DR. JOHN P O'DEA (NPI# 1902836273) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902836273 |
| Entity Type | Individual |
| Full Name | DR. JOHN P O'DEA |
| Credential | M.D. |
| Practice Address |
1950 Sawtelle Blvd Suite 145 A Los Angeles CA 90025-7014 |
| Practice Telephone | 3104812245 |
| Practice Fax Number | 3104812226 |
| Mailing Telephone | 3104812245 |
| Mailing Fax Number | 3104812226 |
| Enumeration Date | 2006-07-03 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | A032629 | CA | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | CA STATE LICENSE | A032629 | 01 |
| PPIN | WA32629G | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154330405 | John Noel O'dea | Counselor | 1475 Prudential Dr, Dallas, TX 75235-4109 | 2006-08-05 |
| 1669739975 | John A O'dea | Internal Medicine | Massachusetts General Hospital, 55 Fruit St., Boston, MA 02114 | 2012-04-12 |
| Street Address |
1950 SAWTELLE BLVD SUITE 145 A |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90025-7014 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528036159 | Kimberly A Fisher | Physical Therapist | 1950 Sawtelle Blvd, 303, Los Angeles, CA 90025-7014 | 2006-03-09 |
| 1780123075 | Kinetic Orthopaedic Physical Therapy, Inc. | Clinic/Center | 1950 Sawtelle Blvd, Suite 190, Los Angeles, CA 90025 | 2017-02-20 |
| 1225430002 | Tamarine Nathan | Physical Therapist | 1950 Sawtelle Blvd, #190, Los Angeles, CA 90025-7014 | 2014-09-23 |
| 1689092397 | Walter Jong | Physical Medicine & Rehabilitation | 1950 Sawtelle Blvd, Suite 180, Los Angeles, CA 90025-7014 | 2014-03-31 |
| 1891110888 | Regents of The University of California | Family Medicine | 1950 Sawtelle Blvd, Suite 130, Los Angeles, CA 90025-7014 | 2014-02-27 |
| 1275964777 | Bonita C. Hornstein, D.d.s. | Dentist | 1950 Sawtelle Blvd, Suite 100, Los Angeles, CA 90025-7014 | 2013-12-09 |
| 1356608293 | Amy Pui Kwan Chan | Internal Medicine | 1950 Sawtelle Blvd, #130, Los Angeles, CA 90025-7014 | 2012-04-17 |
| 1174896518 | Valerie Copelan | Social Worker | 1950 Sawtelle Blvd, Los Angeles, CA 90025-7014 | 2012-02-15 |
| 1750617247 | Kyung-ah Cho Anderson | Family Medicine | 1950 Sawtelle Blvd, Suite 130, Los Angeles, CA 90025-7014 | 2009-10-19 |
| 1336473693 | Olivia Kathleen Barry | Physical Therapist | 1950 Sawtelle Blvd, Ste 303, Los Angeles, CA 90025-7014 | 2009-09-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558962324 | Marjan-marcia Khalitchi-alavi | Psychologist | 12400 Wilshire Blvd #230, Los Angeles, CA 90025 | 2020-11-06 |
| 1245852599 | Maureen Bridget Mcglynn | Marriage & Family Therapist | 1531 Purdue Avenue, Los Angeles, CA 90025 | 2020-05-09 |
| 1578118857 | Gregory J Bogie | Physical Therapist | 10351 Santa Monica Blvd. Suite 101, Los Angeles, CA 90025 | 2019-08-05 |
| 1518527712 | David Allen Goldstein | Marriage & Family Therapist | 12301 Wilshire Blvd., Suite 515, Los Angeles, CA 90025 | 2019-06-19 |
| 1386104875 | Kevin Meir Youssefzadeh | Student in an Organized Health Care Education/Training Program | 304 Dowlen Dr, Los Angeles, CA 90025 | 2019-03-21 |
| 1336609189 | Psychotherapy Center for Healing and Personal Growth | Psychologist | 2001 S. Barington Ave Suite 222, Los Angeles, CA 90025 | 2019-03-20 |
| 1477028819 | Flora Ma | Nurse Practitioner | 1726 Purdue Ave, Apt 2, Los Angeles, CA 90025 | 2018-10-12 |
| 1457834285 | Yeesul Yoo | Chiropractor | 2001 S. Barrington Ave Suite 101, Los Angeles, CA 90025 | 2018-09-07 |
| 1902387160 | Angelica Carmen Regalado | Behavior Technician | 7400 Pacific Blvd. Suite A & B, Walnut Park, CA 90025 | 2018-08-26 |
| 1033603378 | Craig Allen Gillett | Marriage & Family Therapist | 11847 Wilshire Blvd., #300, Los Angeles, CA 90025 | 2018-06-20 |
| Find all providers in zip 90025 | ||||
| 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 |
|---|---|---|---|---|
| 1255801098 | Maria Elizabeth Botham | Specialist | 8250 W 3rd St Ste 203, Los Angeles, CA 90048-4327 | 2018-12-04 |
| 1154899821 | Adam Garcia-morales | Specialist | 216 S Townsend Ave, Los Angeles, CA 90063-2439 | 2018-11-11 |
| 1174028930 | Sabrena Anne Smith | Specialist | 1680 Vine St Ste 908, Los Angeles, CA 90028-8838 | 2018-03-26 |
| 1538663513 | John Horton | Specialist | 760 Westwood Plaza, Resident Office, Los Angeles, CA 90024 | 2018-03-22 |
| 1598272262 | Ronna Lynne Pearl | Specialist | 3371 Glendale Blvd Ste 215, Los Angeles, CA 90039-1857 | 2018-01-04 |
| 1245754431 | Marla Ellen Mintz | Specialist | 11844 W Pico Blvd Ste 200, Los Angeles, CA 90064-1353 | 2017-07-28 |
| 1730619818 | Emily Ng | Specialist | 8590 W Pico Blvd, Los Angeles, CA 90035-2691 | 2017-06-12 |
| 1871044297 | Katherinne Aucaruri | Specialist | 4225 Blanchard St, Los Angeles, CA 90063-1317 | 2016-10-20 |
| 1720536923 | Jkc Neurology Medical Group Inc | Specialist | 3550 Wilshire Blvd Ste 650, Los Angeles, CA 90010-2440 | 2016-09-15 |
| 1932552916 | Anthony Jose Salvatierra | Specialist | 421 S Manhattan Pl Apt 9, Los Angeles, CA 90020-4175 | 2016-07-14 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90025 |
Please comment or provide details below to improve the information on DR. JOHN P O'DEA.
| 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.