DR. BIANCA R. EDISON (NPI# 1477705028) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477705028 |
| Entity Type | Individual |
| Full Name | DR. BIANCA R. EDISON |
| Credential | M.D. |
| Practice Address |
4650 Sunset Blvd Mailstop 69, Children's Orthopaedic Center, Chla Los Angeles CA 90027 |
| Practice Telephone | 3233612693 |
| Mailing Telephone | 3233612693 |
| Enumeration Date | 2008-10-15 |
| Last Update Date | 2016-10-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080S0010X |
Pediatrics Specialization: Sports Medicine |
A111538 | CA | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
4650 SUNSET BLVD MAILSTOP 69, CHILDREN'S ORTHOPAEDIC CENTER, CHLA, |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90027 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063456101 | Wendy Seto Leung | Nurse Practitioner | 4650 Sunset Blvd, Mail Stop #54, Los Angeles, CA 90027-6016 | 2006-06-16 |
| 1780203562 | Griselda Potka | Student in an Organized Health Care Education/Training Program | 4650 Sunset Blvd, Los Angeles, CA 90027 | 2020-04-13 |
| 1124647334 | John J Arsenault | Student in an Organized Health Care Education/Training Program | 4650 Sunset Blvd, Los Angeles, CA 90027 | 2020-04-09 |
| 1336768381 | Lauren Nichols | Student in an Organized Health Care Education/Training Program | 4650 Sunset Blvd, Los Angeles, CA 90027 | 2020-04-09 |
| 1962976423 | Susan Elizabeth Parada | Dietitian, Registered | 4650 Sunset Blvd, Ms # 8, Los Angeles, CA 90027 | 2019-01-17 |
| 1447745807 | Elizabeth Blotky | Student in an Organized Health Care Education/Training Program | 4650 Sunset Blvd, Residency Office, Los Angeles, CA 90027 | 2018-06-28 |
| 1669977633 | Kelsey Johnson | Student in an Organized Health Care Education/Training Program | 4650 Sunset Blvd, Ms#68, Los Angeles, CA 90027 | 2018-03-29 |
| 1609371251 | Alexandra Bailin | Student in an Organized Health Care Education/Training Program | 4650 Sunset Blvd, Los Angeles, CA 90027 | 2018-03-27 |
| 1477057479 | Sarah Carpenter | Student in an Organized Health Care Education/Training Program | 4650 Sunset Blvd, Ms #68, Los Angeles, CA 90027 | 2018-03-23 |
| 1710408919 | Mary Kathleen Klier | Dietitian, Registered | 4650 Sunset Blvd, Ms # 8, Los Angeles, CA 90027 | 2017-06-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326653593 | Lamia Binhuwaishel | Student in an Organized Health Care Education/Training Program | 4650 Sunset Blvd, Craniofacial and Special Needs Ortho, Los Angeles, CA 90027 | 2020-09-14 |
| 1285242594 | Rocio Jimenez | Case Manager/Care Coordinator | 4650 Sunset Blvd, Mailstop #53, Los Angeles, CA 90027 | 2020-07-22 |
| 1558984799 | Integrative Endodontics, Inc | Dentist | 10850 Wilshine Blvd Ste 301, Los Angeles, CA 90027 | 2020-05-22 |
| 1104450295 | Sarayana Sercarz | Marriage & Family Therapist | 4080 Woking Way, Los Angeles, CA 90027 | 2020-02-27 |
| 1457991143 | George Michaiel | Pediatrics | 4650 Sunset Blvd., Ms #54, Los Angeles, CA 90027 | 2020-01-09 |
| 1477199297 | Molly Rose Holmes | Marriage & Family Therapist | 3901 Los Feliz Boulevard, #303, Los Angeles, CA 90027 | 2019-11-27 |
| 1588206171 | Dental Help Solutions, LLC | Dentist | 4606 Hollywood Blvd, Suite A, Los Angeles, CA 90027 | 2019-10-15 |
| 1457905986 | Carmen L Ponce | Physical Therapy Assistant | 4867 Sunset Ave, Los Angeles, CA 90027 | 2019-08-01 |
| 1447729009 | Matthew Mendoza | Respiratory Therapist, Registered | 4867 Sunset Blvd, Los Angeles, Ca, Los Angeles, CA 90027 | 2018-11-13 |
| 1659856284 | Leticia Mendez | Nurse Practitioner | 1300 N Vermont Ave 606, Los Angeles, CA 90027 | 2018-09-29 |
| Find all providers in zip 90027 | ||||
| Taxonomy Code | 2080S0010X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Sports Medicine |
| A pediatrician who is responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the healthcare of the individual engaged in physical exercise (sports) whether as an individual or in team participation. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326581208 | Jessica Mofidi | Pediatrics | 403 W Adams Blvd, Los Angeles, CA 90007-2664 | 2016-11-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689228462 | Gameday Sports Medicine Academy | Pediatrics | 3101 Gilmore Ave Ste 100, Bakersfield, CA 93308-6342 | 2019-07-30 |
| 1356683247 | Alana Wright | Pediatrics | 2300 Camino Ramon, San Ramon, CA 94583-1354 | 2013-03-19 |
| 1790929396 | Mark Warshaw | Pediatrics | 8 Mclea Ct, San Francisco, CA 94103-4451 | 2009-04-27 |
| 1730336397 | Stephen S. Chen | Pediatrics | 1777 Botelho Dr Ste 110, Walnut Creek, CA 94596-5083 | 2008-08-25 |
| 1801008917 | Christine Boyd | Pediatrics | 1119 E Stanley Blvd, Livermore, CA 94550-4115 | 2007-05-03 |
| 1891875522 | Rebecca A. Demorest | Pediatrics | 4000 Dublin Blvd Ste 100, Dublin, CA 94568-3122 | 2006-10-17 |
| 1427057132 | Eric J Jenkinson | Pediatrics | 1255 Liberty St, Redding, CA 96001-0814 | 2005-07-15 |
| 1912419276 | Alix Mackenzie Wilson | Pediatrics | 747 52nd St, Oakland, CA 94609-1809 | 2017-10-26 |
| 1861848947 | Michael Joseph Nieto | Pediatrics | 280 S Main St Ste 200, Orange, CA 92868-3852 | 2016-05-09 |
| 1609195452 | Jonathan Lee Minor | Pediatrics | 1310 W Stewart Dr, Suite 508, Orange, CA 92868-3854 | 2010-05-19 |
| Find all providers with the same taxonomy | ||||
| City | LOS ANGELES |
| Zip Code | 90027 |
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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.