MICHAEL ALEXANDER SENIKOWICH JR. (NPI# 1720277130) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720277130 |
| Entity Type | Individual |
| Full Name | MICHAEL ALEXANDER SENIKOWICH JR. |
| Credential | M.D. |
| Practice Address |
1441 Eastlake Ave Los Angeles CA 90089-0112 |
| Mailing Address |
Po Box 31309 Los Angeles CA 90031-0309 |
| Practice Telephone | 3238653050 |
| Mailing Telephone | 3238653050 |
| Enumeration Date | 2007-10-22 |
| Last Update Date | 2014-05-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 174400000X | Specialist | G36565 | CA | Other Service Providers |
| Y | 2085R0203X |
Radiology Specialization: Therapeutic Radiology |
G36565 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
1441 EASTLAKE AVE |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90089-0112 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538162631 | Daniel Park | Physician Assistant | 1441 Eastlake Ave, Ste 7416, Los Angeles, CA 90089-2211 | 2005-05-23 |
| 1417554528 | Keck Medical Center of Usc | General Acute Care Hospital | 1441 Eastlake Ave, Los Angeles, CA 90089-1019 | 2020-10-02 |
| 1487296406 | Paige E. Asawa | Marriage & Family Therapist | 1441 Eastlake Ave, Los Angeles, CA 90089-1019 | 2019-10-10 |
| 1437629474 | Hrachuhi Lilit Hakhpandyan | Nurse Practitioner | 1441 Eastlake Ave, Los Angeles, CA 90089-2490 | 2018-12-03 |
| 1033696497 | Carmen Lucia Martinez | Dietitian, Registered | 1441 Eastlake Ave, Los Angeles, CA 90089-1019 | 2018-07-27 |
| 1093207508 | Jennifer Frutchey | Dietitian, Registered | 1441 Eastlake Ave, Los Angeles, CA 90089-1019 | 2018-05-31 |
| 1588167704 | Ju Hyung Lee | Nurse Practitioner | 1441 Eastlake Ave, Los Angeles, CA 90089-3420 | 2018-03-14 |
| 1063913531 | Akbar Ashrafi | Student in an Organized Health Care Education/Training Program | 1441 Eastlake Ave, Los Angeles, CA 90089-0112 | 2018-02-21 |
| 1912444084 | Ricardo Araujo Brandina | General Acute Care Hospital | 1441 Eastlake Ave, Suite 7416, Los Angeles, CA 90089-0112 | 2017-01-26 |
| 1265981542 | Jan Huynh | Social Worker | 1441 Eastlake Ave, Los Angeles, CA 90089-0112 | 2016-09-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962980201 | Brittany Nicole Beasley | Psychologist | 1031 W. 34th St., 3rd Floor, Suite 304, Los Angeles, CA 90089 | 2018-07-30 |
| 1548763675 | Tien Ng | Pharmacist | Usc School of Pharmacy, 1985 Zonal Ave, Los Angeles, CA 90089 | 2018-03-15 |
| 1821503236 | Theodore James Goldsmith | Psychologist | 1031 W 34th St Fl 3, Los Angeles, CA 90089 | 2017-12-07 |
| 1174046890 | Erin Lindsay Mcintyre | Occupational Therapist | 1540 Alcazar Street, Chp 133, Los Angeles, CA 90089 | 2017-07-25 |
| 1831645571 | Alyssa Cantal | Student in an Organized Health Care Education/Training Program | 1540 Alcazar St., Chp-133, Los Angeles, CA 90089 | 2016-09-01 |
| 1841744638 | Cheryl Jonghee Park | Dentist | 925 W. 34th Street, Room 4363, Los Angeles, CA 90089 | 2016-08-09 |
| 1528412376 | Mark Duan Ard Jr. | Psychiatry & Neurology | 1975 Zonal Ave, Los Angeles, CA 90089 | 2016-04-18 |
| 1851766679 | Samantha Trout | Student in an Organized Health Care Education/Training Program | 1540 Alcazar St Chp-133, Los Angeles, CA 90089 | 2015-12-04 |
| 1215324363 | Upama Giri | Student in an Organized Health Care Education/Training Program | 1441 Eastlake Ave Ste 3470, Los Angeles, CA 90089 | 2015-04-15 |
| 1982015004 | Martrice Ways | Student in an Organized Health Care Education/Training Program | 3375 South Hoover Street, Suite H201, Los Angeles, CA 90089 | 2014-05-12 |
| Find all providers in zip 90089 | ||||
| Taxonomy Code | 2085R0203X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Therapeutic Radiology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699854596 | Joan Joonsun Ryoo | Radiology | 4950 W Sunset Blvd, Second Floor, Los Angeles, CA 90027-5822 | 2006-11-03 |
| 1104923101 | John Willard Horns | Radiology | 11301 Wilshire Blvd, Los Angeles, CA 90073-1003 | 2006-09-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831692243 | Joseph Vernon Hodgkins | Radiology | 5901 E 7th St Bldg 165, Long Beach, CA 90822-5201 | 2018-03-12 |
| 1225296676 | Dwight Raymond Stickney | Radiology | 5275 Ashby Ln, Granite Bay, CA 95746-9425 | 2008-06-01 |
| 1487811824 | Brian D. Berger, Md, Pa | Radiology | 1341 David St, #111, San Mateo, CA 94403-1916 | 2008-05-22 |
| 1174664890 | John Charles Clark | Radiology | 1325 Bambury Ct, Redding, CA 96001-1339 | 2007-02-08 |
| 1598837569 | Clayton Chen | Radiology | 60mdg/sgqx, 101 Bodin Circle, Travis Afb, CA 94535-1800 | 2006-11-15 |
| 1861587727 | Steve Byron Benak Jr. | Radiology | 7024 N. Park Ridge Court, Riverbank, CA 95367 | 2006-10-04 |
| 1609842392 | Harvey S Frey | Radiology | 552 12th St, Santa Monica, CA 90402-2908 | 2006-02-23 |
| 1356322705 | Florian H Ploch | Radiology | 1020 Nut Tree Rd, #190, Vacaville, CA 95687-4100 | 2005-11-10 |
| 1922091263 | Victor G Schweitzer | Radiology | 2985 Sycamore Dr, Simi Valley, CA 93065-1201 | 2005-08-23 |
| 1528460334 | Reinhard Wilhelm Schulte | Radiology | 9834 Genesee Ave, Suite 110, La Jolla, CA 92037-1223 | 2014-09-23 |
| Find all providers with the same taxonomy | ||||
| City | LOS ANGELES |
| Zip Code | 90089 |
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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.