EXECUTIVE MEDICINE, INC. (NPI# 1407291347) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407291347 |
| Entity Type | Organization |
| Organization Name | EXECUTIVE MEDICINE, INC. |
| Other Organization Name | MONROVIA INTERNAL MEDICINE AND PRIMARY CARE |
| Practice Address |
1227 Buena Vista St Suite #f Duarte CA 91010-2486 |
| Mailing Address |
Po Box 2063 Monrovia CA 91017-6063 |
| Practice Telephone | 8772544496 |
| Practice Fax Number | 8772544496 |
| Mailing Telephone | 8772544496 |
| Mailing Fax Number | 8772544496 |
| Enumeration Date | 2013-05-06 |
| Last Update Date | 2015-04-29 |
| Authorized Official Name | DR. ULIN SARGEANT (CEO/MEDICAL DIRECTOR) |
| Authorized Official Telephone | 8772544496 |
| Authorized Official Credential | M.D., M.P.H. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | A97256 | CA | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Monrovia Internal Medicine and Primary Care | Doing Business As Name - Organization |
| Street Address |
1227 BUENA VISTA ST SUITE #F |
| City | DUARTE |
| State | CA |
| Zip Code | 91010-2486 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750390365 | Nilima M Patel | Dentist | 1227 Buena Vista St, Suite A, Duarte, CA 91010-2486 | 2006-08-05 |
| 1861684425 | Jagvinder Singh | Internal Medicine | 1227 Buena Vista St, Duarte, CA 91010-2486 | 2007-08-16 |
| 1992878151 | Ulin Sargeant | General Practice | 1227 Buena Vista St, Suite #f, Duarte, CA 91010-2486 | 2006-11-16 |
| 1003996810 | Colleen Candace Cork | Chiropractor | 1227 Buena Vista St, Suite D, Duarte, CA 91010-2486 | 2006-10-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386266849 | Cheyenne King | Student in an Organized Health Care Education/Training Program | 1801 Huntington Drive, Duarte, Ca 91010, Duarte, CA 91010 | 2020-05-07 |
| 1114578028 | Cristian Gonzalez | Case Manager/Care Coordinator | 2250 E Foothill Ave, Pasadena, CA 91010 | 2019-09-23 |
| 1366932378 | Maisie Madrid | Marriage & Family Therapist | 1801 Huntington Drive, Duarte, CA 91010 | 2018-05-15 |
| 1598289571 | Bertha Maria Torres | Social Worker | 938 E. Huntington Drive, Unit A, Duarte, CA 91010 | 2017-08-01 |
| 1598292286 | Sheila Ramirez | Occupational Therapy Assistant | 2302 Citrus View Ave, Duarte, CA 91010 | 2017-05-12 |
| 1982059556 | Patricia Mendoza | Case Manager/Care Coordinator | 2502 E.huntington Dr., Duarte, CA 91010 | 2016-05-02 |
| 1770966178 | Sinziana Dumitra | Surgery | 1500 Durate Road California, Mob L001, Duarte, CA 91010 | 2015-07-02 |
| 1477940161 | Jin Sun L Bitar | Internal Medicine | 1500 Duarte Rd # Wing4, Duarte, CA 91010 | 2015-04-20 |
| 1659625622 | Jeanette Marie Petermann | Nurse Practitioner | 1036 East Huntington Drive, Duarte, CA 91010 | 2012-10-30 |
| 1649534397 | Nathaniel J Khoe Dds. Inc | Dentist | 1016 Huntington Drive, Duarte, CA 91010 | 2012-06-27 |
| Find all providers in zip 91010 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| 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 |
|---|---|---|---|---|
| 1477940161 | Jin Sun L Bitar | Internal Medicine | 1500 Duarte Rd # Wing4, Duarte, CA 91010 | 2015-04-20 |
| 1073664660 | Yuan Yuan | Internal Medicine | 1500 East Duarte Rd, City of Hope National Cancer Center, Duarte, CA 91010 | 2007-01-12 |
| 1801819321 | Lauren Soojin Kim | Internal Medicine | 931 Buena Vista St Ste 405, Duarte, CA 91010-1723 | 2006-07-25 |
| 1932126497 | Indravadan Somalal Shah | Internal Medicine | 931 Buena Vista Street, #504, Duarte, CA 91010 | 2006-07-17 |
| 1487620829 | Cornelia G. Banciu-odell | Internal Medicine | 1500 E. Duarte Road, Duarte, CA 91010 | 2006-02-26 |
| 1861498271 | Marwan G Fakih | Internal Medicine | 1500 Duarte Rd, Duarte, CA 91010-3012 | 2005-06-22 |
| 1457880163 | Ramya Reddy Muddasani | Internal Medicine | 1500 Duarte Rd, Duarte, CA 91010-3012 | 2017-06-06 |
| 1992157325 | Bekir Suveyd | Internal Medicine | 1500 E Duarte Rd, Endocrinology, Gonda South Building, Suite 1011a, Duarte, CA 91010 | 2016-07-09 |
| 1851747620 | Eric David Mecusker | Internal Medicine | 1500 Duarte Rd, Duarte, CA 91010-3012 | 2016-05-10 |
| 1891159620 | Zain Talal Gebraiel Jabri | Internal Medicine | 1500 Duarte Rd, Duarte, CA 91010-3012 | 2016-04-07 |
| Find all providers in DUARTE | ||||
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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.