SCOTT RYAN LUNDBERG (NPI# 1770518789) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770518789 |
| Entity Type | Individual |
| Full Name | SCOTT RYAN LUNDBERG |
| Credential | MD |
| Practice Address |
14445 Olive View Drive Room 2b182 Medicine Sylmar CA 91342 |
| Practice Telephone | 8183643205 |
| Practice Fax Number | 8183643044 |
| Mailing Telephone | 8183643205 |
| Mailing Fax Number | 8183643044 |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 207P00000X | Emergency Medicine | A73074 | CA | Allopathic & Osteopathic Physicians |
| X | 207R00000X | Internal Medicine | A73074 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
14445 OLIVE VIEW DRIVE ROOM 2B182 MEDICINE |
| City | SYLMAR |
| State | CA |
| Zip Code | 91342 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558355404 | Alan Ben Knopf | Orthopaedic Surgery | 14445 Olive View Drive, Olive View- Ucla Medical, Sylmar, CA 91342-1495 | 2005-09-07 |
| 1184252256 | Anisha Gaitonde | Student in an Organized Health Care Education/Training Program | 14445 Olive View Drive, Department of Medicine, Room 2b-182, Sylmar, CA 91342 | 2020-04-01 |
| 1083131742 | Marel R Valdez X | Registered Nurse | 14445 Olive View Drive, Sylmar, CA 91342 | 2017-08-24 |
| 1679097661 | Alejandra Loera-gil | Registered Nurse | 14445 Olive View Drive, Sylmar, CA 91342 | 2017-08-01 |
| 1124541826 | Salvador Martinez Lopez | Recreation Therapist | 14445 Olive View Drive, Sylmar, CA 91342-1495 | 2017-07-25 |
| 1831612134 | Guadalupe Hallak | Physical Therapist | 14445 Olive View Drive, Sylmar, CA 91342 | 2017-07-19 |
| 1225559230 | Theresa Veronica Moses | Registered Nurse | 14445 Olive View Drive, Sylmar, CA 91342 | 2017-06-29 |
| 1750801064 | Blanca Alcantar | Registered Nurse | 14445 Olive View Drive, Sylmar, CA 91342 | 2017-06-27 |
| 1568982874 | Dalila Ester Medrano De Duarte | Registered Nurse | 14445 Olive View Drive, Sylmar, CA 91342 | 2017-06-27 |
| 1114447422 | Janice Chew | Registered Nurse | 14445 Olive View Drive, Sylmar, CA 91342 | 2017-06-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629687223 | Evelyn Pinto Morales | Technician, Other | 14445 Olive View Dr, Sylmar, CA 91342 | 2020-07-29 |
| 1528520988 | Yeun Lim | Student in an Organized Health Care Education/Training Program | 14445 Olive View Dr., Cottage H1, Attn D. Ray, Sylmar, CA 91342 | 2019-04-04 |
| 1467914317 | Sevak Hovagimyan | Pharmacist | 13677 Foothill Blvd #b, Sylmar, CA 91342 | 2019-04-01 |
| 1619455086 | Cameda Trichele Dickerson | Counselor | Phoenix House 116600 Eldridge, Lake View Terrace, CA 91342 | 2018-07-30 |
| 1407349624 | Joseph Sungkon Choi | Acupuncturist | 10274 Foothill Blvd, Sylmar, CA 91342 | 2018-06-12 |
| 1780194522 | Joe Anthony Cardenas | Specialist/Technologist | 15450 Roxford Street, Sylmar, CA 91342 | 2017-10-06 |
| 1336668466 | Juan Hernandez | Chiropractor | 13950 Foothill Blvd Apt 108, Sylmar, CA 91342 | 2017-09-09 |
| 1891213492 | Richard Ignacio Martinez | Nurse Practitioner | 14987 Oro Grande St., Sylmar, CA 91342 | 2017-09-03 |
| 1104349497 | Vanessa Gamboa | Social Worker | 13145 Bromont Ave., 14, Sylmar, CA 91342 | 2017-07-19 |
| 1982138368 | Christina Guest | Psychiatry & Neurology | Olive View Medical Center, 14445 Olive View Drive, Sylmar, CA 91342 | 2017-04-12 |
| Find all providers in zip 91342 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093964272 | Breena Rachel Taira | Emergency Medicine | Olive View Ucla Medical Center, 14445 Olive View Dr. Dept of Emergency Medicine, North, Sylmar, CA 91342-9134 | 2008-09-12 |
| 1134338650 | James Alan Moore | Emergency Medicine | 14445 Olive View Dr # 6b119-h, Sylmar, CA 91342-1437 | 2007-05-21 |
| 1477716967 | Alan T Chiem | Emergency Medicine | 14445 Olive View Dr, Olive View-ucla Emergency Medicine, Sylmar, CA 91342-1437 | 2008-07-06 |
| 1639332315 | Ebunoluwa Omotola Johnson | Emergency Medicine | 14445 Olive View Drive, Sylmar, CA 91342 | 2008-07-03 |
| 1558523159 | Amber Lauren Sneed | Emergency Medicine | 14445 Olive View Drive, Sylmar, CA 91342 | 2008-06-26 |
| 1730341330 | Seth A Sushinsky | Emergency Medicine | 14445 Olive View Drive, Sylmar, CA 91342 | 2008-06-26 |
| 1710166640 | Sai-hung Hui | Emergency Medicine | 14445 Olive View Dr, North Annex, Dept of Em, Olive View-ucla Med Ctr, Sylmar, CA 91342-1437 | 2007-10-28 |
| 1124211248 | Monica Karmen Lee | Emergency Medicine | 14445 Olive View Dr, Emergency Dept, Sylmar, CA 91342-1437 | 2007-08-22 |
| 1184821183 | Matthew Alan Waxman | Emergency Medicine | 14445 Olive View Dr, North Annex Department of Emergency Medicine, Sylmar, CA 91342-1437 | 2007-07-02 |
| 1578767067 | Lisa F Zhao | Emergency Medicine | 14445 Olive View Dr, North Annex, Sylmar, CA 91342-1437 | 2007-06-11 |
| Find all providers in SYLMAR | ||||
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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.