DR. ANDREW DYLAN FRUTKIN (NPI# 1407885403) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407885403 |
| Entity Type | Individual |
| Full Name | DR. ANDREW DYLAN FRUTKIN |
| Credential | M.D. |
| Practice Address |
39000 Bob Hope Dr Hal B. Wallis Bldg. Rancho Mirage CA 92270-3221 |
| Practice Telephone | 7603460642 |
| Practice Fax Number | 7603404874 |
| Mailing Telephone | 7603460642 |
| Mailing Fax Number | 7603404874 |
| Enumeration Date | 2006-07-02 |
| Last Update Date | 2010-11-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
C54394 | CA | Allopathic & Osteopathic Physicians |
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
MD28481 | OR | Allopathic & Osteopathic Physicians |
| Y | 207RI0011X |
Internal Medicine Specialization: Interventional Cardiology |
C54394 | CA | Allopathic & Osteopathic Physicians |
| N | 207RI0011X |
Internal Medicine Specialization: Interventional Cardiology |
MD28481 | OR | Allopathic & Osteopathic Physicians |
| Street Address |
39000 BOB HOPE DR HAL B. WALLIS BLDG. |
| City | RANCHO MIRAGE |
| State | CA |
| Zip Code | 92270-3221 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427053206 | Carol A Marietta | Nurse Practitioner | 39000 Bob Hope Dr, Rancho Mirage, CA 92270-3221 | 2005-06-17 |
| 1770193021 | Corinne Estelle Worland | Dietitian, Registered | 39000 Bob Hope Dr, Rancho Mirage, CA 92270-3221 | 2020-08-02 |
| 1134744626 | Borna Vajdi | Student in an Organized Health Care Education/Training Program | 39000 Bob Hope Dr, Rancho Mirage, CA 92270-3221 | 2020-06-10 |
| 1902429079 | Ana Carolina Anguiano Jaimes | Nurse Practitioner | 39000 Bob Hope Dr, Rancho Mirage, CA 92270-3221 | 2020-05-24 |
| 1437779543 | Sanjai Krishna Jothikumar | Student in an Organized Health Care Education/Training Program | 39000 Bob Hope Dr, Rancho Mirage, CA 92270-3221 | 2020-04-18 |
| 1659991966 | Raphi Hambartzhumian | Student in an Organized Health Care Education/Training Program | 39000 Bob Hope Dr, Rancho Mirage, CA 92270-3221 | 2020-04-17 |
| 1669091252 | Catherine Goff | Student in an Organized Health Care Education/Training Program | 39000 Bob Hope Dr, Rancho Mirage, CA 92270-3221 | 2020-04-13 |
| 1659990471 | Zariah Chappell | Student in an Organized Health Care Education/Training Program | 39000 Bob Hope Dr, Rancho Mirage, CA 92270-3221 | 2020-04-11 |
| 1043839186 | Brandyce Elia | Student in an Organized Health Care Education/Training Program | 39000 Bob Hope Dr, Achs-gme Office Suite 201, Rancho Mirage, CA 92270-3221 | 2020-04-09 |
| 1659990604 | Dona Therese El-khoury | Student in an Organized Health Care Education/Training Program | 39000 Bob Hope Dr, Rancho Mirage, CA 92270-3221 | 2020-04-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235757824 | Monsetrrat Martinez | Behavioral Analyst | 69930 Ca-111, Ste 118, Rancho Mirage, CA 92270 | 2020-07-09 |
| 1306475785 | Christine Palmares | Student in an Organized Health Care Education/Training Program | 39000 Bob Hope Drive, Achs-gme Office, Rancho Mirage, CA 92270 | 2020-04-07 |
| 1821627449 | Dino Mellone | Student in an Organized Health Care Education/Training Program | 39000 Bob Hope Drive, Achs-gme Office Ste. 201, Rancho Mirage, CA 92270 | 2020-04-06 |
