Bijan Ghatan (NPI# 1841208964, PAC ID# 9032112248) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1841208964 |
| PAC ID by PECOS | 9032112248 |
| Professional Enrollment ID | I20060808000479 |
| Full Name | Bijan Ghatan |
| Organization Legal Name | PROVIDENCE MEDICAL INSTITUTE |
| Address |
20401 Avalon Blvd B Carson CA 90746-3226 |
| Phone Number | 3103278877 |
| Gender | M |
| Credential | MD |
| Graduation Year | 1983 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 5991609737 |
| Number of Group Practice Members | 250 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050078 | PROVIDENCE LITTLE CO OF MARY MED CTR SAN PEDRO |
| 050485 | LONG BEACH MEMORIAL MEDICAL CENTER |
| 050353 | PROVIDENCE LITTLE COMPANY OF MARY MED CTR TORRANCE |
| Address | Phone | Organization |
|---|---|---|
| 20401 Avalon Blvd B, Carson, CA 90746-3226 | 3103278877 | PROVIDENCE MEDICAL INSTITUTE |
| Organization Legal Name | PROVIDENCE MEDICAL INSTITUTE |
| Physicians | 252 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lisa A Garner | Nurse Practitioner | Providence Medical Institute | 24035 Newhall Ranch Rd, Santa Clarita, CA 91355-5702 |
| Jennifer S Lee | Nurse Practitioner | Providence Medical Institute | 12618 Hawthorne Blvd, Hawthorne, CA 90250-3907 |
| Danielle N Anderson | Obstetrics/gynecology | Providence Medical Institute | 2601 W Alameda Avenue, Suite 212, Burbank, CA 91505-4800 |
| Julie A Gould | Obstetrics/gynecology | Providence Medical Institute | 405 N Maclay Ave, Suite 104, San Fernando, CA 91340-2455 |
| Reza Askari | Obstetrics/gynecology | Providence Medical Institute | 621 S Butte St, San Pedro, CA 90732-3510 |
| Brenda Shen | Family Medicine | Providence Medical Institute | 2382 Crenshaw Blvd, Suite 5, Torrance, CA 90501-3333 |
| Raj U Dugel | Ophthalmology | Providence Medical Institute | 4825 Torrance Blvd, Suite 100, Torrance, CA 90503-4167 |
| Jeffrey Work | Interventional Cardiology | Providence Medical Institute | 21501 Avalon Blvd, Suite 100, Carson, CA 90745-2210 |
| Peter J Georgio Ii | Family Medicine | Providence Medical Institute | 1010 N Sepulveda Blvd, Manhattan Beach, CA 90266-5929 |
| Michael M Marvi | Neurology | Providence Medical Institute | 1870 Veteran Ave, Apt 102, Los Angeles, CA 90025-4569 |
| Street Address |
20401 AVALON BLVD B |
| City | CARSON |
| State | CA |
| Zip | 90746-3226 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Leslie Ann R Espe | Nurse Practitioner | Richard M Butlig Md Inc. | 1000 E Dominguez St, Suite 110, Carson, CA 90746-3615 |
| Mahdi Yazdany | Internal Medicine | 1000 E Dominguez St, Suite 110, Carson, CA 90746-3615 | |
| Arnold G Roxas | Podiatry | 1000 E Dominguez St, Suite 110, Carson, CA 90746-3615 | |
| Krystal M Harding | Nurse Practitioner | Richard M Butlig Md Inc. | 1000 E Dominguez St, Suite 110, Carson, CA 90746-3615 |
| Monique D Amador | Physician Assistant | Richard M Butlig Md Inc. | 1000 E Dominguez St, Suite 110, Carson, CA 90746-3615 |
| Richard M Butlig | Internal Medicine | Richard M Butlig Md Inc. | 1000 E Dominguez St, Suite 110, Carson, CA 90746-3615 |
| Quynh Chi T Tran | Internal Medicine | Richard M Butlig Md Inc. | 1000 E Dominguez St, Suite 110, Carson, CA 90746-3615 |
| Clarissa O Lagman | Physician Assistant | Richard M Butlig Md Inc. | 1000 E Dominguez St, Suite 110, Carson, CA 90746-3615 |
| William Ken Shiomi | Optometry | 20700 Avalon Blvd, Suite 343, Carson, CA 90746-3716 | |
| Lance W Chapman | Dermatology | Howard Fein Md Inc | 940 E Dominguez St, Suite G, Carson, CA 90746-7202 |
| Find all physicians in zip 90746 | |||
| City | CARSON |
| Zip Code | 90746 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | CARSON + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Bijan Ghatan.
| 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.