Nicky M Wadiwala (NPI# 1255642179, PAC ID# 5991976680) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CARDIOVASCULAR DISEASE (CARDIOLOGY).
| Nation Provider ID (NPI) | 1255642179 |
| PAC ID by PECOS | 5991976680 |
| Professional Enrollment ID | I20110929000713 |
| Full Name | Nicky M Wadiwala |
| Organization Legal Name | BOYLE HEIGHTS CARDIOVASCULAR MEDICAL GROUP INC. |
| Address |
1700 E Cesar Chavez Ave Suite 1200 Los Angeles CA 90033-2424 |
| Phone Number | 3232682200 |
| Gender | M |
| Graduation Year | 2008 |
| Primary Specialty | CARDIOVASCULAR DISEASE (CARDIOLOGY) |
| Secondary Specialties | INTERVENTIONAL CARDIOLOGY |
| Group Practice PAC ID | 2163522525 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050103 | WHITE MEMORIAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1700 E Cesar Chavez Ave, Suite 1200, Los Angeles, CA 90033-2424 | 3232682200 | BOYLE HEIGHTS CARDIOVASCULAR MEDICAL GROUP INC. |
| 1828 E Cesar E Chavez Ave, Suite 4600, Los Angeles, CA 90033-2414 | 3232685000 | WHITE MEMORIAL MEDICAL CENTER |
| Organization Legal Name | BOYLE HEIGHTS CARDIOVASCULAR MEDICAL GROUP INC. |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ngoc T Nguyen | Cardiovascular Disease (cardiology) | Boyle Heights Cardiovascular Medical Group Inc. | 1700 E Cesar Chavez Ave, Suite 1200, Los Angeles, CA 90033-2424 |
| Street Address |
1700 E CESAR CHAVEZ AVE SUITE 1200 |
| City | LOS ANGELES |
| State | CA |
| Zip | 90033-2424 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kevin J Pelton | Orthopedic Surgery | Kevin J. Pelton Md, Inc. | 1700 E Cesar Chavez Ave, Suite 2200, Los Angeles, CA 90033-2476 |
| James J Reid | Orthopedic Surgery | Kevin J. Pelton Md, Inc. | 1700 E Cesar Chavez Ave, Suite 2200, Los Angeles, CA 90033-2476 |
| Matthew D Nalamlieng | Podiatry | Kevin J. Pelton Md, Inc. | 1700 E Cesar Chavez Ave, Suite 2200, Los Angeles, CA 90033-2476 |
| Felipe Nunez | Physician Assistant | Kevin J. Pelton Md, Inc. | 1700 E Cesar Chavez Ave, Suite 2200, Los Angeles, CA 90033-2476 |
| Michelle T Sugi | Orthopedic Surgery | Kevin J. Pelton Md, Inc. | 1700 E Cesar Chavez Ave, Suite 2200, Los Angeles, CA 90033-2476 |
| Ngoc T Nguyen | Cardiovascular Disease (cardiology) | Boyle Heights Cardiovascular Medical Group Inc. | 1700 E Cesar Chavez Ave, Suite 1200, Los Angeles, CA 90033-2424 |
| Erik M Dworsky | Orthopedic Surgery | Kevin J. Pelton Md, Inc. | 1700 E Cesar Chavez Ave, Suite 2200, Los Angeles, CA 90033-2476 |
| Ramesh K Manchanda | Nephrology | 1700 E Cesar Chavez Ave, Suite 3800, Los Angeles, CA 90033-2450 | |
| Menyoli M Malafa | Plastic and Reconstructive Surgery | Kevin J. Pelton Md, Inc. | 1700 E Cesar Chavez Ave, Suite 2200, Los Angeles, CA 90033-2476 |
| Nora Nazarian | Physician Assistant | Kevin J. Pelton Md, Inc. | 1700 E Cesar Chavez Ave, Suite 2200, Los Angeles, CA 90033-2476 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Eric Leung | Internal Medicine | Senior Care Clinic A Medical Corp | 1700 Cesar Chavez Ave, Suite 3900, Los Angeles, CA 90033 |
| Faisal A Khan | General Surgery | Surgical Multispecialties Medical Group | 1701 Cesar Chavez Ave, Suite 300, Los Angeles, CA 90033 |
| Arpita Amin Devani | Internal Medicine | 1720 E Cesar Chavez Ave, Los Angeles, CA 90033 | |
| Azmy F Ghaly | Internal Medicine | Senior Care Clinic A Medical Corp | 1700 Cesar Chavez Ave, Suite 3900, Los Angeles, CA 90033 |
| Marian A Fedak | Internal Medicine | Senior Care Clinic A Medical Corp | 1700 Cesar Chavez Ave, Suite 3900, Los Angeles, CA 90033 |
| Matthew S C Tan | General Surgery | Surgical Multispecialties Medical Group | 1701 Cesar Chavez Ave, Suite 300, Los Angeles, CA 90033 |
| Ramsay Nucho | Thoracic Surgery | Surgical Multispecialties Medical Group | 1701 Cesar Chavez Ave, Suite 300, Los Angeles, CA 90033 |
| Ahmad Jabaiah | Internal Medicine | Senior Care Clinic A Medical Corp | 1700 Cesar Chavez Ave, Suite 3900, Los Angeles, CA 90033 |
| Francisco Quijas | Internal Medicine | Senior Care Clinic A Medical Corp | 1700 Cesar Chavez Ave, Suite 3900, Los Angeles, CA 90033 |
| Rene N Kohlieber | Family Medicine | Senior Care Clinic A Medical Corp | 1700 Cesar Chavez Ave, Suite 3900, Los Angeles, CA 90033 |
| Find all physicians in zip 90033 | |||
| City | LOS ANGELES |
| Zip Code | 90033 |
| Specialty | CARDIOVASCULAR DISEASE (CARDIOLOGY) |
| City + Specialty | LOS ANGELES + CARDIOVASCULAR DISEASE (CARDIOLOGY) |
Please comment or provide details below to improve the information on Nicky M Wadiwala.
| 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.