DR. VADIM GUDZENKO (NPI# 1912111956) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912111956 |
| Entity Type | Individual |
| Full Name | DR. VADIM GUDZENKO |
| Credential | M.D. |
| Practice Address |
757 Westwood Plz Ste 3325 Los Angeles CA 90095-1437 |
| Mailing Address |
5767 W Century Blvd Ste 400 Los Angeles CA 90045-5631 |
| Practice Telephone | 3102678642 |
| Practice Fax Number | 3102673899 |
| Enumeration Date | 2007-05-09 |
| Last Update Date | 2019-12-26 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207L00000X | Anesthesiology | A101905 | CA | Allopathic & Osteopathic Physicians |
| N | 207LC0200X |
Anesthesiology Specialization: Critical Care Medicine |
A101905 | CA | Allopathic & Osteopathic Physicians |
| N | 2082S0099X |
Plastic Surgery Specialization: Plastic Surgery Within the Head and Neck |
A101905 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 0A1019050 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 14445 Olive View Dr Rm 3a113, Sylmar, CA 913421437 | 8183644350 |
| Street Address |
757 WESTWOOD PLZ STE 3325 |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90095-1437 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467491365 | Cynthia Laskin Antin | Anesthesiology | 757 Westwood Plz Ste 3325, Los Angeles, CA 90095-2050 | 2006-06-06 |
| 1992333843 | Justine Liang | Student in an Organized Health Care Education/Training Program | 757 Westwood Plz Ste 3325, Los Angeles, CA 90095-8358 | 2020-03-27 |
| 1336776301 | John Park | Student in an Organized Health Care Education/Training Program | 757 Westwood Plz Ste 3325, Los Angeles, CA 90095-8358 | 2020-03-26 |
| 1609402577 | Parker Stringham Dobson | Student in an Organized Health Care Education/Training Program | 757 Westwood Plz Ste 3325, Los Angeles, CA 90095-7403 | 2020-03-23 |
| 1568098580 | Ashley Meng Adams | Student in an Organized Health Care Education/Training Program | 757 Westwood Plz Ste 3325, Los Angeles, CA 90095-8358 | 2020-03-21 |
| 1528601572 | Brianna Ortbals | Registered Nurse | 757 Westwood Plz Ste 3325, Los Angeles, CA 90095-5318 | 2019-10-22 |
| 1013411917 | Leo Luan Li | Student in an Organized Health Care Education/Training Program | 757 Westwood Plz Ste 3325, Los Angeles, CA 90095-8358 | 2018-03-23 |
| 1326542812 | Sebastian Thomas Kwon | Student in an Organized Health Care Education/Training Program | 757 Westwood Plz Ste 3325, Los Angeles, CA 90095-7419 | 2018-03-20 |
| 1467956151 | Brock Gamez | Student in an Organized Health Care Education/Training Program | 757 Westwood Plz Ste 3325, Los Angeles, CA 90095-8358 | 2018-03-19 |
| 1881048700 | Courtney Scott | Anesthesiology | 757 Westwood Plz Ste 3325, Los Angeles, CA 90095-1865 | 2016-04-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982212155 | Alexandra Gubin | Social Worker | Ucla, 757 Westwood Medical Plaza, Los Angeles, CA 90095 | 2020-07-14 |
| 1952926263 | Georgina Parra | Student in an Organized Health Care Education/Training Program | 10833 Le Conteave, Los Angeles, CA 90095 | 2020-06-11 |
| 1609403575 | Yagmur Muftuoglu | Student in an Organized Health Care Education/Training Program | 757 Westwood Plaza, Neurosurgery, Los Angeles, CA 90095 | 2020-03-23 |
| 1619438173 | Brandon Covington Smith | Student in an Organized Health Care Education/Training Program | 727 Westwood Plaza, Dept of Internal Medicine, Los Angeles, CA 90095 | 2019-03-27 |
| 1184184913 | Alexander Daniel Yuen | Student in an Organized Health Care Education/Training Program | 757 Westwood Plaza (internal Medicine), Los Angeles, CA 90095 | 2019-03-19 |
| 1790266369 | Dana Saifan | Student in an Organized Health Care Education/Training Program | 1000 Veteran Avenue, Los Angeles, CA 90095 | 2018-08-22 |
| 1427549146 | Courtney Renee' Real | Registered Nurse | 757 Westwood Plz Ste 6236, Los Angeles, CA 90095 | 2018-05-29 |
| 1932605094 | Akash Atul Shah | Student in an Organized Health Care Education/Training Program | Ucla Department of Orthopaedic Surgery, 10833 Le Conte Avenue, 76-116 Chs, Los Angeles, CA 90095 | 2018-04-05 |
| 1316443435 | Dane Jensen Brodke | Orthopaedic Surgery | 757 Westwood Plaza, (orthopaedic Surgery), Los Angeles, CA 90095 | 2018-04-05 |
| 1477058824 | Thomas William Gaither Castellanos | Student in an Organized Health Care Education/Training Program | 757 Westwood Plaza, Urology, Los Angeles, CA 90095 | 2018-03-28 |
| Find all providers in zip 90095 | ||||
| Taxonomy Code | 207L00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043826720 | Cedars-sinai Medical Care Foundation | Anesthesiology | 8700 Beverly Blvd Ste Sb-290, Los Angeles, CA 90048-1804 | 2020-09-18 |
| 1083258362 | Farnad Medical Corporation | Anesthesiology | 5757 Wilshire Blvd Ste Pr2, Los Angeles, CA 90036-3689 | 2019-10-30 |
| 1295202638 | Caleb Rogers Penn | Anesthesiology | Cedars-sinai Department of Anesthesiology, 8700 Beverly Blvd, Los Angeles, CA 90048 | 2018-10-24 |
| 1023593977 | Alen Ternian Md A Medical Corporation | Anesthesiology | 8436 W 3rd St Ste 603, Los Angeles, CA 90048-4163 | 2018-09-26 |
| 1467945758 | Braid Medical Corporation | Anesthesiology | 2080 Century Park E Ste 1111, Los Angeles, CA 90067 | 2018-06-11 |
| 1013423631 | Abdul Ali Qaderi | Anesthesiology | 8700 Beverly Blvd Suite 4209, Los Angeles, CA 90048 | 2017-12-19 |
| 1750894796 | Grand Anesthesia and Nursing Services Inc | Anesthesiology | 648 N St Andrews Pl, Los Angeles, CA 90004-1704 | 2017-11-13 |
| 1942741186 | Kevin Yan | Anesthesiology | 1450 San Pablo St Suite 3600 (hc4), Los Angeles, CA 90089-5453 | 2017-03-20 |
| 1841731924 | Mark Davis | Anesthesiology | 8237 Blackburn Ave Apt 103, Los Angeles, CA 90048-4277 | 2017-03-09 |
| 1629428545 | Marie G Kuffner | Anesthesiology | 10866 Leconte Ave, Los Angeles, CA 90095-0001 | 2016-06-21 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90095 |
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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.