| 1356970164 | Chris Kim | Student in an Organized Health Care Education/Training Program | Eisenhower Health Emergency Medicine Residency, 39000 Bob Hope Dr., Achs-gme Office, Rancho Mirage, CA 92270 | 2020-04-03 |
| 1609434075 | Junko Ohara | Student in an Organized Health Care Education/Training Program | Eisenhower Health Internal Medicine Residency, 39000 Bob Hope Drive, Achs-gme Office, Rancho Mirage, CA 92270 | 2019-05-31 |
| 1245791896 | Iman Rasheed | Student in an Organized Health Care Education/Training Program | 3900 Bob Hope Drive, Achs-gme Office, Rancho Mirage, CA 92270 | 2019-03-27 |
| 1073086583 | Robert B Greene | Internal Medicine | 8 Moon Lake Drive, Rancho Mirage, CA 92270 | 2019-01-08 |
| 1356818884 | Kade Bartschi | Dentist | 1591 Griffin Rd, 29 Palms, CA 92270 | 2018-11-02 |
| 1841775392 | Rose Pharmacy Rm LLC | Pharmacy | 35400 Bob Hope Drive, Suite #207, Rancho Mirage, CA 92270 | 2018-10-01 |
| 1235615956 | Trang Huyen Nguyen | Dentist | 71-817 Hwy 111 Suite A, Rancho Mirage, CA 92270 | 2018-07-16 |
| Find all providers in zip 92270 | ||||
| Taxonomy Code | 207RI0011X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Interventional Cardiology |
| An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/ Board Certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. ACGME Accredited Residency Program Requirements: 1 year of training plus a prerequisite of 3 years Internal Medicine, 3 years Cardiovascular Disease for a total of 7 years. ABMS Approved Subspecialty Certificate (Internal Medicine) |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033434774 | Praveen Panguluri | Internal Medicine | 39000 Bob Hope Dr, Rancho Mirage, CA 92270-3221 | 2010-04-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104430412 | Anitha Rajamanickam Md Apmc | Internal Medicine | 3907 Waring Rd Ste 3, Oceanside, CA 92056-4454 | 2020-09-03 |
| 1316574890 | Woodland Hills Cardiology Group, PC | Internal Medicine | Woodland Hills Cardiology Group, PC, 22900 Ventura Blvd, Ste 165, Woodland Hills, CA 91364 | 2020-03-25 |
| 1841820677 | Sarsam Cardiology A Professional Corporation | Internal Medicine | 31285 Temecula Pkwy Ste 220, Temecula, CA 92592-6833 | 2020-01-21 |
| 1982246575 | Golden State Heart & Vascular Associates | Internal Medicine | 1850 El Camino Real Ste 200, Burlingame, CA 94010 | 2019-10-15 |
| 1861048613 | Sam Dawkins | Internal Medicine | Suite 415e, 8631 West Third Street, Los Angeles, CA 90048 | 2019-08-16 |
| 1336708494 | Peripheral Vascular Institute, Inc. A Podiatry Corp | Internal Medicine | 2100 Solar Dr Ste 103, Oxnard, CA 93036-0649 | 2019-06-11 |
| 1568020709 | Bakersfield Vascular Care Inc | Internal Medicine | 3550 Q St Ste 205, Bakersfield, CA 93301-1645 | 2019-06-03 |
| 1669974689 | Hossein Eftekhari Md Inc | Internal Medicine | 4147 Pascal Pl, Palos Verdes Peninsula, CA 90274-3941 | 2018-03-06 |
| 1104324102 | Adventist Health Physicians Network | Internal Medicine | 414 G St Ste 108, Marysville, CA 95901-5669 | 2018-01-25 |
| 1194223198 | Adventist Health Physicians Network | Internal Medicine | 414 G St Ste 210, Marysville, CA 95901-5669 | 2018-01-25 |
| Find all providers with the same taxonomy | ||||
| City | RANCHO MIRAGE |
| Zip Code | 92270 |
Please comment or provide details below to improve the information on DR. ANDREW DYLAN FRUTKIN.
| 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.