WEST COAST CENTER FOR ORTHOPEDIC SURGERY AND SPORTS MEDICINE (NPI# 1851565055) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851565055 |
| Entity Type | Organization |
| Organization Name | WEST COAST CENTER FOR ORTHOPEDIC SURGERY AND SPORTS MEDICINE |
| Other Organization Name | KEITH S. FEDER M.D., INC. |
| Practice Address |
1200 Rosecrans Ave Suite 208 Manhattan Beach CA 90266-2462 |
| Practice Telephone | 3104169700 |
| Practice Fax Number | 3104161120 |
| Mailing Telephone | 3104169700 |
| Mailing Fax Number | 3104161120 |
| Enumeration Date | 2008-04-17 |
| Last Update Date | 2008-04-17 |
| Authorized Official Name | KEITH SIMON FEDER (OWNER) |
| Authorized Official Telephone | 3104169700 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | Y |
| Parent Organization Name | KEITH S. FEDER M.D., INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | G63788 | CA | Other Service Providers |
| Other Name | Type Code |
|---|---|
| Keith S. Feder M.D., Inc. | Doing Business As Name - Organization |
| Street Address |
1200 ROSECRANS AVE SUITE 208 |
| City | MANHATTAN BEACH |
| State | CA |
| Zip Code | 90266-2462 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265428189 | Antony G Rodas | Internal Medicine | 1200 Rosecrans Ave, Suite 110, Manhattan Beach, CA 90266-2462 | 2005-09-26 |
| 1922469915 | Mary Bos, D.o., A Medical Corporation | Orthopaedic Surgery | 1200 Rosecrans Ave, Ste 110, Manhattan Beach, CA 90266-2462 | 2016-03-17 |
| 1255705935 | Joel Gould Dds Inc | Dentist | 1200 Rosecrans Ave, Suite 107, Manhattan Beach, CA 90266-2462 | 2015-11-18 |
| 1134503535 | Gould Dental Corporation | Health Maintenance Organization | 1200 Rosecrans Ave, 107, Manhattan Beach, CA 90266-2462 | 2015-07-15 |
| 1538596986 | Sideout Surgery Center Inc. | Clinic/Center | 1200 Rosecrans Ave, Suite 110, Manhattan Beach, CA 90266-2462 | 2013-10-01 |
| 1790110807 | Jakes Medical Inc | Durable Medical Equipment & Medical Supplies | 1200 Rosecrans Ave, Ste 110, Manhattan Beach, CA 90266-2462 | 2013-09-09 |
| 1710328257 | Vivian Liv M.d. A Medical Corp. | Pediatrics | 1200 Rosecrans Ave, Suite 202, Manhattan Beach, CA 90266-2470 | 2013-07-12 |
| 1245522317 | Keith S. Feder Md, Inc. | Specialist | 1200 Rosecrans Ave, Suite 208, Manhattan Beach, CA 90266-2462 | 2011-05-09 |
| 1811227457 | Carol Frey M.d., Inc | Specialist | 1200 Rosecrans Ave, Suite 208, Manhattan Beach, CA 90266-2462 | 2010-01-04 |
| 1427291558 | Amin Davari | Pediatrics | 1200 Rosecrans Ave, Suite 202, Manhattan Beach, CA 90266-2462 | 2009-04-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770099756 | Tene Anderson | Massage Therapist | 500 S. Sepulveda Blvd, 207, Manhattan Beach, CA 90266 | 2017-12-28 |
| 1689035552 | Sean Limahelu | Physical Therapist | 400 S. Sepulveda Blvd. Suite 105, Manhattan Beach, CA 90266 | 2016-03-18 |
| 1609248053 | Nora Lillian Fong | General Practice | 425 15th St., Manhattan Beach, CA 90266 | 2015-10-26 |
| 1598182461 | Behavior and Education Inc | Day Training, Developmentally Disabled Services | 1888 Rosecrans Ave, Suite 2200, Manhattan Beach, CA 90266 | 2014-03-27 |
| 1538502406 | Cynara Conroy Allison | Marriage & Family Therapist | 1716 Manhattan Beach Blvd. #c, Manhattan Beach, CA 90266 | 2013-04-10 |
| 1598001919 | Cassandra Giornali Sorrell | Marriage & Family Therapist | 1050 Duncan Avenue, Suite K, Manhattan Beach, CA 90266 | 2012-12-13 |
| 1669716056 | Maria Lynn Newson | Marriage & Family Therapist | 2007 Cedar Avenue, Manhattan Beach, CA 90266 | 2012-11-26 |
| 1407113376 | Mona-lisa Lind | Marriage & Family Therapist | 901 North Pacific Coast Hwy., Ste. 200a-204a, Redondo Beach, CA 90266 | 2012-04-17 |
| 1790063964 | Chad Chin Seng Heng | Anesthesiology | 400 S Sepulveda Blvd Ste 200, Manhattan Beach, CA 90266 | 2011-07-21 |
| 1417262908 | Jennifer V. Izzarelli | Nurse Practitioner | 111 North Sepulveda Boulevard, Suite 210, Manhattan Beach, CA 90266 | 2010-08-10 |
| Find all providers in zip 90266 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497353239 | Nadia Nodoust-christensen | Specialist | 1627 Curtis Ave, Manhattan Beach, CA 90266-7022 | 2020-10-14 |
| 1184951097 | Brian Davis | Specialist | 224 35th St Apt B, Manhattan Beach, CA 90266-3317 | 2009-11-13 |
| 1649282302 | Anthony K Ahn | Specialist | 1200 Rosecrans Ave Ste 202, Manhattan Beach, CA 90266-2470 | 2006-08-12 |
| 1437102092 | Valley Radiotherapy Associates Medical Group Inc | Specialist | 1500 Rosecrans Ave, 400, Manhattan Beach, CA 90266-3763 | 2006-05-17 |
| 1760455463 | Gary John Vitti | Specialist | 636 13th St, Manhattan Beach, CA 90266-4833 | 2006-02-12 |
| 1245522317 | Keith S. Feder Md, Inc. | Specialist | 1200 Rosecrans Ave, Suite 208, Manhattan Beach, CA 90266-2462 | 2011-05-09 |
| 1811227457 | Carol Frey M.d., Inc | Specialist | 1200 Rosecrans Ave, Suite 208, Manhattan Beach, CA 90266-2462 | 2010-01-04 |
| 1821134123 | Keith Simon Feder | Specialist | 1200 Rosecrans Ave, Suite 208, Manhattan Beach, CA 90266-2462 | 2007-01-30 |
| 1083751382 | Carol Frey | Specialist | 1200 Rosecrans Ave, Suite 208, Manhattan Beach, CA 90266-2462 | 2007-01-30 |
| 1033200951 | Michael E Shapiro | Specialist | 400 S Sepulveda Blvd, Suite 200, Manhattan Beach, CA 90266-6814 | 2006-09-27 |
| Find all providers in MANHATTAN BEACH | ||||
| City | MANHATTAN BEACH |
| Zip Code | 90266 |
Please comment or provide details below to improve the information on WEST COAST CENTER FOR ORTHOPEDIC SURGERY AND SPORTS MEDICINE.
| 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.