T J FITZGIBBONS MD INC (NPI# 1831335363) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831335363 |
| Entity Type | Organization |
| Organization Name | T J FITZGIBBONS MD INC |
| Practice Address |
1245 Wilshire Blvd Ste 905 Los Angeles CA 90017-4809 |
| Practice Telephone | 2139771211 |
| Mailing Telephone | 2139770625 |
| Enumeration Date | 2009-01-06 |
| Last Update Date | 2009-01-06 |
| Authorized Official Name | TERRENCE JOHN FITZGIBBONS (OWNER) |
| Authorized Official Telephone | 2139771211 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0129X |
Surgery Specialization: Vascular Surgery |
Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861795965 | T J Fitzgibbons Md Inc | Surgery | 1245 Wilshire Blvd, Suite 905, Los Angeles, CA 90017-4810 | 2010-12-10 |
| Street Address |
1245 WILSHIRE BLVD STE 905 |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90017-4809 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144833617 | Guadalupe Vallejo | Licensed Vocational Nurse | 515 Columbia Avenue, #200, 515 Columbia Avenue, Los Angeles, CA 90017 | 2020-08-25 |
| 1376181768 | Nirlok Corporation | Optometrist | 750 West 7th Street, Los Angeles, CA 90017 | 2019-12-16 |
| 1689228223 | Marycarmen Beltran | Student in an Organized Health Care Education/Training Program | 333 S. Beaudry Ave., Los Angeles, CA 90017 | 2019-08-01 |
| 1639661465 | Robin B Horowitz | Counselor | 333 South Beaudry Avenue, Los Angeles, CA 90017 | 2018-06-06 |
| 1710483797 | Rose Jadidian | Pharmacist | 701 S. Flower, Ste. 3150, Los Angeles, CA 90017 | 2018-03-30 |
| 1417469875 | Marykarla Gallegos | Case Manager/Care Coordinator | 1125 W. 6th St., Suite 103, Los Angeles, CA 90017 | 2017-10-25 |
| 1134646516 | Maria Salas | Rehabilitation Practitioner | 333 S Beaudry Ave., Los Angeles, CA 90017 | 2017-08-25 |
| 1932638202 | Butterfli Technologies Inc | Transportation Broker | 865 S Figueroa St Ste 2750, Los Angeles, CA 90017 | 2017-06-08 |
| 1316493125 | Phamily Love Foundation | Community/Behavioral Health | 626 Wilshire Blvd ., Suite 910, Los Angeles, CA 90017 | 2016-08-31 |
| 1215392188 | Jessica R. Garcia-hillard | Specialist/Technologist | 1111 W. 6th St., Suite 111, Los Angeles, CA 90017 | 2015-12-21 |
| Find all providers in zip 90017 | ||||
| Taxonomy Code | 2086S0129X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Vascular Surgery |
| A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
| 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 |
|---|---|---|---|---|
| 1881213817 | Robert Morton Carroll X | Surgery | 2241 Century Hl, Los Angeles, CA 90067-3506 | 2020-04-09 |
| 1467922120 | Paul Bressman Md Inc | Surgery | 1493 S Crest Dr, Los Angeles, CA 90035-3339 | 2018-11-26 |
| 1376905802 | Southern California Vascular Group, Inc | Surgery | 1530 Camden Ave Ste 403, Los Angeles, CA 90025-8010 | 2016-03-23 |
| 1407246408 | Richard Guest Md, A Professional Medical Corporation | Surgery | 15478 Duomo Via St, Los Angeles, CA 90077-1515 | 2015-01-28 |
| 1972948370 | Tri Star Orthopaedics | Surgery | 440 Shatto Pl # 419, Los Angeles, CA 90020-1793 | 2013-04-30 |
| 1952553711 | Pablo Nankin | Surgery | 1125 S. Beverly Drive, Los Angeles, CA 90035 | 2008-10-10 |
| 1124210018 | Spencer Leland Brown | Surgery | 2080 Century Park E Ste 1807, Los Angeles, CA 90067-2021 | 2007-08-14 |
| 1518170240 | Wilbur Williams Jr. | Surgery | 1830 West Olympic Blvd, Suite 203, Los Angeles, CA 90006-3734 | 2007-05-08 |
| 1306968664 | Arthur Leonard Golding | Surgery | 1781 Old Ranch Rd, Los Angeles, CA 90049-2507 | 2007-04-05 |
| 1255491221 | Salvador A. Brau | Surgery | 1334 Westwood Blvd, Suite 1d, Los Angeles, CA 90024-4951 | 2006-12-11 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90017 |
Please comment or provide details below to improve the information on T J FITZGIBBONS MD INC.
| 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.