BRADFORD W. EDGERTON (NPI# 1902954795) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902954795 |
| Entity Type | Individual |
| Full Name | BRADFORD W. EDGERTON |
| Credential | MD |
| Practice Address |
6041 Cadillac Ave Los Angeles CA 90034-1702 |
| Practice Telephone | 3238572000 |
| Mailing Telephone | 3238572000 |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2008-09-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0105X |
Surgery Specialization: Surgery of the Hand |
G33416 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
6041 CADILLAC AVE |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90034-1702 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972596708 | Grace Choi | Optometrist | 6041 Cadillac Ave, Los Angeles, CA 90034-1702 | 2005-08-26 |
| 1417561788 | Shirldawn Williams | Social Worker | 6041 Cadillac Ave, Los Angeles, CA 90034-1702 | 2020-09-03 |
| 1720699952 | Beatrice Nguy | Pharmacist | 6041 Cadillac Ave, Los Angeles, CA 90034-1702 | 2020-08-12 |
| 1598375982 | Kristina Lynn Wong | Pharmacist | 6041 Cadillac Ave, Los Angeles, CA 90034-1702 | 2020-07-31 |
| 1033733472 | Ashika Sharma | Pharmacist | 6041 Cadillac Ave, Los Angeles, CA 90034-1702 | 2020-06-02 |
| 1043834484 | Jose Conde | Pharmacist | 6041 Cadillac Ave, Los Angeles, CA 90034-1702 | 2020-06-01 |
| 1164045480 | Jenelle Newell | Pharmacist | 6041 Cadillac Ave, Los Angeles, CA 90034-1702 | 2020-05-20 |
| 1316569155 | Swan An | Pharmacist | 6041 Cadillac Ave, Los Angeles, CA 90034-1702 | 2020-05-14 |
| 1790307882 | Jennifer Kitahara | Pharmacist | 6041 Cadillac Ave, Los Angeles, CA 90034-1700 | 2020-05-12 |
| 1316568090 | Calvin Lai | Pharmacist | 6041 Cadillac Ave, Los Angeles, CA 90034-1702 | 2020-05-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518582014 | Pdi Health Ca LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 3415 South Sepulveda Blvd Ste 1100, Los Angeles, CA 90034 | 2020-06-10 |
| 1154888063 | Lanmc Corporation | Community/Behavioral Health | 1920 S. Robertson Blvd., Los Angeles, CA 90034 | 2019-02-27 |
| 1841799400 | Benjamin Kerneves | Physical Therapist | 3637 Clarington Ave, Los Angeles, CA 90034 | 2018-02-08 |
| 1497274799 | Nancy Mcdonald | Counselor | 9854 National Blvd., #493, Los Angeles, CA 90034 | 2017-09-18 |
| 1063931608 | Alexa Rohach | Physical Therapist | 3710 Midvale Ave, Unit 109, Los Angeles, CA 90034 | 2017-09-14 |
| 1225551807 | Bts Outpatient LLC | Counselor | 8847 Venice Blvd, Los Angeles, CA 90034 | 2017-07-25 |
| 1316467400 | Clarissa Green | Rehabilitation Counselor | Vista Del Mar 3200 Motor Ave, Los Angeles, CA 90034 | 2017-06-21 |
| 1245789940 | Genesis Psychology Group, Inc. | Psychologist | 3611 Motor Ave., Suite 240, Los Angeles, CA 90034 | 2016-09-23 |
| 1245787712 | Mahsa Harati | Dentist | 3670 Glendon Ave, Apt # 204, Los Angeles, CA 90034 | 2016-09-01 |
| 1134675440 | Noelle Antoinette Avellino | Social Worker | 3384 Motor Ave., Los Angeles, CA 90034 | 2016-08-28 |
| Find all providers in zip 90034 | ||||
| Taxonomy Code | 2086S0105X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Surgery of the Hand |
| A surgeon with expertise in the investigation, preservation and restoration by medical, surgical and rehabilitative means, of all structures of the upper extremity directly affecting the form and function of the hand and wrist. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881669596 | Roy A Meals, Inc. | Surgery | 1033 Gayley Ave, #104, Los Angeles, CA 90024-3417 | 2006-02-17 |
| 1346481256 | Todd A Theman | Surgery | 200 Medical Plz, Suite 140, Los Angeles, CA 90095-0001 | 2009-03-23 |
| 1578623740 | Dong-joon Lee | Surgery | 6041 Cadillac Ave, Los Angeles, CA 90034-1702 | 2006-12-11 |
| 1376610279 | Touraj Touran | Surgery | 6041 Cadillac Ave, Los Angeles, CA 90034-1702 | 2006-11-29 |
| 1033122254 | Gregory Tsushima | Surgery | 8635 W 3rd St, Los Angeles, CA 90048-6101 | 2006-08-15 |
| 1285657478 | Michael J. Feldman | Surgery | 1125 S Beverly Dr, Suite 500, Los Angeles, CA 90035-1148 | 2006-07-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851669592 | Nehzat Nikakhtar Md Inc | Surgery | 24462 Hawthorne Blvd, Torrance, CA 90505-6507 | 2011-12-08 |
| 1306133699 | Nicholas Manes Caggiano | Surgery | 862 Meinecke Ave Ste 100, San Luis Obispo, CA 93405 | 2011-07-07 |
| 1790005304 | Soar Surgery Center, LLC | Surgery | 1849 Bayshore Hwy, Burlingame, CA 94010-1215 | 2010-06-04 |
| 1730410747 | Mark Slonim | Surgery | 5610 Caminito Genio, La Jolla, CA 92037-7167 | 2010-01-15 |
| 1780822171 | Katherine Janice Fu | Surgery | 35400 Bob Hope Dr Ste 201, Rancho Mirage, CA 92270 | 2009-01-23 |
| 1801000815 | Frederick Abruzzo | Surgery | 1447a Stevenson St, San Francisco, CA 94103-2424 | 2007-05-09 |
| 1730305178 | Hongshik Han Md Inc | Surgery | 7005 N Maple #108, Fresno, CA 93720 | 2007-04-17 |
| 1356461651 | Jonathan F Cook, Md Inc | Surgery | 1334 W. Covina Bl., # 204, San Dimas, CA 91773 | 2007-03-30 |
| 1952469983 | Robert Ellis Markison | Surgery | 2000 Van Ness Avenue, Suite 204, San Francisco, CA 94109-3017 | 2006-12-04 |
| 1306868328 | Randal John Vecchione | Surgery | 2542 2nd Ave, San Diego, CA 92103-6537 | 2006-07-25 |
| Find all providers with the same taxonomy | ||||
| City | LOS ANGELES |
| Zip Code | 90034 |
Please comment or provide details below to improve the information on BRADFORD W. EDGERTON.
| 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.