GORDANA RACA (NPI# 1386962884) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386962884 |
| Entity Type | Individual |
| Full Name | GORDANA RACA |
| Credential | MD,PHD,FACMG |
| Practice Address |
4650 W Sunset Blvd Los Angeles CA 90027-6062 |
| Practice Telephone | 3233615917 |
| Mailing Telephone | 3233615917 |
| Enumeration Date | 2010-05-07 |
| Last Update Date | 2019-04-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 247ZC0005X |
Pathology Specialization: Clinical Laboratory Director, Non-physician |
Technologists, Technicians & Other Technical Service Providers |
| Street Address |
4650 W SUNSET BLVD |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90027-6062 |
| 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 |
| Find all providers in the same location | ||||
| 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 |
| Find all providers in zip 90027 | ||||
| Taxonomy Code | 247ZC0005X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Pathology |
| Specialization | Clinical Laboratory Director, Non-physician |
| An individual who is state-licensed as a clinical laboratory director and meets the qualifications in the Clinical Laboratory Improvement Amendments of 1988 for non-physicians (non-MD/DO) as defined in the CFR 42 Part 493.1405. |
| Notes: Source: National Uniform Claim Committee [1/1/2007: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972045110 | Anthony Butch | Pathology | 2122 Granville Ave, Los Angeles, CA 90095-6106 | 2016-11-04 |
| 1992366843 | Tharanga Niroshini Senaratne | Pathology | 10833 Le Conte Ave, Los Angeles, CA 90095-3075 | 2019-06-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851915888 | Pangea Laboratory LLC | Pathology | 3189 Red Hill Ave Ste D, Costa Mesa, CA 92626-3426 | 2020-06-05 |
| 1851913354 | The Laab LLC | Pathology | 664b W Broadway, Glendale, CA 91204-1008 | 2020-05-07 |
| 1811492028 | Andy Madoyan | Pathology | 1737 E Washington Blvd Ste 5, Pasadena, CA 91104-2772 | 2018-03-28 |
| 1730589102 | Dale Ann Schwab | Pathology | 5785 Corporate Ave, Cypress, CA 90630-4726 | 2014-09-03 |
| 1205494218 | Jack Ji | Pathology | 180 Kimball Way, South San Francisco, CA 94080-6218 | 2019-06-04 |
| 1831753839 | Daniel Yue-king Chan | Pathology | 430 S Cataract Ave, San Dimas, CA 91773-2902 | 2019-04-24 |
| 1265700660 | Ketevan Gendzekhadze | Pathology | 1500 Duarte Rd, Duarte, CA 91010-3012 | 2011-12-13 |
| 1811295165 | Athena M Cherry | Pathology | 3375 Hillview Ave, Room 2809, Palo Alto, CA 94304-1204 | 2011-03-10 |
| 1073754081 | Judith Wilber | Pathology | 3260 Bayshore Blvd, Brisbane, CA 94005-1021 | 2009-03-20 |
| 1790970648 | Bernard Richard Tegtmeier | Pathology | 1500 Duarte Rd, Duarte, CA 91010-3012 | 2007-09-12 |
| Find all providers with the same taxonomy | ||||
| City | LOS ANGELES |
| Zip Code | 90027 |
Please comment or provide details below to improve the information on GORDANA RACA.
| 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.