GARDENA EMERGENCY MEDICAL ASSOCIATES INC (NPI# 1497824189) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497824189 |
| Entity Type | Organization |
| Organization Name | GARDENA EMERGENCY MEDICAL ASSOCIATES INC |
| Practice Address |
1145 West Redondo Beach Blvd Gardena CA 90247-3528 |
| Mailing Address |
Po Box 11260 Westminster CA 92685-1260 |
| Practice Telephone | 3105386629 |
| Mailing Telephone | 5628093542 |
| Enumeration Date | 2006-11-07 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | KENT SHOJI (PRESIDENT) |
| Authorized Official Telephone | 3105386629 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | GR0095870 | 05 |
| Street Address |
1145 WEST REDONDO BEACH BLVD |
| City | GARDENA |
| State | CA |
| Zip Code | 90247-3528 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790727162 | Keivan Edalat | Emergency Medicine | 1145 West Redondo Beach Blvd, Gardena, CA 90247 | 2006-06-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982204707 | Melissa Reyes | Home Health Aide | 835 N Rosecrans Ave Apt 125, Gardena, CA 90247 | 2020-10-30 |
| 1538645569 | Christopher Jabarie Markham | Case Manager/Care Coordinator | 12817 S Hoover St Apt 14, Gardena, CA 90247 | 2018-07-12 |
| 1013404243 | Sunshine Community Resource Organization Center | Counselor | 1202 W 135th Street, Gardena, CA 90247 | 2018-04-13 |
| 1124537261 | Nina Vu | Pharmacist | 14416 Plum Lane, Unit 3, Gardena, CA 90247 | 2017-09-20 |
| 1356871008 | Delaram Moshfegh | Pharmacist | 1735 Artesia Blvd, Gardena, CA 90247 | 2017-06-15 |
| 1497290522 | Better Vision Optical | Eyewear Supplier (Equipment, not the service) | 1121 W Gardena Blvd Ste A, Gardena, CA 90247 | 2016-12-28 |
| 1013394832 | Lydia Gonzalez | Case Management | 13605 S Vermont Ave Apt 16, Gardena, CA 90247 | 2015-04-30 |
| 1396147682 | Daniel Medical Group, Inc. | Acupuncturist | 2015 W Redondo Beach Blvd., Ste F, Gardena, CA 90247 | 2014-09-18 |
| 1386913663 | Linda Doreen Humphries | Nurse Practitioner | 1141 W. Redondo Beach Blvd., Suite 402, Gardena, CA 90247 | 2011-12-15 |
| 1215229547 | Everett D Wong | Social Worker | 1045 W Redondo Beach Blvd Ste 150, Gardena, CA 90247 | 2011-05-04 |
| Find all providers in zip 90247 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790727162 | Keivan Edalat | Emergency Medicine | 1145 West Redondo Beach Blvd, Gardena, CA 90247 | 2006-06-12 |
| 1710419064 | Evan Gill | Emergency Medicine | 1145 W Redondo Beach Blvd, Gardena, CA 90247-3511 | 2017-03-28 |
| 1891182374 | Ivy Chang | Emergency Medicine | 1145 W Redondo Beach Blvd, Gardena, CA 90247-3511 | 2015-04-22 |
| 1518303775 | John Andrew Henderson | Emergency Medicine | 1145 W Redondo Beach Blvd, Gardena, CA 90247-3511 | 2013-05-15 |
| 1376834937 | Redondo Emergency Physicians, Inc. | Emergency Medicine | 1145 W Redondo Beach Blvd, Gardena, CA 90247-3528 | 2011-04-29 |
| 1710117924 | Rajinder Kaur Sekhon | Emergency Medicine | 1145 W Redondo Beach Blvd, Gardena, CA 90247-3528 | 2009-07-22 |
| 1619133659 | Hang T Tran | Emergency Medicine | 1145 W Redondo Beach Blvd, Gardena, CA 90247-3528 | 2008-07-30 |
| 1669671319 | Daniel J Furoy | Emergency Medicine | 1145 W Redondo Beach Blvd, Gardena, CA 90247-3528 | 2007-07-13 |
| 1255542536 | Patrick L. Ignacio | Emergency Medicine | 1149 W 190th St, Gardena, CA 90248-4321 | 2007-05-25 |
| 1659494557 | Stephani Simon Luecker | Emergency Medicine | 1145 W Redondo Beach Blvd, Gardena, CA 90247-3528 | 2007-04-08 |
| Find all providers in GARDENA | ||||
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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.