DR. BRAD A WOLFSON (NPI# 1700843174) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700843174 |
| Entity Type | Individual |
| Full Name | DR. BRAD A WOLFSON |
| Credential | MD |
| Practice Address |
555 E Tachevah Dr Ste 2w-101 Palm Springs CA 92262-5750 |
| Mailing Address |
555 E Tachevah Dr Ste 2w-101 Palm Springs CA 92262-5748 |
| Practice Telephone | 7603206005 |
| Practice Fax Number | 7603235786 |
| Mailing Telephone | 7603206005 |
| Mailing Fax Number | 7603235786 |
| Enumeration Date | 2006-04-28 |
| Last Update Date | 2012-02-15 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | G61080 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | CA LICENSE | G61080 | 01 |
| CA | 00G610801 | 05 |
| Street Address |
555 E TACHEVAH DR STE 2W-101 |
| City | PALM SPRINGS |
| State | CA |
| Zip Code | 92262-5750 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366449118 | Forgeron Physical Therapy | Physical Therapist | 555 E Tachevah Dr, 1 East #201, Palm Springs, CA 92262-5750 | 2005-07-07 |
| 1962937177 | Cherrie Bravo | Student in an Organized Health Care Education/Training Program | 555 E Tachevah Dr, Suite 2e-204, Palm Springs, CA 92262-5750 | 2017-04-25 |
| 1326579541 | Victoria Ryan | Student in an Organized Health Care Education/Training Program | 555 E Tachevah Dr, Palm Springs, CA 92262-5750 | 2017-03-21 |
| 1194266460 | Anh Tuan Huu Ngo | Student in an Organized Health Care Education/Training Program | 555 E Tachevah Dr, Suite 2e-204, Palm Springs, CA 92262-5750 | 2017-03-20 |
| 1043687577 | Rachel Misquitta | Optometrist | 555 E Tachevah Dr, Suite 101e, Palm Springs, CA 92262-5750 | 2015-09-01 |
| 1326438078 | Ucr Family Medicine Center | Clinic/Center | 555 E Tachevah Dr, Suite 2e-107, Palm Springs, CA 92262-5750 | 2015-02-03 |
| 1861899213 | Cody Jay Tapp | Physician Assistant | 555 E Tachevah Dr, Suite 2w-203, Palm Springs, CA 92262-5750 | 2014-12-01 |
| 1164849964 | Ryan Anderson | Optometrist | 555 E Tachevah Dr, Suite 101e, Palm Springs, CA 92262-5750 | 2014-03-19 |
| 1548691025 | First Choice Physician Partners | Family Medicine | 555 E Tachevah Dr, Ste 2e # 107, Palm Springs, CA 92262-5750 | 2013-12-09 |
| 1972944189 | Murtaza Merali | Optometrist | 555 E Tachevah Dr, Suite 1e-101, Palm Springs, CA 92262-5750 | 2013-07-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841815610 | Dhara H Patel | Student in an Organized Health Care Education/Training Program | Gme Office, 1150 N. Palm Canyon Dr., Palm Springs, CA 92262 | 2020-06-08 |
| 1528683380 | Lizmar Cerezo Perez | Student in an Organized Health Care Education/Training Program | Gme Office 1150 N. Palm Canyon Dr. Palm Springs, Ca 922, Palm Springs, CA 92262 | 2020-06-08 |
| 1629637285 | Kimiko Tsuchiya | Family Medicine | 1150 North Palm Canyon Drive, Palm Springs, CA 92262 | 2019-06-07 |
| 1780240978 | Aly Sue Vancil | Counselor | 19531 Mclane St Suite B, Palm Springs, CA 92262 | 2019-05-14 |
| 1013477843 | Dennis Michael Woo | Student in an Organized Health Care Education/Training Program | 555 E. Tachevah Dr, Suite 2e - 204, Palm Springs, CA 92262 | 2019-03-19 |
| 1235609314 | Leslie Nohemi Vargas | Behavior Technician | 130 Golden Sands Dr, Palm Springs, CA 92262 | 2018-11-30 |
| 1346723194 | Eisenhower Medical Center | General Acute Care Hospital | 1401 North Palm Canyon Drive, Suite #202, Palm Springs, CA 92262 | 2018-09-07 |
| 1285123133 | Thuan Thi Nguyen | Social Worker | 1751 North Sunrise Way Suite G, Palm Springs, CA 92262 | 2018-05-07 |
| 1598268641 | Scotti Barnes Cassidy | Social Worker | 291 E Mel Ave Unit 261, Palm Springs, CA 92262 | 2018-03-15 |
| 1326577727 | William Alan Lee | Emergency Medicine | 1150 North Indian Canyon Drive, Palm Springs, CA 92262 | 2017-06-08 |
| Find all providers in zip 92262 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194076653 | Sfm Urology I LLC | Urology | 3230 Lake Worth Rd, Palm Springs, FL 33461-3694 | 2012-09-25 |
| 1760792543 | Howard N Sabarra M.d., Pa | Urology | 3199 Lake Worth Rd Ste B1, Palm Springs, FL 33461-3652 | 2010-10-14 |
| 1912232166 | Brad A. Wolfson, M.d., A Medical Corporation | Urology | 555 E Tachevah Dr, Suite 2 West 101, Palm Springs, CA 92262-5750 | 2009-10-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265033096 | Urology Surgical Partners | Urology | 15944 Los Serranos Country Club Dr Ste 200, Chino Hills, CA 91709-3991 | 2020-11-06 |
| 1891301487 | Fadl Hamouche | Urology | 400 Parnassus Ave # A632, San Francisco, CA 94143-2202 | 2020-09-18 |
| 1083233902 | Elite Medical Group PC | Urology | 2083 Compton Ave Ste 202, Corona, CA 92881-3416 | 2020-04-10 |
| 1659919660 | Thrive Medical, Inc. | Urology | 18740 Ventura Blvd Ste 101, Tarzana, CA 91356-3366 | 2019-12-20 |
| 1457997645 | David G Song Md Inc | Urology | 5365 Walnut Avenue Ste A, Chino, CA 91710-9171 | 2019-11-21 |
| 1699316273 | Golden Gate Urology Inc | Urology | 929 Clay St Ste 505, San Francisco, CA 94108-1500 | 2019-10-04 |
| 1598318461 | Khoddami Medical Group Inc | Urology | 2705 Loma Vista Rd Ste 206, Ventura, CA 93003-1584 | 2019-07-19 |
| 1942760293 | Adventist Health Physicians Network | Urology | 2701 Chester Ave # 102, Bakersfield, CA 93301-2016 | 2019-03-22 |
| 1699233361 | Orange Coast Medical, A Medical Corporation | Urology | 10900 Warner Ave Ste 121, Fountain Valley, CA 92708-3846 | 2019-03-12 |
| 1891268389 | John Joseph Granato Jr. | Urology | 333 Cumberland Rd, Glendale, CA 91202-1256 | 2019-01-07 |
| Find all providers with the same taxonomy | ||||
| City | PALM SPRINGS |
| Zip Code | 92262 |
Please comment or provide details below to improve the information on DR. BRAD A WOLFSON.
| 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.