Ian Taylor Macqueen (NPI# 1134486244, PAC ID# 3476876715) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL SURGERY.
| Nation Provider ID (NPI) | 1134486244 |
| PAC ID by PECOS | 3476876715 |
| Professional Enrollment ID | I20141218000021 |
| Full Name | Ian Taylor Macqueen |
| Organization Legal Name | UCLA ASSOCIATED GENERAL SURGEONS |
| Address |
1260 15th St Suite 1200 Santa Monica CA 90404-1147 |
| Phone Number | 3104518751 |
| Gender | M |
| Medical School | UNIVERSITY OF SOUTHERN CALIFORNIA SCHOOL OF MEDICINE |
| Graduation Year | 2012 |
| Primary Specialty | GENERAL SURGERY |
| Group Practice PAC ID | 6002728144 |
| Number of Group Practice Members | 52 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050112 | SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1260 15th St, Suite 1200, Santa Monica, CA 90404-1147 | 3104518751 | UCLA ASSOCIATED GENERAL SURGEONS |
| Organization Legal Name | UCLA ASSOCIATED GENERAL SURGEONS |
| Physicians | 58 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jonathan Sack | General Surgery | Ucla Associated General Surgeons | 450 Hilgard Ave, Los Angeles, CA 90024-2593 |
| Catherine J Juillard | General Surgery | Ucla Associated General Surgeons | 200 Medical Plz, Suite 214, Los Angeles, CA 90095-0001 |
| Michael W Wolfe | Anesthesiology | Ucla Associated General Surgeons | 757 Westwood Plz, Fl 7, Los Angeles, CA 90095-8358 |
| Michael Yeh | Critical Care (intensivists) | Ucla Associated General Surgeons | 100 Medical Plaza, Suite 310, Los Angeles, CA 90095-0001 |
| Kevork Kazanjian | Colorectal Surgery (proctology) | Ucla Associated General Surgeons | 100 Medical Plaza, Suite 310, Los Angeles, CA 90095-0001 |
| Christine Goukasian | Registered Dietitian Or Nutrition Professional | Ucla Associated General Surgeons | 200 Medical Plz, Suite 214, Los Angeles, CA 90095-0001 |
| Erik P Dutson | General Surgery | Ucla Associated General Surgeons | 200 Medical Plz, Suite 214, Los Angeles, CA 90095-0001 |
| Seu Na Park | Nurse Practitioner | Ucla Associated General Surgeons | 100 Medical Plaza, Suite 310, Los Angeles, CA 90095-0001 |
| Zarah D Antongiorgi | Anesthesiology | Ucla Associated General Surgeons | 757 Westwood Plz, Fl 7, Los Angeles, CA 90095-8358 |
| Edward Harry Livingston | General Surgery | Ucla Associated General Surgeons | 1260 15th St, Suite 1200, Santa Monica, CA 90404-1147 |
| Street Address |
1260 15TH ST SUITE 1200 |
| City | SANTA MONICA |
| State | CA |
| Zip | 90404-1147 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Andrew Yang Sun | Urology | Regents of The University of California | 1260 15th St, Suite 1200, Santa Monica, CA 90404-1147 |
| Peter Galier | Internal Medicine | Premier Health Partners of Santa Monica | 1260 15th St, Suite 1415, Santa Monica, CA 90404-1135 |
| John Patrick Whelan | Rheumatology | The Regents of The University of California | 1260 15th St, Suite 1502, Santa Monica, CA 90404-1135 |
| Edward Harry Livingston | General Surgery | Ucla Associated General Surgeons | 1260 15th St, Suite 1200, Santa Monica, CA 90404-1147 |
| Charles F Chandler | General Surgery | Ucla Associated General Surgeons | 1260 15th St, Suite 1200, Santa Monica, CA 90404-1147 |
| Jesse N Mills | Urology | Regents of The University of California | 1260 15th St, Suite 1200, Santa Monica, CA 90404-1147 |
| Mark S Wallen | Podiatry | Santa Monica Podiatry Group Inc | 1260 15th St, Suite 1014, Santa Monica, CA 90404-1145 |
| Melissa D Alexander | Qualified Audiologist | 1260 15th St, P2, Santa Monica, CA 90404-1135 | |
| Joseph David Shirk | Urology | The Regents of The University of California | 1260 15th St, Suite 1200, Santa Monica, CA 90404-1147 |
| Caroline G Close | Family Medicine | Regents University of California Los Angeles | 1260 15th St, Suite 1501, Santa Monica, CA 90404-1150 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Vivanti N Jain | Plastic and Reconstructive Surgery | 2021 Santa Monica Blvd, Santa Monica, CA 90404-0001 | |
| Margaret Ann Regan Rainey | Nurse Practitioner | Regents of The University of California | 1225 15th St, Suite 2100, Santa Monica, CA 90404-1101 |
| Ralph A Massey | Dermatology | 1260 15th St, Suite 1401, Santa Monica, CA 90404-1106 | |
| Malena Shu-chuan Law | General Practice | Premier Health Partners of Santa Monica | 1260 15th St, Suite 1415, Santa Monica, CA 90404-1135 |
| Mohammed Fahad Ali | Internal Medicine | The Regents of The University of California | 1260 15th St, Suite 1502, Santa Monica, CA 90404-1135 |
| Manoochehr Yashari | Obstetrics/gynecology | 1260 15th St, Suite 616, Santa Monica, CA 90404-1141 | |
| Quynhtrang Le Sebastian | Dermatology | 1260 15th St, Suite 709, Santa Monica, CA 90404-1142 | |
| Arash R Hassid | Podiatry | 1260 15th St, Suite 707, Santa Monica, CA 90404-1142 | |
| Jeffrey L Sebastian | General Surgery | 1260 15th St, Suite 709, Santa Monica, CA 90404-1142 | |
| Robert L Portillo | Podiatry | 1260 15th St, Suite 707, Santa Monica, CA 90404-1142 | |
| Find all physicians in zip 90404 | |||
| City | SANTA MONICA |
| Zip Code | 90404 |
| Specialty | GENERAL SURGERY |
| City + Specialty | SANTA MONICA + GENERAL SURGERY |
Please comment or provide details below to improve the information on Ian Taylor Macqueen.
| 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.