Daniel Nagasawa (NPI# 1578820536, PAC ID# 6608129945) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NEUROSURGERY.
| Nation Provider ID (NPI) | 1578820536 |
| PAC ID by PECOS | 6608129945 |
| Professional Enrollment ID | I20190823000401 |
| Full Name | Daniel Nagasawa |
| Organization Legal Name | ACHIEVE BRAIN AND SPINE INC |
| Address |
2811 Wilshire Blvd Suite 930 Santa Monica CA 90403-4803 |
| Phone Number | 7755309669 |
| Gender | M |
| Medical School | UNIVERSITY OF CALIFORNIA, IRVINE, CALIFORNIA COLLEGE OF MEDICINE |
| Graduation Year | 2012 |
| Primary Specialty | NEUROSURGERY |
| Group Practice PAC ID | 0244570141 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050135 | SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD |
| Address | Phone | Organization |
|---|---|---|
| 2811 Wilshire Blvd, Suite 930, Santa Monica, CA 90403-4803 | 7755309669 | ACHIEVE BRAIN AND SPINE INC |
| Organization Legal Name | ACHIEVE BRAIN AND SPINE INC |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Deven Khosla | Neurosurgery | Achieve Brain and Spine Inc | 2811 Wilshire Blvd, Suite 930, Santa Monica, CA 90403-4803 |
| Street Address |
2811 WILSHIRE BLVD SUITE 930 |
| City | SANTA MONICA |
| State | CA |
| Zip | 90403-4803 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Deven Khosla | Neurosurgery | Achieve Brain and Spine Inc | 2811 Wilshire Blvd, Suite 930, Santa Monica, CA 90403-4803 |
| Martin L Alpert | Family Medicine | Martin L. Alpert, M.d., Inc. | 2811 Wilshire Blvd, Suite 810, Santa Monica, CA 90403-4812 |
| Mark Joseph Kelly | Urology | 2811 Wilshire Blvd, Suite 810, Santa Monica, CA 90403-4812 | |
| Tanya Kormeili | Dermatology | 2811 Wilshire Blvd, Suite 640, Santa Monica, CA 90403-4823 | |
| Peter M Birnstein | Family Medicine | 2811 Wilshire Blvd, Suite 800, Santa Monica, CA 90403-4808 | |
| David R Allen | Family Medicine | 2811 Wilshire Blvd, Suite 800, Santa Monica, CA 90403-4808 | |
| Ronald J Hale | Dermatology | Martin L. Alpert, M.d., Inc. | 2811 Wilshire Blvd, Suite 810, Santa Monica, CA 90403-4812 |
| Douglas Tyler | Internal Medicine | 2811 Wilshire Blvd, Suite 800, Santa Monica, CA 90403-4870 | |
| Sant P Chawla | Hematology/oncology | Sant P. Chawla M.d. Inc. | 2811 Wilshire Blvd, Suite 414, Santa Monica, CA 90403-4804 |
| Hyun W Bae | Orthopedic Surgery | Hyun Bae Md A Professional Corp | 2811 Wilshire Blvd, Suite 850, Santa Monica, CA 90403-4812 |
| Find all physicians in the same address | |||
| 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 | |
| Patrick D Edgecomb | Physical Therapy | Vert Westside LLC | 3011 Wilshire Blvd, Santa Monica, CA 90403-2301 |
| 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 |
| Bijan Cohenmehr | Optometry | 3116 Wilshire Blvd, Santa Monica, CA 90403-2304 | |
| Find all physicians in zip 90403 | |||
| City | SANTA MONICA |
| Zip Code | 90403 |
| Specialty | NEUROSURGERY |
| City + Specialty | SANTA MONICA + NEUROSURGERY |
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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.