JOHN P. ANDERSON MD, RUSSELL M. PERRY MD, AND MARK A. SHARZER, AMC


Address: 931 S Cochran Ave, Los Angeles, CA 90036-4738
Phone: 3102511333

JOHN P. ANDERSON MD, RUSSELL M. PERRY MD, AND MARK A. SHARZER, AMC (NPI# 1629497581) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1629497581
Entity Type Organization
Organization Name JOHN P. ANDERSON MD, RUSSELL M. PERRY MD, AND MARK A. SHARZER, AMC
Practice Address 931 S Cochran Ave
Los Angeles
CA 90036-4738
Mailing Address Po Box 26570
Fresno
CA 93729-6570
Practice Telephone 3102511333
Mailing Telephone 5594554065
Mailing Fax Number 7706669103
Enumeration Date 2014-04-08
Last Update Date 2014-04-08
Authorized Official Name DR. MARK A. SHARZER (AUTORIZED SIGNER)
Authorized Official Telephone 7146707400
Authorized Official Credential M.D.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2085R0202X Radiology
Specialization: Diagnostic Radiology
Allopathic & Osteopathic Physicians

Office Location

Street Address 931 S COCHRAN AVE
City LOS ANGELES
State CA
Zip Code 90036-4738

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Taxonomy Information

Taxonomy Code 2085R0202X
Grouping Allopathic & Osteopathic Physicians
Classification Radiology
Specialization Diagnostic Radiology

Taxonomy Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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 Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology.

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1376022012 Payersdirect, Inc. Radiology 11845 W Olympic Blvd Ste 1100w, Los Angeles, CA 90064 2018-08-13
1437641727 Medical Imaging Center of Southern California-beverly Hills, Inc Radiology 8727 Beverly Blvd, Los Angeles, CA 90048 2018-06-01
1043726367 Perch Yetenikyan, Inc. Radiology 5465 Santa Monica Blvd Ste 101, Los Angeles, CA 90029-2339 2017-12-22
1306351895 Payam Ebizadeh Radiology 1233 S Westgate Ave Apt 307, Los Angeles, CA 90025-6792 2017-12-06
1841720059 Beverly Radiology Medical Group Radiology 8540 S Sepulveda Blvd Ste 111, Los Angeles, CA 90045-3810 2017-06-20
1164895520 Elliot Kolin Radiology 10842 Portofino Pl, Los Angeles, CA 90077-2301 2015-11-07
1396123014 Brian Weston Radiology 757 Westwood Plz Dept Of, Los Angeles, CA 90095-8358 2015-05-14
1871930131 Theodore Q Miller Radiology 6412 S Holt Ave, Los Angeles, CA 90056-2208 2013-05-28
1619213402 Michael Stecker Radiology 2955 Motor Ave, Los Angeles, CA 90064-4530 2012-12-24
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Competitor

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City LOS ANGELES
Zip Code 90036

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Dataset Information

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.

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