DR. GRAHAM FEDORAK (NPI# 1679902746) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1679902746 |
Entity Type | Individual |
Full Name | DR. GRAHAM FEDORAK |
Credential | MD |
Practice Address |
3160 Geneva St Los Angeles CA 90020-1117 |
Practice Telephone | 2133883151 |
Mailing Telephone | 2133883151 |
Enumeration Date | 2013-11-08 |
Last Update Date | 2013-11-08 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207XP3100X |
Orthopaedic Surgery Specialization: Pediatric Orthopaedic Surgery |
A127300 | CA | Allopathic & Osteopathic Physicians |
Street Address |
3160 GENEVA ST |
City | LOS ANGELES |
State | CA |
Zip Code | 90020-1117 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790758969 | Colin Frederick Moseley | Orthopaedic Surgery | 3160 Geneva St, Los Angeles, CA 90020-1117 | 2006-02-08 |
1841744034 | David Craft | Prosthetist | 3160 Geneva St, Los Angeles, CA 90020-1117 | 2016-08-05 |
1699228619 | Jack Mark | Orthotist | 3160 Geneva St, Los Angeles, CA 90020-1117 | 2016-07-26 |
1396119400 | Nancy Carney | Occupational Therapist | 3160 Geneva St, Los Angeles, CA 90020-1117 | 2015-12-01 |
1861879215 | Olga Coto | Registered Nurse | 3160 Geneva St, Los Angeles, CA 90020-1117 | 2015-05-05 |
1619364445 | Alexsandra Youkhanneh-morales | Registered Nurse | 3160 Geneva St, Los Angeles, CA 90020-1117 | 2015-04-20 |
1215379102 | Shriners Hospitals for Children | Orthopaedic Surgery | 3160 Geneva St, Los Angeles, CA 90020-1117 | 2013-07-22 |
1003152331 | Alma Luna Wells | Anesthesiology | 3160 Geneva St, Los Angeles, CA 90020-1117 | 2012-12-13 |
1255640868 | Arash Ari Arshi | Pharmacist | 3160 Geneva St, Pharmacy Department, Los Angeles, CA 90020-1117 | 2010-09-30 |
1043524051 | Hugh Watts | Orthopaedic Surgery | 3160 Geneva St, Los Angeles, CA 90020-1117 | 2010-08-02 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164948048 | Edwina Antoinette Hunter | Community Health Worker | 550 S. Vermont Ave, 6th Floor, Los Angeles, CA 90020 | 2017-08-22 |
1639520661 | Jacqueline Carrasco | Counselor | 550 South Vermont Ave, 10th Floor, Los Angeles, CA 90020 | 2016-06-30 |
1649630914 | Hee Seung Lee | Marriage & Family Therapist | 3727 W. 6th Street, Suite 507, Los Angeles, CA 90020 | 2016-03-01 |
1134596273 | Jocelyn Marie Lee | Optometrist | 3750 W 6th St Ste 113, Los Angeles, CA 90020 | 2015-08-24 |
1316327075 | Lourdes Encarnacion Araujo | Social Worker | 550 S Vermont Ave 3rd Floor, Los Angeles, CA 90020 | 2015-06-08 |
1477933463 | Department of Mental Health | Clinic/Center | 550 South Vermont, Los Angeles, CA 90020 | 2015-06-04 |
1538566047 | Calvin A. Kim | Internal Medicine | 4220 W 3rd St Ste 201, Los Angeles, CA 90020 | 2014-11-26 |
1093115792 | John Abaya | Counselor | 550 S Vermont Ave 10th Floor, Los Angeles, CA 90020 | 2014-08-29 |
1528494481 | Sung Eun Lee | Acupuncturist | 340 S New Hampshire Ave #211, Los Angeles, CA 90020 | 2013-09-23 |
1861836587 | Robert Lee Smalls Jr. | Marriage & Family Therapist | 550 South Vermont Avenue, Juvenile Justice Transition Aftercare Services Division, Los Angeles, CA 90020 | 2013-04-24 |
Find all providers in zip 90020 |
Taxonomy Code | 207XP3100X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Orthopaedic Surgery |
Specialization | Pediatric Orthopaedic Surgery |
An orthopedic surgeon who has additional training and experience in diagnosing, treating and managing musculoskeletal problems in infants, children and adolescents. These may include limb and spine deformities (such as club foot, scoliosis); gait abnormalities (limping); bone and joint infections; broken bones. |
Notes: Source: American Academy of Pediatrics, www.aap.org [7/1/2006: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801962360 | William Oppenheim | Orthopaedic Surgery | 10945 Le Conte Avenue, Rm 3355 Ubberoth Bldg Department of Orthopaedic Surgery, Los Angeles, CA 90095-6902 | 2006-11-27 |
1528179793 | Regents of The University of California | Orthopaedic Surgery | 100 Medical Plaza Suite 755, Los Angeles, CA 90095-0001 | 2006-08-31 |
1902454051 | Alexandra Nicole Santellano-bartsch | Orthopaedic Surgery | 403 W Adams Blvd, Los Angeles, CA 90007-2664 | 2019-09-02 |
1215379102 | Shriners Hospitals for Children | Orthopaedic Surgery | 3160 Geneva St, Los Angeles, CA 90020-1117 | 2013-07-22 |
1043524051 | Hugh Watts | Orthopaedic Surgery | 3160 Geneva St, Los Angeles, CA 90020-1117 | 2010-08-02 |
1982922308 | Justin Harris Barad | Orthopaedic Surgery | 403 W Adams Blvd, Los Angeles, CA 90007-2664 | 2010-05-10 |
1104027481 | Clive M. Segil, M.d., Inc. | Orthopaedic Surgery | 2080 Century Park E, Suite 500, Los Angeles, CA 90067-2001 | 2007-05-31 |
1134260110 | Thomas James Grogan Jr. | Orthopaedic Surgery | 11710 Wilshire Blvd, Los Angeles, CA 90025-1503 | 2007-02-10 |
1962549717 | Paul Merkle | Orthopaedic Surgery | 1200 N State St, Los Angeles, CA 90033-1029 | 2007-01-31 |
1902974363 | Monro Mark Hoffer | Orthopaedic Surgery | 2400 S Flower St, Ohmg, Los Angeles, CA 90007-2629 | 2006-12-01 |
Find all providers in LOS ANGELES |
City | LOS ANGELES |
Zip Code | 90020 |
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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.