MICHAEL PORT (NPI# 1710005731) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710005731 |
| Entity Type | Individual |
| Full Name | MICHAEL PORT |
| Credential | M.D. |
| Practice Address |
13160 Mindanao Way Suite #300 Marina Del Rey CA 90292-6358 |
| Mailing Address |
125 Eucalyptus Dr El Segundo CA 90245-3839 |
| Practice Telephone | 3108543800 |
| Practice Fax Number | 3108543820 |
| Enumeration Date | 2007-03-27 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 207L00000X | Anesthesiology | G77719 | CA | Allopathic & Osteopathic Physicians |
| X | 208VP0000X |
Pain Medicine Specialization: Pain Medicine |
G77719 | CA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770589442 | Michael Port | Anesthesiology | 270 Park Ave, Huntington, NY 11743-2787 | 2005-06-27 |
| Street Address |
13160 MINDANAO WAY SUITE #300 |
| City | MARINA DEL REY |
| State | CA |
| Zip Code | 90292-6358 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396742813 | Terry David Krekorian | Anesthesiology | 13160 Mindanao Way, Marina Del Rey, CA 90292-6358 | 2005-06-29 |
| 1760984033 | Providence Healthcare Inc | Orthopaedic Surgery | 13160 Mindanao Way, Marina Del Rey, CA 90292-6358 | 2018-03-02 |
| 1487102836 | Disc Physician Group | Surgery | 13160 Mindanao Way, Suite 170, Marina Del Rey, CA 90292-6358 | 2016-09-14 |
| 1215329370 | Holley Alexander Spears | Physician Assistant | 13160 Mindanao Way, Ste 300, Marina Del Rey, CA 90292-6393 | 2015-02-26 |
| 1184049132 | Jeremy Scott Summers | Chiropractor | 13160 Mindanao Way, Suite 308, Marina Del Rey, CA 90292-6358 | 2014-02-27 |
| 1851736615 | Melamed Spine LLC | Physician Assistant | 13160 Mindanao Way, Ste 300, Marina Del Rey, CA 90292-6358 | 2013-05-07 |
| 1073874863 | David Kaplowitz | Internal Medicine | 13160 Mindanao Way, Suite 252, Marina Del Rey, CA 90292-6358 | 2012-06-07 |
| 1134498777 | Lisa Anne Penny | Marriage & Family Therapist | 13160 Mindanao Way, #300, Marina Del Rey, CA 90292-6358 | 2011-12-28 |
| 1922307669 | Gary Brazina Md Inc. | Non-Pharmacy Dispensing Site | 13160 Mindanao Way, Ste 300, Marina Del Rey, CA 90292-6358 | 2011-03-21 |
| 1346548690 | Layla Nina Sotoodeh | Physician Assistant | 13160 Mindanao Way, Suite 300, Marina Del Rey, CA 90292-6358 | 2011-03-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972142420 | Katy Kleinberg | Physical Therapist | 4820 Lincoln Blvd., Marina Del Rey, CA 90292 | 2020-01-02 |
| 1568028330 | Kylie Nakamine | Physical Therapist | 4820 Lincoln Bld, Marina Del Rey, CA 90292 | 2019-05-16 |
| 1033627807 | Kareema Nasouf | Social Worker | 578 Washington Blvd. #815, Marina Del Rey, CA 90292 | 2018-01-16 |
| 1861916611 | Jaqueline Berenice Higbee | Behavior Technician | 13428 Maxella Ave Apt 913, Marina Del Rey, CA 90292 | 2017-08-02 |
| 1063942696 | Luis Albert Japngie | Chiropractor | 13816 Bora Bora Way, A-109, Marina Del Rey, CA 90292 | 2017-06-15 |
| 1427509082 | Melissa Dowling | Nurse Anesthetist, Certified Registered | 4750 Lincoln Blvd Apt 477, Marina Del Rey, CA 90292 | 2016-10-19 |
| 1578932950 | Gratto Aquatic Rehab | Clinic/Center | 13160 Mindanao Way Ste. 308, Marina Del Ray, CA 90292 | 2015-09-16 |
| 1285018309 | Reed Chiropractic & Wellness Center A Professional Corporation | Chiropractor | 4207 Del Rey Ave., Marina Del Rey, CA 90292 | 2015-07-18 |
| 1083990725 | James J Kim | Pharmacist | 4009 Lincoln Blvd., Walgreens, Marina Del Rey, CA 90292 | 2011-10-26 |
| 1689957805 | Medbil, LLC | Anesthesiology | 1024 Oxford Ave., Marina Del Rey, CA 90292 | 2011-09-23 |
| Find all providers in zip 90292 | ||||
| Taxonomy Code | 207L00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery. |
| 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 Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114298767 | Edward Barry Sadin | Anesthesiology | 1 Spinnaker St, 18, Marina Del Rey, CA 90292-7162 | 2012-01-13 |
| 1689957805 | Medbil, LLC | Anesthesiology | 1024 Oxford Ave., Marina Del Rey, CA 90292 | 2011-09-23 |
| 1578896023 | Reliable Anesthesia Medical Group | Anesthesiology | 4666 Admiralty Way, West Helix #9, Marina Del Rey, CA 90292-6622 | 2009-09-16 |
| 1568528990 | Shannon Bonness | Anesthesiology | 4108 Del Rey Ave, Apt. 511, Marina Del Rey, CA 90292-4804 | 2006-12-29 |
| 1477531119 | Adrian T. Reyes | Anesthesiology | 4650 Lincoln Blvd, Marina Del Rey, CA 90292-6306 | 2006-01-04 |
| 1396742813 | Terry David Krekorian | Anesthesiology | 13160 Mindanao Way, Marina Del Rey, CA 90292-6358 | 2005-06-29 |
| 1073047809 | Geoffery O'neill Md, Inc. | Anesthesiology | 3111 Via Dolce, #506, Marina Del Rey, CA 90292-5069 | 2017-04-19 |
| 1487186672 | Johnkim Nguyen Md Inc | Anesthesiology | 4650 Lincoln Blvd, Marina Del Rey, CA 90292-6306 | 2017-03-28 |
| 1508161167 | Michelle Z Wang Md PC | Anesthesiology | 4640 Admiralty Way, Marina Del Rey, CA 90292-6621 | 2011-01-12 |
| 1619201712 | Reliable Anesthesia Medical Group, A Professional Corporation | Anesthesiology | 4333 Admiralty Way, West Helix #9, Marina Del Rey, CA 90292-5469 | 2009-09-23 |
| Find all providers in MARINA DEL REY | ||||
| City | MARINA DEL REY |
| Zip Code | 90292 |
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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.