MR. SAMUEL LOUIS FENICHEL (NPI# 1851664932) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1851664932 |
Entity Type | Individual |
Full Name | MR. SAMUEL LOUIS FENICHEL |
Credential | MD |
Practice Address |
5203 S. Marina Pacifica Dr Long Beach CA 90803 |
Mailing Address |
5203 S. Marina Pacifica Drive Long Beach CA 90803 |
Practice Telephone | 5624315750 |
Practice Fax Number | 5624315750 |
Mailing Telephone | 5624315750 |
Mailing Fax Number | 5624315750 |
Enumeration Date | 2012-02-20 |
Last Update Date | 2012-02-20 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
GFE16337 | CA | Allopathic & Osteopathic Physicians |
Street Address |
5203 S. MARINA PACIFICA DR |
City | LONG BEACH |
State | CA |
Zip Code | 90803 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568011377 | Jand. Inc. | Eyewear Supplier (Equipment, not the service) | 6440 E. Pacific Coast Highway, Space B-165, Long Beach, CA 90803 | 2019-09-05 |
1518426931 | Quashanika Marin | Behavior Technician | 55555 Anton Blvd, Costa Mesa, CA 90803 | 2019-03-15 |
1629569405 | Shiori Koga Lange | Social Worker | 6615 E Pacific Coast Hwy Ste 225, Long Beach, CA 90803 | 2018-05-29 |
1083117832 | Amos Hirsh | Specialist/Technologist | 3409 E 1st St., B, Long Beach, CA 90803 | 2018-03-16 |
1972029130 | Lilia Bolgov | Dietitian, Registered | 3528 E 2nd St, Apt 1, Long Beach, CA 90803 | 2017-08-19 |
1669907523 | Ashley Clary | Substance Abuse Rehabilitation Facility | 6621 Pacific Coast Highway, Long Beach, CA 90803 | 2017-04-27 |
1629438247 | Victoria Nguyen Dental Corporation | Dentist | 6437 E. Pacific Coast Highway, Unit A-6, Long Beach, CA 90803 | 2016-02-24 |
1548633829 | Anne Yeakel | Chiropractor | 6234 E Pacific Coast Hwy, Unit C, Long Beach, CA 90803 | 2015-11-09 |
1376921023 | Lauren Katherine Mills | Registered Nurse | 6000 Bixby Village Drive #5, Long Beach, CA 90803 | 2015-05-14 |
1205173317 | Richard Stuart Egan | Otolaryngology | 310 Blue Cavern Point, Long Beach, CA 90803 | 2013-01-09 |
Find all providers in zip 90803 |
Taxonomy Code | 2085R0202X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Radiology |
Specialization | Diagnostic Radiology |
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
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 Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649815903 | United Medical Radiology Network, Inc | Radiology | 2600 Redondo Ave # 101, Long Beach, CA 90806-2325 | 2019-11-11 |
1689221103 | Los Alamitos Radiology Group Inc | Radiology | 3747 Worsham Ave Ste 200, Long Beach, CA 90808-1734 | 2019-08-20 |
1679901656 | Alan Brooks | Radiology | 204 Prospect Ave, Long Beach, CA 90803-1617 | 2013-10-29 |
1669814273 | Sun Imaging Associates Plc | Radiology | 3342 Terrace Ridge Ln, Long Beach, CA 90804-1203 | 2013-07-24 |
1760823819 | Carleton Allen A Professional Medical Corporation | Radiology | 300 W Ocean Blvd, Suite 6806, Long Beach, CA 90802-7954 | 2013-07-17 |
1245587070 | Southland Neurologic Associates | Radiology | 3747 Worsam Ave, #100, Long Beach, CA 90808-1774 | 2012-08-10 |
1578827697 | Christine A Khong-mcbride | Radiology | 1333 Chestnut Ave., Radiology Dept Room 23, Long Beach, CA 90813 | 2012-07-03 |
1538208574 | Stephen B Haltom | Radiology | 1025 El Mirador Ave, Long Beach, CA 90815-4420 | 2007-02-06 |
1154346336 | Carol Manning | Radiology | 3320 N Los Coyotes Diagonal, Suite 120, 112 & 260, Long Beach, CA 90808-3918 | 2006-07-12 |
1245289925 | Arnold Rappoport | Radiology | 2801 Atlantic Avenue, Attn: Radiology Department, Long Beach, CA 90801 | 2006-05-09 |
Find all providers in LONG BEACH |
City | LONG BEACH |
Zip Code | 90803 |
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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.