Max Shapiro (NPI# 1750382552, PAC ID# 2365651064) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1750382552 |
| PAC ID by PECOS | 2365651064 |
| Professional Enrollment ID | I20120123000091 |
| Full Name | Max Shapiro |
| Organization Legal Name | PROVIDENCE MEDICAL INSTITUTE |
| Address |
12618 Hawthorne Blvd Hawthorne CA 90250-3907 |
| Phone Number | 3102635700 |
| Gender | M |
| Medical School | ALBERT EINSTEIN COLLEGE OF MEDICINE OF YESHIVA UNIVERSITY |
| Graduation Year | 1984 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 5991609737 |
| Number of Group Practice Members | 250 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 12618 Hawthorne Blvd, Hawthorne, CA 90250-3907 | 3102635700 | PROVIDENCE MEDICAL INSTITUTE |
| Organization Legal Name | PROVIDENCE MEDICAL INSTITUTE |
| Physicians | 252 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lisa A Garner | Nurse Practitioner | Providence Medical Institute | 24035 Newhall Ranch Rd, Santa Clarita, CA 91355-5702 |
| Jennifer S Lee | Nurse Practitioner | Providence Medical Institute | 12618 Hawthorne Blvd, Hawthorne, CA 90250-3907 |
| Danielle N Anderson | Obstetrics/gynecology | Providence Medical Institute | 2601 W Alameda Avenue, Suite 212, Burbank, CA 91505-4800 |
| Julie A Gould | Obstetrics/gynecology | Providence Medical Institute | 405 N Maclay Ave, Suite 104, San Fernando, CA 91340-2455 |
| Reza Askari | Obstetrics/gynecology | Providence Medical Institute | 621 S Butte St, San Pedro, CA 90732-3510 |
| Brenda Shen | Family Medicine | Providence Medical Institute | 2382 Crenshaw Blvd, Suite 5, Torrance, CA 90501-3333 |
| Raj U Dugel | Ophthalmology | Providence Medical Institute | 4825 Torrance Blvd, Suite 100, Torrance, CA 90503-4167 |
| Jeffrey Work | Interventional Cardiology | Providence Medical Institute | 21501 Avalon Blvd, Suite 100, Carson, CA 90745-2210 |
| Peter J Georgio Ii | Family Medicine | Providence Medical Institute | 1010 N Sepulveda Blvd, Manhattan Beach, CA 90266-5929 |
| Michael M Marvi | Neurology | Providence Medical Institute | 1870 Veteran Ave, Apt 102, Los Angeles, CA 90025-4569 |
| Street Address |
12618 HAWTHORNE BLVD |
| City | HAWTHORNE |
| State | CA |
| Zip | 90250-3907 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jennifer S Lee | Nurse Practitioner | Providence Medical Institute | 12618 Hawthorne Blvd, Hawthorne, CA 90250-3907 |
| Bahman Bandari | Internal Medicine | Providence Medical Institute | 12618 Hawthorne Blvd, Hawthorne, CA 90250-3907 |
| Michelle J Min | Nurse Practitioner | Providence Medical Institute | 12618 Hawthorne Blvd, Hawthorne, CA 90250-3907 |
| Lauren G Brassel | Nurse Practitioner | Providence Medical Institute | 12618 Hawthorne Blvd, Hawthorne, CA 90250-3907 |
| Spencer Harris Wenger | Internal Medicine | Providence Medical Institute | 12618 Hawthorne Blvd, Hawthorne, CA 90250-3907 |
| Doris E Ragland | Internal Medicine | Providence Medical Institute | 12618 Hawthorne Blvd, Hawthorne, CA 90250-3907 |
| Sara Asadi | Internal Medicine | Providence Medical Institute | 12618 Hawthorne Blvd, Hawthorne, CA 90250-3907 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Farshad J Nosratian | Cardiovascular Disease (cardiology) | 11726 Grevillea Ave, Hawthorne, CA 90250-2223 | |
| Loreta Mulokas | Psychiatry | 4477 W 118th St, Hawthorne, CA 90250-2255 | |
| Robert Paoletti | Podiatry | 4477 W 118th St, Suite 105, Hawthorne, CA 90250-2256 | |
| Arnold L Levee | Otolaryngology | 4477 W 118th St, Hawthorne, CA 90250-2256 | |
| Sarah J Mogel | Nurse Practitioner | Ashok Kumar M.d. Inc | 4477 W 118th St, Suite 200, Hawthorne, CA 90250-2257 |
| Hayward Lynn Eubanks | Otolaryngology | 4477 W 118th St, Suite 205, Hawthorne, CA 90250-2257 | |
| Nona P Santos | Nurse Practitioner | Ashok Kumar M.d. Inc | 4477 W 118th St, Suite 200, Hawthorne, CA 90250-2257 |
| Pooja Kumar | Internal Medicine | Ashok Kumar M.d. Inc | 4477 W 118th St, Suite 200, Hawthorne, CA 90250-2257 |
| Ashok Kumar | Internal Medicine | Ashok Kumar M.d. Inc | 4477 W 118th St, Suite 200, Hawthorne, CA 90250-2257 |
| Mehmet C Demirozu | Internal Medicine | Mehmet C Demirozu M D Inc | 4477 W 118th St, Suite 303, Hawthorne, CA 90250-2258 |
| Find all physicians in zip 90250 | |||
| City | HAWTHORNE |
| Zip Code | 90250 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | HAWTHORNE + FAMILY MEDICINE |
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| 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.