DR. ANSHUMAN BANSAL (NPI# 1366685273) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1366685273 |
Entity Type | Individual |
Full Name | DR. ANSHUMAN BANSAL |
Credential | M.D. |
Practice Address |
9898 Genesee Ave La Jolla CA 92037-1205 |
Mailing Address |
10790 Rancho Bernardo Rd San Diego CA 92127-5705 |
Practice Telephone | 8585542626 |
Mailing Telephone | 8585542626 |
Enumeration Date | 2009-04-08 |
Last Update Date | 2019-01-31 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2085R0204X |
Radiology Specialization: Vascular & Interventional Radiology |
A118184 | CA | Allopathic & Osteopathic Physicians |
N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
Street Address |
9898 GENESEE AVE |
City | LA JOLLA |
State | CA |
Zip Code | 92037-1205 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033116223 | William Gang Wang | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 9898 Genesee Ave, La Jolla, CA 92037-1205 | 2005-07-01 |
1639715725 | Elisabeth Sarah Lottman | Speech-Language Pathologist | 9898 Genesee Ave, La Jolla, CA 92037-1205 | 2019-11-23 |
1730740036 | Adriana Yvette Southworth | Registered Nurse | 9898 Genesee Ave, La Jolla, CA 92037-1205 | 2019-06-26 |
1205333010 | Chelsea Marie Rouleau | Nurse Practitioner | 9898 Genesee Ave, La Jolla, CA 92037-1205 | 2018-04-09 |
1477067981 | Eneh-lieh J Ancheta | Nurse Practitioner | 9898 Genesee Ave, La Jolla, CA 92037-1205 | 2017-11-20 |
1780102640 | Marissa Munsayac | Nurse Practitioner | 9898 Genesee Ave, La Jolla, CA 92037-1205 | 2017-08-31 |
1306374012 | Paige Read Squiller | Physician Assistant | 9898 Genesee Ave, Amp 410, La Jolla, CA 92130 | 2017-05-24 |
1972054534 | Scripps Health | Clinic/Center | 9898 Genesee Ave, La Jolla, CA 92037-1205 | 2016-10-19 |
1073061248 | Paddy Barrett | Internal Medicine | 9898 Genesee Ave, La Jolla, CA 92037-1205 | 2016-09-16 |
1225487069 | Jacinta Tran | Nurse Practitioner | 9898 Genesee Ave, La Jolla, CA 92037 | 2016-06-11 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1982221768 | Equip Health Medical, PC | Clinic/Center | 2674 Costebelle Drive, Unit A, La Jolla, CA 92037 | 2020-06-29 |
1134745474 | Brenda Kay Wiederhold | Psychologist | Virtual Reality Medical Center, 9834 Genesee Avenue, Suite 427, La Jolla, CA 92037 | 2020-06-23 |
1316581598 | Kathleen M Blechertas | Physical Therapist | 9888 Genesee, Lj19, La Jolla, CA 92037 | 2019-10-31 |
1316592876 | Kevin Yanyan Li | Student in an Organized Health Care Education/Training Program | 9300 Campus Point Drive, Mc7400, La Jolla, CA 92037 | 2019-08-01 |
1407400542 | Juan J Salmeron | Dentist | Callejin Internacional 351 L2, Los Algodones, BAJA CALIFORNIA 92037 | 2019-07-26 |
1609428598 | Nicole Whitney Mark | Physician Assistant | 8103 Caminito Sonoma, La Jolla, CA 92037 | 2019-07-11 |
1700357936 | Cecelia Rose Greene/pendzich | Mastectomy Fitter | 7760 Fay Ave, Suite M., La Jolla, CA 92037 | 2018-12-16 |
1740765890 | Jeenal Ankit Gordhandas | Student in an Organized Health Care Education/Training Program | East Campus Office Building, Medical Center Dr, La Jolla, CA 92037 | 2018-09-25 |
1306325220 | Lisa Beth Perlov Marks | Marriage & Family Therapist | 7734 Hershel Avenue, Suite O, La Jolla, CA 92037 | 2018-08-10 |
1023596731 | Uc San Diego, Pathology Dept | Pathology | East Campus Office Building, Medical Center Dr, San Diego, CA 92037 | 2018-08-03 |
Find all providers in zip 92037 |
Taxonomy Code | 2085R0204X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Radiology |
Specialization | Vascular & Interventional Radiology |
A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134739949 | Ava Vascular | Radiology | 1281 W. C. Street, Suite 200, Colton, CA 92324 | 2020-08-06 |
1306467204 | Saleh Radiology of Inland Empire | Radiology | 15276 Ledgestone St, Fontana, CA 92336-4048 | 2020-05-01 |
1366084535 | Luo Xu | Radiology | 757 Westwood Plz # 2146, Los Angeles, CA 90095-8358 | 2019-10-09 |
1346717824 | Cvs Medical Group, Inc | Radiology | 201 W Garvey Ave Ste 102-502, Monterey Park, CA 91754-7418 | 2018-11-01 |
1407353675 | Art Vascular & Interventional Associates Inc | Radiology | 324 S Beverly Dr Ste 345, Beverly Hills, CA 90212-4801 | 2018-04-12 |
1568971869 | Broad Reach Specialty Surgery Inc | Radiology | 8117 West Manchester Ave, Ste 368, Playa Del Rey, CA 90293 | 2017-09-29 |
1407393754 | Valley Vascular Partners Inc | Radiology | 19231 Victory Blvd Ste 155, Reseda, CA 91335-6329 | 2017-01-25 |
1124497342 | Neurointerventional Surgery Consultants, PC | Radiology | 534 S Brea Blvd, Brea, CA 92821-5304 | 2015-09-17 |
1578946026 | Clarity Radiology, LLC | Radiology | 39 Via Navarro, Greenbrae, CA 94904-1215 | 2015-07-01 |
1669863981 | Pedes Vascular San Fernando Valley | Radiology | 16260 Ventura Boulevard, Suite 210, Encino, CA 91436-2203 | 2015-02-09 |
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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.