BRUCE CHARLES DAUGHERTY (NPI# 1811994478) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811994478 |
| Entity Type | Individual |
| Full Name | BRUCE CHARLES DAUGHERTY |
| Credential | MD |
| Practice Address |
5301 W 119th Pl Inglewood CA 90304-1019 |
| Practice Telephone | 3106759285 |
| Enumeration Date | 2005-06-28 |
| Last Update Date | 2013-10-01 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | C40455 | CA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639425309 | Bruce L Daugherty | Hearing Instrument Specialist | 744 5th St, Suite H, Clarkston, WA 99403-2670 | 2012-07-31 |
| Street Address |
5301 W 119TH PL |
| City | INGLEWOOD |
| State | CA |
| Zip Code | 90304-1019 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720639164 | Elizabeth Jett | Technician | 5527 W. 119th Place, Inglewood, CA 90304 | 2019-09-26 |
| 1376099267 | Makasha Sims | Licensed Vocational Nurse | 4450 W. Century Bld., Inglewood, CA 90304 | 2016-08-30 |
| 1528309655 | Ma Roxanne Fermin | Optometrist | 11964 Aviation Blvd, Los Angeles, CA 90304 | 2013-03-14 |
| 1295958353 | Hossein Javid | Dentist | 11976 Aviation Blvd, Inglewood, CA 90304 | 2007-04-10 |
| 1063952554 | Samantha Michelle Kirzner | Dentist | 4201 W Century Blvd, Inglewood, CA 90304 | 2017-03-02 |
| 1639557218 | Priority Vision Optometry Inc | Optometrist | 11964 Aviation Blvd, Los Angeles, CA 90304 | 2015-05-14 |
| 1538436811 | Harmik Torosian | Chiropractor | 11968 Aviation Blvd, Inglewood, CA 90304-1001 | 2011-11-30 |
| 1114310505 | Kian M Javid | Chiropractor | 11968 Aviation Blvd, Inglewood, CA 90304-1001 | 2015-03-10 |
| 1104261353 | Javid Brothers | Dentist | 11976 Aviation Blvd, Inglewood, CA 90304-1001 | 2013-05-01 |
| 1235480963 | South Bay Wellness Center | Chiropractor | 11968 Aviation Blvd, Inglewood, CA 90304-1001 | 2012-09-20 |
| Find all providers in zip 90304 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750495628 | Jehan Zeb Mir | Surgery | 301 N Prairie Ave, 120, Inglewood, CA 90301-4507 | 2006-08-18 |
| 1447202775 | Robert Michael Shorr | Surgery | 501 East Hardy Street, Suite 210, Inglewood, CA 90301-4504 | 2006-05-16 |
| 1134395320 | Jamshid James Shariati | Surgery | 1117 W Manchester Blvd, Suite K, Inglewood, CA 90301-1500 | 2008-05-07 |
| 1295873412 | Mohammad Sajedi | Surgery | 511 E Manchester Blvd, Inglewood, CA 90301 | 2007-02-01 |
| 1922190131 | Craig Michael Smith | Surgery | 501 East Hardy Street, Suite 210, Inglewood, CA 90301-4504 | 2006-09-28 |
| 1619069820 | Ronald Hurst | Surgery | 501 East Hardy Street, Suite 210, Inglewood, CA 90301-4504 | 2006-09-28 |
| 1699867804 | Shorr Smith and Hurst Mds | Surgery | 501 East Hardy Street, Suite 210, Inglewood, CA 90301 | 2006-09-28 |
| 1639185887 | James G Mcpherson | Surgery | 575 E Hardy St, Inglewood, CA 90301-4036 | 2006-07-31 |
| 1912943127 | James Yiu-yui Liu | Surgery | 333 N Prairie Ave, Inglewood, CA 90301-4501 | 2006-06-22 |
| 1205836731 | Regina Stokes Offodile | Surgery | 323 N Prairie Ave, Suite #315, Inglewood, CA 90301-4502 | 2005-07-27 |
| Find all providers in INGLEWOOD | ||||
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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.