DR. JOHN DAERIN RO (NPI# 1780620021) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780620021 |
| Entity Type | Individual |
| Full Name | DR. JOHN DAERIN RO |
| Credential | M.D. |
| Practice Address |
1045 W Redondo Beach Blvd Suite 240 Gardena CA 90247-4128 |
| Practice Telephone | 3102252825 |
| Mailing Telephone | 3102252825 |
| Enumeration Date | 2006-06-22 |
| Last Update Date | 2013-01-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | A054681 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
1045 W REDONDO BEACH BLVD SUITE 240 |
| City | GARDENA |
| State | CA |
| Zip Code | 90247-4128 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073513925 | Kimberly Jill Eddings-reece | Internal Medicine | 1045 W Redondo Beach Blvd, Suite 240, Gardena, CA 90247-4128 | 2005-07-21 |
| 1891118477 | Christine Marie Gutierrez | Nurse Practitioner | 1045 W Redondo Beach Blvd, St 500, Gardena, CA 90247-4128 | 2014-02-02 |
| 1265772107 | Matthew Thomas Breismeister | Physical Therapist | 1045 W Redondo Beach Blvd, 130, Gardena, CA 90247-4128 | 2013-02-28 |
| 1952670341 | Annette A. Coronel-perey,m.d., Inc. | Pediatrics | 1045 W Redondo Beach Blvd, Suite 100, Gardena, CA 90247-4128 | 2011-12-14 |
| 1720397383 | Crystal Danae Burgers | Nurse Practitioner | 1045 W Redondo Beach Blvd, Ste. # 500, Gardena, CA 90247-4128 | 2010-09-30 |
| 1144458928 | Kelly Yu | Podiatrist | 1045 W Redondo Beach Blvd, Suite 106, Gardena, CA 90247-4128 | 2009-06-30 |
| 1083890701 | East-west Eye Institute A Medical Corporation | Optometrist | 1045 W Redondo Beach Blvd, Suite 400, Gardena, CA 90247-4128 | 2008-01-11 |
| 1336324805 | Gary E Ford M.d.,(a Professional Corporation) | Otolaryngology | 1045 W Redondo Beach Blvd, Suite 575, Gardena, CA 90249-4128 | 2008-01-03 |
| 1750560710 | Sanford H Gaynor, M.d.,inc. | Internal Medicine | 1045 W Redondo Beach Blvd, Suite 115, Gardena, CA 90247-4128 | 2007-10-26 |
| 1982894572 | Lawrence I Rubin Dpm, Inc | Podiatrist | 1045 W Redondo Beach Blvd, #250, Gardena, CA 90247-4128 | 2007-07-30 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982204707 | Melissa Reyes | Home Health Aide | 835 N Rosecrans Ave Apt 125, Gardena, CA 90247 | 2020-10-30 |
| 1538645569 | Christopher Jabarie Markham | Case Manager/Care Coordinator | 12817 S Hoover St Apt 14, Gardena, CA 90247 | 2018-07-12 |
| 1013404243 | Sunshine Community Resource Organization Center | Counselor | 1202 W 135th Street, Gardena, CA 90247 | 2018-04-13 |
| 1124537261 | Nina Vu | Pharmacist | 14416 Plum Lane, Unit 3, Gardena, CA 90247 | 2017-09-20 |
| 1356871008 | Delaram Moshfegh | Pharmacist | 1735 Artesia Blvd, Gardena, CA 90247 | 2017-06-15 |
| 1497290522 | Better Vision Optical | Eyewear Supplier (Equipment, not the service) | 1121 W Gardena Blvd Ste A, Gardena, CA 90247 | 2016-12-28 |
| 1013394832 | Lydia Gonzalez | Case Management | 13605 S Vermont Ave Apt 16, Gardena, CA 90247 | 2015-04-30 |
| 1396147682 | Daniel Medical Group, Inc. | Acupuncturist | 2015 W Redondo Beach Blvd., Ste F, Gardena, CA 90247 | 2014-09-18 |
| 1386913663 | Linda Doreen Humphries | Nurse Practitioner | 1141 W. Redondo Beach Blvd., Suite 402, Gardena, CA 90247 | 2011-12-15 |
| 1215229547 | Everett D Wong | Social Worker | 1045 W Redondo Beach Blvd Ste 150, Gardena, CA 90247 | 2011-05-04 |
| Find all providers in zip 90247 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639717218 | Shaunte E Anderson | Family Medicine | 1025 W 190th St Ste 450, Gardena, CA 90248-4339 | 2019-12-14 |
| 1811497035 | Peyman Banooni Medical Group, Inc | Family Medicine | 1030 Gardena Blvd, Gardena, CA 90247-4956 | 2018-02-14 |
| 1417192063 | Uche Austine Chukwudi | Family Medicine | 15425 Crenshaw Blvd, Gardena, CA 90249-4523 | 2008-12-11 |
| 1164677464 | Grace Jiyoung Park | Family Medicine | 15446 S. Western Ave, Southern California Permanente Medical Group, Gardena, CA 90249 | 2008-12-01 |
| 1831397728 | Felix Uzimwonyi Igbinosa | Family Medicine | 13910 Emerald Ln, Gardena, CA 90247-2497 | 2007-07-03 |
| 1659581932 | Community Family Care Ipa | Family Medicine | 19210 S Vermont Ave Ste 400, Gardena, CA 90248-4431 | 2007-05-23 |
| 1134295132 | Alfonso M Baez | Family Medicine | 14127 South Vermont Avenue, Gardena, CA 90247-2005 | 2006-11-28 |
| 1124042882 | Gholam Reza Hosseinian | Family Medicine | 1030 W Gardena Blvd, Gardena, CA 90247-4956 | 2006-07-27 |
| 1710920756 | Patrick J Lemm | Family Medicine | 15446 S Western Ave, Gardena, CA 90249-4319 | 2006-06-14 |
| 1861446841 | Manoutcher Khalili | Family Medicine | 1146 W Redondo Beach Blvd, Gardena, CA 90247-3538 | 2006-05-22 |
| Find all providers in GARDENA | ||||
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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.