Dominick A Dantuono Jr. (NPI# 1801898341, PAC ID# 0143113274) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1801898341 |
| PAC ID by PECOS | 0143113274 |
| Professional Enrollment ID | I20040203001133 |
| Full Name | Dominick A Dantuono Jr. |
| Organization Legal Name | ADVANCED CARDIOTHORACIC SURGERY MEDICAL GROUP, INC. |
| Address |
1245 Wilshire Blvd Suite 606 Los Angeles CA 90017-1901 |
| Phone Number | 2134831055 |
| Gender | M |
| Credential | PA |
| Graduation Year | 1990 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 1456264902 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050471 | GOOD SAMARITAN HOSPITAL |
| 050238 | METHODIST HOSPITAL OF SOUTHERN CA |
| 050239 | GLENDALE ADVENTIST MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1245 Wilshire Blvd, Suite 606, Los Angeles, CA 90017-1901 | 2134831055 | ADVANCED CARDIOTHORACIC SURGERY MEDICAL GROUP, INC. |
| Organization Legal Name | ADVANCED CARDIOTHORACIC SURGERY MEDICAL GROUP, INC. |
| Physicians | 6 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Eli R Capouya | Cardiac Surgery | Advanced Cardiothoracic Surgery Medical Group, Inc. | 1245 Wilshire Blvd, Suite 606, Los Angeles, CA 90017-1901 |
| Robert John Gottner | Thoracic Surgery | Advanced Cardiothoracic Surgery Medical Group, Inc. | 1245 Wilshire Blvd, Suite 606, Los Angeles, CA 90017-1901 |
| Ali Gheissari | Thoracic Surgery | Advanced Cardiothoracic Surgery Medical Group, Inc. | 1245 Wilshire Blvd, Suite 606, Los Angeles, CA 90017-1901 |
| Hector C Gonzalez | Physician Assistant | Advanced Cardiothoracic Surgery Medical Group, Inc. | 1245 Wilshire Blvd, Suite 606, Los Angeles, CA 90017-1901 |
| Alexander Francis Phan | Physician Assistant | Advanced Cardiothoracic Surgery Medical Group, Inc. | 1245 Wilshire Blvd, Los Angeles, CA 90017-1901 |
| Street Address |
1245 WILSHIRE BLVD SUITE 606 |
| City | LOS ANGELES |
| State | CA |
| Zip | 90017-1901 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Feng Li | Gastroenterology | Martin H. Lee, M.d., Inc | 1245 Wilshire Blvd, Suite 780, Los Angeles, CA 90017-4881 |
| James C.s. Hahn | Internal Medicine | 1245 Wilshire Blvd, Suite 790, Los Angeles, CA 90017-4881 | |
| Ellsworth R Grant | Hematology/oncology | 1245 Wilshire Blvd, Suite 801, Los Angeles, CA 90017-4808 | |
| B. Richard Burke | Podiatry | 1245 Wilshire Blvd, Suite 810, Los Angeles, CA 90017-4808 | |
| Jorge D Minor | Physical Medicine and Rehabilitation | La Physiatrists Professional Corporation | 1245 Wilshire Blvd, Suite 403, Los Angeles, CA 90017-4804 |
| John J Estrada | Dermatology | 1245 Wilshire Blvd, Suite 817, Los Angeles, CA 90017-4808 | |
| Hartley Cohen | Gastroenterology | 1245 Wilshire Blvd, Suite 780, Los Angeles, CA 90017-4881 | |
| Roger L Novack | Ophthalmology | Retina Vitreous Associates Medical Group | 1245 Wilshire Blvd, Suite 380, Los Angeles, CA 90017-4886 |
| Takeshi Matsumoto | Internal Medicine | 1245 Wilshire Blvd, Suite 680 S Tower, Los Angeles, CA 90017-4880 | |
| Young S Kim | Internal Medicine | 1245 Wilshire Blvd, Suite 715, Los Angeles, CA 90017-4807 | |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gopal Govindarajan | Cardiovascular Disease (cardiology) | 1640 W 3rd St, Los Angeles, CA 90017-1102 | |
| Tricia A Culverhouse | Nurse Practitioner | Arroyo Vista Family Health Foundation | 303 S Loma Dr, 202 Arroyo Vista Family Health Center, Los Angeles, CA 90017-1103 |
| Edward Neymark | Interventional Radiology | 1660 W 3rd St, Los Angeles, CA 90017-1138 | |
| Beatrice C Lau | Clinical Social Worker | Special Service for Groups | 1310 Wilshire Blvd, Los Angeles, CA 90017-1705 |
| Soo M Park | Clinical Social Worker | Special Service for Groups | 1306 Wilshire Blvd, Los Angeles, CA 90017-1705 |
| Anna H Woo | Clinical Social Worker | Special Service for Groups | 1310 Wilshire Blvd, Los Angeles, CA 90017-1705 |
| Linda S Cowan | Obstetrics/gynecology | 1111 W 6th St, Fl 2, Los Angeles, CA 90017-1800 | |
| Norma L Blackwater | General Practice | 1125 W 6th St, Suite 103, Los Angeles, CA 90017-1896 | |
| Clan H Hahn | Hematology/oncology | Usc Care Medical Group Inc | 1225 Wilshire Blvd, Los Angeles, CA 90017-1901 |
| Joyce J Shin | Anesthesiology | Samaritan Anesthesiology Medical Group | 1225 Wilshire Blvd, Los Angeles, CA 90017-1901 |
| Find all physicians in zip 90017 | |||
| City | LOS ANGELES |
| Zip Code | 90017 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | LOS ANGELES + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Dominick A Dantuono Jr..
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.