Evan Laveman (NPI# 1134654148, PAC ID# 7315288560) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is EMERGENCY MEDICINE.
| Nation Provider ID (NPI) | 1134654148 |
| PAC ID by PECOS | 7315288560 |
| Professional Enrollment ID | I20190416002241 |
| Full Name | Evan Laveman |
| Organization Legal Name | EXER MEDICAL CORPORATION |
| Address |
725 S Pacific Coast Hghway Redondo Beach CA 90277 |
| Phone Number | 4242963100 |
| Gender | M |
| Medical School | UNIVERSITY OF CALIFORNIA, UCLA SCHOOL OF MEDICINE |
| Graduation Year | 2017 |
| Primary Specialty | EMERGENCY MEDICINE |
| Group Practice PAC ID | 9032359534 |
| Number of Group Practice Members | 115 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050376 | LAC/HARBOR-UCLA MED CENTER |
| Address | Phone | Organization |
|---|---|---|
| 26777 Agoura Rd, Suite 4, Calabasas, CA 91302-1960 | 8188802225 | EXER MEDICAL CORPORATION |
| 725 S Pacific Coast Hghway, Redondo Beach, CA 90277 | 4242963100 | EXER MEDICAL CORPORATION |
| Organization Legal Name | EXER MEDICAL CORPORATION |
| Physicians | 76 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Alicia E Lane | Nurse Practitioner | Exer Medical Corporation | 26777 Agoura Rd, Suite 4, Calabasas, CA 91302-1960 |
| Diane L Alterman | Physician Assistant | Exer Medical Corporation | 239 S La Cienega Blvd, Suite 100, Beverly Hills, CA 90211-3355 |
| Shelby R Marble | Physician Assistant | Exer Medical Corporation | 26777 Agoura Rd, Suite 4, Calabasas, CA 91302-1960 |
| Vineeta Keswani | Emergency Medicine | Exer Medical Corporation | 26777 Agoura Rd, Suite 4, Calabasas, CA 91302-1960 |
| Michael Lee Tetwiler | Emergency Medicine | Exer Medical Corporation | 26777 Agoura Rd, Suite 4, Calabasas, CA 91302-1960 |
| Kenneth Jung | Emergency Medicine | Exer Medical Corporation | 26777 Agoura Rd, Suite 4, Calabasas, CA 91302-1960 |
| Rachel E Akin | Nurse Practitioner | Exer Medical Corporation | 26777 Agoura Rd, Suite 4, Calabasas, CA 91302-1960 |
| David J Kalmanson | Emergency Medicine | Exer Medical Corporation | 26777 Agoura Rd, Suite 4, Calabasas, CA 91302-1960 |
| Cory S Spurlock | Emergency Medicine | Exer Medical Corporation | 26777 Agoura Rd, Suite 4, Calabasas, CA 91302-1960 |
| Diane M Gilliland | Emergency Medicine | Exer Medical Corporation | 26777 Agoura Rd, Suite 4, Calabasas, CA 91302-1960 |
| Street Address |
725 S PACIFIC COAST HGHWAY |
| City | REDONDO BEACH |
| State | CA |
| Zip | 90277 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Fernando Carlo | Emergency Medicine | Exer Medical Corporation | 725 S Pacific Coast Hghway, Redondo Beach, CA 90277 |
| Gabriel Henry Campion | Emergency Medicine | Exer Medical Corporation | 725 S Pacific Coast Hghway, Redondo Beach, CA 90277 |
| Khadija Ismail | Emergency Medicine | Exer Medical Corporation | 725 S Pacific Coast Hghway, Redondo Beach, CA 90277 |
| Casey Mariel Krebs | Emergency Medicine | Exer Medical Corporation | 725 S Pacific Coast Hghway, Redondo Beach, CA 90277 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Allen H Peters | Preventative Medicine | 819 N Harbor Dr, Suite 310, Redondo Beach, CA 90277-2056 | |
| Sabra Hitchcock | Psychologist, Clinical | 407 N Broadway, Apt 6, Redondo Beach, CA 90277-2807 | |
| Michael B Azarkh | Internal Medicine | 319 N Broadway, Apt 108, Redondo Beach, CA 90277-2846 | |
| Behnam Benjamin Fouladian | Optometry | 403 N Pacific Coast Hwy, Suite 108, Redondo Beach, CA 90277-2882 | |
| Fariba Seraj | Physician Assistant | William J Wickwire, M.d., Inc. | 520 N Prospect Ave, Suite 302, Redondo Beach, CA 90277-3026 |
| Erik Patrick Sorenson | Physician Assistant | William J Wickwire, M.d., Inc. | 520 N Prospect Ave, Suite 302, Redondo Beach, CA 90277-3026 |
| Louise H Connolly | Obstetrics/gynecology | 510 N Prospect Ave, Suite 306, Redondo Beach, CA 90277-3028 | |
| Shobi Zaidi | Diagnostic Radiology | Beverly Radiology Medical Group IIi | 510 N Prospect, Ave 101, Redondo Beach, CA 90277-3030 |
| Brian F King | Diagnostic Radiology | Beverly Radiology Medical Group IIi | 510 N Prospect, Ave 101, Redondo Beach, CA 90277-3030 |
| Albert Reff | Orthopedic Surgery | 510 N Prospect Ave, Suite 105, Redondo Beach, CA 90277-3030 | |
| Find all physicians in zip 90277 | |||
| City | REDONDO BEACH |
| Zip Code | 90277 |
| Specialty | EMERGENCY MEDICINE |
| City + Specialty | REDONDO BEACH + EMERGENCY 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.