |
G40284 | CA | Allopathic & Osteopathic Physicians |
Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
G40284 | CA | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CA | BLUE SHIELD | 00G402840 | 01 |
CA | 00G402840 | 05 |
Street Address |
1300 W 7TH ST |
City | SAN PEDRO |
State | CA |
Zip Code | 90732-3505 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1598366486 | Nina Sabet-peyman, Md Inc. | Hospice, Inpatient | 1300 W 7th St, San Pedro, CA 90732-3505 | 2020-11-05 |
1154922185 | Melissa Louise Zankich-patalan | Nurse Practitioner | 1300 W 7th St, San Pedro, CA 90732-3505 | 2020-11-05 |
1063011104 | Christina Margarita Villasenor | Occupational Therapist | 1300 W 7th St, San Pedro, CA 90732-3505 | 2020-10-20 |
1073125480 | Peguy-emmanuelle Alva | Registered Nurse | 1300 W 7th St, San Pedro, CA 90732-3505 | 2020-08-18 |
1518588433 | Southern California Emergency Medical Group | Emergency Medicine | 1300 W 7th St, San Pedro, CA 90732-3505 | 2020-05-01 |
1033748744 | Jenna Nicole East | Speech-Language Pathologist | 1300 W 7th St, San Pedro, CA 90732-3505 | 2020-04-04 |
1023654555 | Susan Marie Smith | Registered Nurse | 1300 W 7th St, San Pedro, CA 90732-3505 | 2019-11-19 |
1477196269 | Vilma Asuma | Registered Nurse | 1300 W 7th St, San Pedro, CA 90732-3505 | 2019-10-24 |
1932742905 | Professional Anesthesia Associates PC | Nurse Anesthetist, Certified Registered | 1300 W 7th St, San Pedro, CA 90732-3505 | 2019-10-23 |
1225683345 | Clarita Cayaban Macellven | Registered Nurse | 1300 W 7th St, San Pedro, CA 90732-3505 | 2019-08-06 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538771241 | Alicia Avila | Student in an Organized Health Care Education/Training Program | 2227 Blue Butterfly Way, #7, San Pedro, CA 90732 | 2020-08-24 |
1619500543 | Udana Harris | Registered Nurse | 1300 West 7th Street, Obhc Unit, San Pedro, CA 90732 | 2020-02-19 |
1861042301 | Patricia Elaine Moses | Technician | 106 N. Western Ave Unit 102, San Pedro, CA 90732 | 2019-09-17 |
1629627393 | Antonio Ramon Martinez | Technician | 3141 Blue Butterfly Unit 66, San Pedro, CA 90732 | 2019-09-05 |
1487207700 | Victoria A. Shook, D.d.s., A Professional Corp. | Dentist | 28138 S. Western Ave., San Pedro, CA 90732 | 2019-07-17 |
1144566563 | Shaun E Chandran M D Inc | Orthopaedic Surgery | 1360 W 6th Street, Suite 305, San Pedro, CA 90732 | 2012-12-13 |
1316281280 | Jenny Luong | Physician Assistant | 1534 W. 25th St, San Pedro, CA 90732 | 2012-11-16 |
1033429519 | Eric M Feit Dpm Inc | Podiatrist | 1360 West 6th St., Suite 240, San Pedro, CA 90732 | 2010-10-18 |
1386808673 | Meysam Zaker | Dentist | 2470 S. Western Ave, San Pedro, Ca, CA 90732 | 2008-07-15 |
1376735340 | Francisco J. Correa, M.d., Inc | General Practice | 1350 W. 6th St, #3, San Pedro, CA 90732 | 2007-08-14 |
Find all providers in zip 90732 |
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 |
---|---|---|---|---|
1194968784 | Rooshin Bhadrik Dalal | Radiology | 1300 W 7th St, San Pedro, CA 90732-3505 | 2009-04-12 |
1225174659 | Christopher Smith | Radiology | 1300 W 7th St, San Pedro, CA 90732-3505 | 2007-01-30 |
1639237043 | David E Feldman, M.d., Inc. | Radiology | 1300 W 7th St, San Pedro, CA 90732-3505 | 2006-12-05 |
1740208032 | George Walter Taus | Radiology | 1366 W 7th St, San Pedro, CA 90732-3500 | 2006-07-17 |
1033135678 | David Emil Feldman | Radiology | 1300 W 7th St, San Pedro, CA 90732-3505 | 2006-07-15 |
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1003415613 | Antelope Valley Outpatient Imaging Center, LLC | Radiology | 38925 Trade Center Dr Unit E, Palmdale, CA 93551-3655 | 2020-10-23 |
1083213151 | Antelope Valley Outpatient Imaging Center, LLC | Radiology | 44105 15th St W Ste 100, Lancaster, CA 93534-4090 | 2020-10-20 |
1750980967 | Centrelake Medical Group Inc | Radiology | 430 W Stetson Ave, Hemet, CA 92543-7328 | 2020-10-19 |
1538775994 | Richard J. Moran | Radiology | 230 S Main St Ste 101, Orange, CA 92868-3851 | 2020-09-21 |
1417567710 | Family Medical Diagnostics Inc | Radiology | 19231 Victory Blvd Ste 356, Reseda, CA 91335-6308 | 2020-08-03 |
1396365011 | Prodiagnose Inc | Radiology | 7345 Topanga Canyon Blvd # 210, Canoga Park, CA 91303-1244 | 2020-04-22 |
1548892276 | Alvarado Radiology Group Inc, A Professional Corporation | Radiology | 13700 Marina Pointe Dr Unit 430, Marina Del Rey, CA 90292-9277 | 2020-02-11 |
1710518535 | Health Diagnostics of California A Professional Corporation | Radiology | 1690 Barton Rd Ste 107, Redlands, CA 92373-4230 | 2020-01-30 |
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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.