JACOB B PELTA (NPI# 1477664217) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477664217 |
| Entity Type | Individual |
| Full Name | JACOB B PELTA |
| Credential | MD |
| Practice Address |
6360 Wilshire Blvd Suite # 501 Los Angeles CA 90048-5603 |
| Practice Telephone | 3236536166 |
| Practice Fax Number | 3236536171 |
| Mailing Telephone | 3236536166 |
| Mailing Fax Number | 3236536171 |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2010-10-04 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RR0500X |
Internal Medicine Specialization: Rheumatology |
G23606 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
6360 WILSHIRE BLVD SUITE # 501 |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90048-5603 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356335277 | Homayoon Khanlou | Internal Medicine | 6360 Wilshire Blvd, 414, Los Angeles, CA 90048 | 2005-09-07 |
| 1497202139 | Cheryl Che | Pharmacist | 6360 Wilshire Blvd, Los Angeles, CA 90048-5603 | 2016-09-09 |
| 1366804825 | Samuel Ross Md Inc | Internal Medicine | 6360 Wilshire Blvd, #102, Los Angeles, CA 90048-5603 | 2016-03-24 |
| 1831578780 | Henry Lo Dds Inc | Dentist | 6360 Wilshire Blvd, Suite Number 403, Los Angeles, CA 90048-5603 | 2015-05-26 |
| 1063803120 | Wesley Mcgeachy | Physical Therapist | 6360 Wilshire Blvd, 302, Los Angeles, CA 90048-5603 | 2015-02-11 |
| 1366857690 | Justin Ghiam | Dentist | 6360 Wilshire Blvd, Suite 512, Los Angeles, CA 90048-5603 | 2014-06-25 |
| 1821438987 | Miiid Incorporated | Internal Medicine | 6360 Wilshire Blvd, Ste 414, Los Angeles, CA 90048-5603 | 2013-07-03 |
| 1467707620 | Daniel Paul Rodriguez | Occupational Therapist | 6360 Wilshire Blvd, Ste.300, Los Angeles, CA 90048-5603 | 2012-07-13 |
| 1982979787 | Senny Schnell | Behavioral Analyst | 6360 Wilshire Blvd, Ste 300, Los Angeles, CA 90048-5603 | 2012-03-13 |
| 1821371501 | Margaret Laemmle Reisbaum | Speech-Language Pathologist | 6360 Wilshire Blvd, Suite 300, Los Angeles, CA 90048-5603 | 2011-09-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609473420 | Alden Advanced Surgicenter LLC | Clinic/Center | 8741 Alden Drive, Suite B, Los Angeles, CA 90048 | 2020-10-05 |
| 1760090062 | New Dawn Tms Psychiatry | Clinic/Center | 640 S San Vincente Blvd, Ste. 210, Los Angeles, CA 90048 | 2020-07-22 |
| 1114547312 | Savannah Marie Gonzales | Student in an Organized Health Care Education/Training Program | 8700 Beverly Blvd Suite 3636, Los Angeles, CA 90048 | 2020-04-17 |
| 1861048613 | Sam Dawkins | Internal Medicine | Suite 415e, 8631 West Third Street, Los Angeles, CA 90048 | 2019-08-16 |
| 1295202638 | Caleb Rogers Penn | Anesthesiology | Cedars-sinai Department of Anesthesiology, 8700 Beverly Blvd, Los Angeles, CA 90048 | 2018-10-24 |
| 1437641727 | Medical Imaging Center of Southern California-beverly Hills, Inc | Radiology | 8727 Beverly Blvd, Los Angeles, CA 90048 | 2018-06-01 |
| 1689164121 | Maulin Shah | Student in an Organized Health Care Education/Training Program | 8700 Beverly Blvd Suite 5512, Los Angeles, CA 90048 | 2018-05-10 |
| 1013423631 | Abdul Ali Qaderi | Anesthesiology | 8700 Beverly Blvd Suite 4209, Los Angeles, CA 90048 | 2017-12-19 |
| 1619483559 | Sakeenah Hakim | Social Worker | 292 S. La Cienega Blvd, Suite 102, Los Angeles, CA 90048 | 2017-12-14 |
| 1851805048 | West Hollywood Medical Group Inc | General Practice | 8733 Beverly Blvd Suite #203, West Hollywood, CA 90048 | 2017-11-27 |
| Find all providers in zip 90048 | ||||
| Taxonomy Code | 207RR0500X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Rheumatology |
| An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and "collagen" diseases. |
| 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 |
|---|---|---|---|---|
| 1285155010 | David Alexandre Chetrit | Internal Medicine | 757 Westwood Plaza, Rheumatology, Los Angeles, CA 90095-6130 | 2017-07-01 |
| 1780028209 | Alexander Paschal Ruggieri | Internal Medicine | 1130 S Flower St, 219, Los Angeles, CA 90015-2139 | 2013-04-26 |
| 1952614000 | Paul Pao-shan Lin | Internal Medicine | 8610 Sepulveda Blvd ., Suite 109, Los Angeles, CA 90045 | 2010-07-19 |
| 1972740439 | Synergetic Health Medical Group | Internal Medicine | 9201 W Sunset Blvd Ste 212, Los Angeles, CA 90069-3703 | 2009-01-20 |
| 1538338116 | Christine Mcfadden Evelyn | Internal Medicine | 2025 Zonal Ave, Hmr 711, Los Angeles, CA 90089-0110 | 2008-02-27 |
| 1962684423 | Suzanne Kafaja | Internal Medicine | 1000 Veteran Ave. Ucla Division of Rheumatology, 32-59, Los Angeles, CA 90024-2704 | 2007-11-27 |
| 1275614455 | Brian N Huh | Internal Medicine | 520 S Virgil Ave Ste 300, Los Angeles, CA 90020-1425 | 2006-10-17 |
| 1043305394 | Seon Ho Whang | Internal Medicine | 3663 W 6th St Ste 106, Los Angeles, CA 90020-3047 | 2006-10-03 |
| 1821002627 | Stephen Leon Bland | Internal Medicine | 1127 Wilshire Boulevard, Ste 1010, Los Angeles, CA 90017-4001 | 2006-07-28 |
| 1528080090 | Assa Weinberg | Internal Medicine | 6464 Sunset Blvd., #1010, Assa Weinberg, Md, Los Angeles, CA 90028 | 2006-07-24 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90048 |
Please comment or provide details below to improve the information on JACOB B PELTA.
| 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.