DR. ALISON DIETRICH (NPI# 1477503456) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477503456 |
| Entity Type | Individual |
| Full Name | DR. ALISON DIETRICH |
| Credential | M.D. |
| Practice Address |
5800 Hammum Ave Culver City CA 90230 |
| Mailing Address |
4161 Redondo Beach Blvd Suite 201 Lawndale CA 90260-3306 |
| Practice Telephone | 3106450444 |
| Practice Fax Number | 3102167336 |
| Mailing Telephone | 3102148677 |
| Mailing Fax Number | 3109211718 |
| Enumeration Date | 2006-05-11 |
| Last Update Date | 2007-11-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | A79438 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | DEA NUMBER | BD6976394 | 01 |
| Street Address |
5800 HAMMUM AVE |
| City | CULVER CITY |
| State | CA |
| Zip Code | 90230 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558822064 | Smilemax Dental Center | Dentist | 10814 Jefferson Blvd. #g, Culver City, CA 90230 | 2019-03-27 |
| 1023532595 | Mary Alice Haye | Marriage & Family Therapist | 550 S. Vermont Ave., 7th Floor, 700, Los Angeles, CA 90230 | 2017-07-27 |
| 1902342074 | Dorene Lehavi | Social Worker | 5106 S Slauson Ave, Suite 192, Los Angeles, CA 90230 | 2017-01-13 |
| 1548634553 | Kimberly Henck | Speech-Language Pathologist | 607 Bristol Pkwy, Ste 105, Culver City, CA 90230 | 2015-11-15 |
| 1346628898 | Stephan Sepernia | Marriage & Family Therapist | 5601 W. Slavson Ave. #192, Culver City, CA 90230 | 2015-05-15 |
| 1558749291 | Sean Steven Mcknee | Chiropractor | 5839 Green Valley Cir Ste 102, Culver City, CA 90230 | 2015-05-14 |
| 1821484841 | Jasmine Lee | Family Medicine | 6000 Sepulveda Blvd Ste E10, Culver City, CA 90230 | 2015-04-07 |
| 1043609191 | Carrie Mays | Counselor | 4760 Sepulvda Blvd., Culver City, CA 90230 | 2015-01-13 |
| 1457759375 | Monquenta Felicia Young | Case Manager/Care Coordinator | 666 Green Valley Circle, Culver City, CA 90230 | 2014-12-09 |
| 1972902724 | Shana Chan Pope | Marriage & Family Therapist | 11949 Jefferson Blvd #106, Culver City, CA 90230 | 2014-08-18 |
| Find all providers in zip 90230 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821587890 | Tania Bhatia | Family Medicine | 10000 Washington Blvd Ste 108, Culver City, CA 90232-2782 | 2018-05-05 |
| 1821484841 | Jasmine Lee | Family Medicine | 6000 Sepulveda Blvd Ste E10, Culver City, CA 90230 | 2015-04-07 |
| 1770608432 | Santa Monica Bay Area Physicians | Family Medicine | 6029 Bristol Pkwy Ste 100, Culver City, CA 90230-4899 | 2007-03-20 |
| 1659309763 | Michelle L Catanzarite | Family Medicine | 5901 Green Valley Cir, Suite 405, Culver City, CA 90230-6938 | 2006-06-29 |
| 1528012143 | Marc Chin | Family Medicine | 10100 Culver Blvd, Culver City, CA 90232-3175 | 2006-05-19 |
| 1235118233 | Angela Y Mosby | Family Medicine | 6000 Sepulveda Blvd Ste 2660, Culver City, CA 90230-6432 | 2006-01-10 |
| 1962407692 | Daniel M Sciaroni | Family Medicine | 9726 Venice Blvd, Culver City, CA 90232-2717 | 2005-06-17 |
| 1760685515 | Horacio F Ariza Md | Family Medicine | 9808 Venice Blvd, 710, Culver City, CA 90232-2732 | 2007-06-08 |
| 1275676363 | Ada Elena Del Rivero Yamuy | Family Medicine | 3831 Hughes Ave, Suite 101, Culver City, CA 90232-2751 | 2007-02-15 |
| 1588760508 | Linda Narvaez | Family Medicine | 3831 Hughes Ave, Suite #708, Culver City, CA 90232-2751 | 2006-09-16 |
| Find all providers in CULVER CITY | ||||
| City | CULVER CITY |
| Zip Code | 90230 |
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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.