BEL AIR CRITICAL CARE MEDICAL GROUP, INC. (NPI# 1396268041) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396268041 |
| Entity Type | Organization |
| Organization Name | BEL AIR CRITICAL CARE MEDICAL GROUP, INC. |
| Practice Address |
1401 S Grand Ave Los Angeles CA 90015-3010 |
| Mailing Address |
Po Box 4727 San Dimas CA 91773-8727 |
| Practice Telephone | 2137425555 |
| Mailing Telephone | 6264470296 |
| Mailing Fax Number | 6266231227 |
| Enumeration Date | 2017-07-24 |
| Last Update Date | 2017-07-24 |
| Authorized Official Name | DR. STEVEN P MARON (PRESIDENT) |
| Authorized Official Telephone | 9254828249 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0200X |
Internal Medicine Specialization: Critical Care Medicine |
Allopathic & Osteopathic Physicians |
| Street Address |
1401 S GRAND AVE |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90015-3010 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609872662 | California Hospital Radiology Medical Group PC | Specialist | 1401 S Grand Ave, Los Angeles, CA 90015-3010 | 2005-06-23 |
| 1598364804 | Katherine Ruiz Rossi | Student in an Organized Health Care Education/Training Program | 1401 S Grand Ave, Los Angeles, CA 90015-3010 | 2020-10-19 |
| 1548883911 | Giovani Valentin Cruz Cruz | Student in an Organized Health Care Education/Training Program | 1401 S Grand Ave, Los Angeles, CA 90015-3010 | 2020-05-20 |
| 1134742604 | Layla Nina Farrahi | Student in an Organized Health Care Education/Training Program | 1401 S Grand Ave, Los Angeles, CA 90015-3010 | 2020-05-19 |
| 1649893108 | Juliana Jones | Student in an Organized Health Care Education/Training Program | 1401 S Grand Ave, Los Angeles, CA 90015-3010 | 2020-05-19 |
| 1578186037 | Elizabeth Lisa Lee | Student in an Organized Health Care Education/Training Program | 1401 S Grand Ave, Los Angeles, CA 90015-3010 | 2020-05-19 |
| 1104455625 | Nyree Minatsaghanian | Registered Nurse | 1401 S Grand Ave, Los Angeles, CA 90015-3010 | 2020-04-06 |
| 1639714561 | Katherine H Park | Occupational Therapist | 1401 S Grand Ave, Los Angeles, CA 90015-3010 | 2019-11-14 |
| 1215572110 | Brittany Richardson | Social Worker | 1401 S Grand Ave, Los Angeles, CA 90015-3010 | 2019-11-14 |
| 1356985311 | Ran Chu | Occupational Therapist | 1401 S Grand Ave, Los Angeles, CA 90015-3010 | 2019-11-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184224156 | Via Care Community Health Center | Clinic/Center | 400 West Washington Blvd., The Hub D3-room 107, Los Angeles, CA 90015 | 2020-10-29 |
| 1225650955 | Luis Alvarado | Student in an Organized Health Care Education/Training Program | 1150 S. Olive Street, Suite 1400, Los Angeles, CA 90015 | 2020-05-15 |
| 1386290385 | Amy M Powell | Student in an Organized Health Care Education/Training Program | 1140 S.olive Street Ste #1427, Los Angeles, CA 90015 | 2019-08-15 |
| 1881170199 | Angie Andreina Trias Sanchez | Student in an Organized Health Care Education/Training Program | 936 S Olive St Apt 154, Los Angeles, CA 90015 | 2018-07-19 |
| 1083148753 | Central Neighborhood Health Foundation - Fontana | Clinic/Center | 714 W. Olympic Blvd Suite # 801, Los Angeles, CA 90015 | 2017-04-19 |
| 1255871711 | Ethan Lin | Student in an Organized Health Care Education/Training Program | 1401 S. Grand Ave. Suite 101, Residency Program, Los Angeles, CA 90015 | 2017-03-03 |
| 1972055093 | Yvonne Perez | Social Worker | 1150 South Hill St, Suite H-375, Los Angeles, CA 90015 | 2016-10-25 |
| 1356896492 | Mayano Ochi | Midwife | 1513 S Grand Ave Ste 250, Los Angeles, CA 90015 | 2016-08-18 |
| 1518321686 | Cielo Reyna-donaldson | Registered Nurse | 1520 South Olive Street, Los Angeles, CA 90015 | 2016-04-05 |
| 1891175774 | Amanecer Community Counseling Service | Community/Behavioral Health | 1500 S Olive St Rm 506, Los Angeles, CA 90015 | 2015-06-04 |
| Find all providers in zip 90015 | ||||
| Taxonomy Code | 207RC0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Critical Care Medicine |
| An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists. |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700339702 | Raheem Kajani | Internal Medicine | 1729 Cesar E. Chavez Ave, Los Angeles, CA 90033 | 2016-07-27 |
| 1255795076 | Ghazal Kabbach | Internal Medicine | 2020 Zonal Ave # Ird720, Los Angeles, CA 90089-0121 | 2016-04-07 |
| 1780989384 | Diagnostic Care Inc | Internal Medicine | 8635 W 3rd St Ste 1170w, Los Angeles, CA 90048-6104 | 2011-01-13 |
| 1861692667 | Ashraf Elsayegh Md A Professional Corporation | Internal Medicine | 2080 Century Park E Ste 608, Los Angeles, CA 90067-2009 | 2007-07-19 |
| 1588748180 | Nariman Saddad | Internal Medicine | 1440 Veteran Ave, Suite 234, Los Angeles, CA 90024-4838 | 2006-10-24 |
| 1841302122 | Raj K Batra | Internal Medicine | 11301 Wilshire Blvd # 111q, Division of Pulmonary and Critical Care Medicine, Los Angeles, CA 90073-1003 | 2006-08-31 |
| 1427088830 | Frederick Butler II | Internal Medicine | 616 Witmer Street, Los Angeles, CA 90017-2395 | 2006-07-03 |
| 1487130167 | Rock Hollow Critical Care Medical Group Inc | Internal Medicine | 1300 N Vermont Ave, Los Angeles, CA 90027 | 2018-07-16 |
| 1447740493 | Varicose Relief Inc | Internal Medicine | 3130 W Olympic Blvd, Suite 360, Los Angeles, CA 90006-2484 | 2018-05-15 |
| 1780111625 | West Coast Critical Care Specialist of Los Angeles, Inc. | Internal Medicine | 1401 S Grand Ave, Los Angeles, CA 90015-3010 | 2017-05-22 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90015 |
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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.