MODERN TELEHEALTH (NPI# 1538774989) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538774989 |
| Entity Type | Organization |
| Organization Name | MODERN TELEHEALTH |
| Practice Address |
1509 Espinosa Cir Palos Verdes Estates CA 90274-1917 |
| Practice Telephone | 3617396806 |
| Mailing Telephone | 3617396806 |
| Enumeration Date | 2020-09-12 |
| Last Update Date | 2020-09-12 |
| Authorized Official Name | MARK PAYNE (CEO) |
| Authorized Official Telephone | 3617396806 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NA | NA | 01 | |
| THIS IS THE INITIAL EFFORT | 3617396806 | 01 |
| Street Address |
1509 ESPINOSA CIR |
| City | PALOS VERDES ESTATES |
| State | CA |
| Zip Code | 90274-1917 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689297871 | Hearts Respond | Counselor | 336 Tejon Place, Palos Verdes Estates, CA 90274 | 2020-05-21 |
| 1649781568 | Daniel B Lyman | Acupuncturist | 46-e Peninsula Center Dr., #394, Rolling Hills Estates, CA 90274 | 2017-10-18 |
| 1811408735 | Shawna Hagerty Regan | Acupuncturist | 46-e Peninsula Center #394, Rolling Hills Estates, CA 90274 | 2017-10-18 |
| 1588188262 | Bassi Psychological Services Inc | Psychologist | 4030 Palos Verdes Dr. N. Suite 106, Rolling Hills Estates, CA 90274 | 2017-08-03 |
| 1144674433 | O.r. Barkhordar Dds Inc | Dentist | 1600 W. Redondo Beach Blvd, Ste 203, Gardena, CA 90274 | 2016-04-22 |
| 1962871657 | Melissa Eichel | Counselor | 12 Pinto Lane, Rolling Hills Estates, CA 90274 | 2015-09-23 |
| 1336414556 | Harold Cozen | Family Medicine | 1600 Cataluna Place, Pacos Verdes Estates, CA 90274 | 2012-03-21 |
| 1780904540 | Byungwoo Kim | Acupuncturist | Peninsula Center. Ste 50 D, Rolling Hills Estates, CA 90274 | 2010-06-03 |
| 1285966135 | Paula R. Horn | Marriage & Family Therapist | 715 Silver Spur Road, Suite #209, Rolling Hills Estates, CA 90274 | 2010-02-03 |
| 1730416884 | Skinner's Pharmacy Inc | Pharmacy | 905 Deep Valeey Drive, Rollong Hills, CA 90274 | 2009-11-11 |
| Find all providers in zip 90274 | ||||
| Taxonomy Code | 207RN0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Nephrology |
| An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. |
| 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 |
|---|---|---|---|---|
| 1710585328 | Empire Medical Specialist | Internal Medicine | 28625 Quaint St, Agoura Hills, CA 91301-1735 | 2020-10-15 |
| 1073137733 | Jafar Alsaid | Internal Medicine | 2009 Baywood Ln, Davis, CA 95618-0500 | 2020-05-29 |
| 1164041422 | Advanced Care Multispecialty Medical Group Apc | Internal Medicine | 13990 Bear Fence Court, Moorpark, CA 93021-5022 | 2020-04-15 |
| 1629600416 | Valley Kidney Medical Group Inc | Internal Medicine | 1646 E Herndon Ave Ste 106, Fresno, CA 93720-3380 | 2020-02-10 |
| 1437789278 | Spectrum Dialysis | Internal Medicine | 18040 Sherman Way Ste 220, Reseda, CA 91335-4631 | 2020-01-21 |
| 1932745007 | K Care Ipa | Internal Medicine | 18000 Studebaker Rd Ste 100, Cerritos, CA 90703-7929 | 2019-11-22 |
| 1326609496 | Alliance Hospitalist Medical Corporation | Internal Medicine | 3300 E South St Ste 307, Lakewood, CA 90805 | 2019-06-27 |
| 1669930723 | Adventist Health Physicians Network | Internal Medicine | 111 Raley Blvd Ste 160, Chico, CA 95928-8351 | 2019-03-07 |
| 1295293363 | Adventist Health Physicians Network | Internal Medicine | 111 Raley Blvd Ste 220, Chico, CA 95928-8351 | 2019-03-07 |
| 1730646266 | High Desert Nephrology Medical Associates Inc. | Internal Medicine | 11883 Amethyst Road Ste # 100, Victorville, CA 92392-9224 | 2019-02-20 |
| Find all providers with the same taxonomy | ||||
| City | PALOS VERDES ESTATES |
| Zip Code | 90274 |
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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.