Patrick D Edgecomb (NPI# 1346547320, PAC ID# 6406032358) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL THERAPY.
| Nation Provider ID (NPI) | 1346547320 |
| PAC ID by PECOS | 6406032358 |
| Professional Enrollment ID | I20180515001598 |
| Full Name | Patrick D Edgecomb |
| Organization Legal Name | VERT WESTSIDE LLC |
| Address |
3011 Wilshire Blvd Santa Monica CA 90403-2301 |
| Phone Number | 3102648385 |
| Gender | M |
| Graduation Year | 2011 |
| Primary Specialty | PHYSICAL THERAPY |
| Group Practice PAC ID | 4880757954 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 3011 Wilshire Blvd, Santa Monica, CA 90403-2301 | 3102648385 | VERT WESTSIDE LLC |
| Organization Legal Name | VERT WESTSIDE LLC |
| Physicians | 7 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Christopher Scott Dahl | Physical Therapy | Vert Westside LLC | 3011 Wilshire Blvd, Santa Monica, CA 90403-2301 |
| Nicola N Nakase | Physical Therapy | Vert Westside LLC | 3011 Wilshire Blvd, Santa Monica, CA 90403-2301 |
| Rashmi Bandekar | Physical Therapy | Vert Westside LLC | 3011 Wilshire Blvd, Santa Monica, CA 90403-2301 |
| Marc A Hara | Physical Therapy | Vert Westside LLC | 3011 Wilshire Blvd, Santa Monica, CA 90403-2301 |
| Minchul Jung | Physical Therapy | Vert Westside LLC | 3011 Wilshire Blvd, Santa Monica, CA 90403-2301 |
| Jennifer M Esquer | Physical Therapy | Vert Westside LLC | 3011 Wilshire Blvd, Santa Monica, CA 90403-2301 |
| Street Address |
3011 WILSHIRE BLVD |
| City | SANTA MONICA |
| State | CA |
| Zip | 90403-2301 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Christopher Scott Dahl | Physical Therapy | Vert Westside LLC | 3011 Wilshire Blvd, Santa Monica, CA 90403-2301 |
| Nicola N Nakase | Physical Therapy | Vert Westside LLC | 3011 Wilshire Blvd, Santa Monica, CA 90403-2301 |
| Rashmi Bandekar | Physical Therapy | Vert Westside LLC | 3011 Wilshire Blvd, Santa Monica, CA 90403-2301 |
| Marc A Hara | Physical Therapy | Vert Westside LLC | 3011 Wilshire Blvd, Santa Monica, CA 90403-2301 |
| Minchul Jung | Physical Therapy | Vert Westside LLC | 3011 Wilshire Blvd, Santa Monica, CA 90403-2301 |
| Jennifer M Esquer | Physical Therapy | Vert Westside LLC | 3011 Wilshire Blvd, Santa Monica, CA 90403-2301 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Robert Curtis Dickey | Optometry | 901 Montana Ave, Santa Monica, CA 90403-1537 | |
| Phillip Herel | Physical Therapy | 1301 Montana Ave, Suite A, Santa Monica, CA 90403-1767 | |
| Bijan Cohenmehr | Optometry | 3116 Wilshire Blvd, Santa Monica, CA 90403-2304 | |
| Niaz Khani | Psychologist, Clinical | 3201 Wilshire Blvd, Suite 320, Santa Monica, CA 90403-2335 | |
| Laura A Israel | Clinical Social Worker | 3201 Wilshire Blvd, Suite 209, Santa Monica, CA 90403-2335 | |
| Alan E Clark | Psychologist, Clinical | 3201 Wilshire Blvd, Suite 205, Santa Monica, CA 90403-2335 | |
| Karen Marie Stewart | Psychologist, Clinical | 3201 Wilshire Blvd, Suite 320, Santa Monica, CA 90403-2335 | |
| Kenneth A Rasmussen | Psychologist, Clinical | 3201 Wilshire Blvd, Suite 310, Santa Monica, CA 90403-2335 | |
| Ludmila Zeltzer | Psychologist, Clinical | 3201 Wilshire Blvd, Suite 201, Santa Monica, CA 90403-2337 | |
| Eleanore M Baidoo | Clinical Social Worker | 3201 Wilshire Blvd, Suite 202, Santa Monica, CA 90403-2337 | |
| Find all physicians in zip 90403 | |||
| City | SANTA MONICA |
| Zip Code | 90403 |
| Specialty | PHYSICAL THERAPY |
| City + Specialty | SANTA MONICA + PHYSICAL THERAPY |
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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.