Anatoly Vaisman (NPI# 1619025277, PAC ID# 9032483250) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ORAL SURGERY.
| Nation Provider ID (NPI) | 1619025277 |
| PAC ID by PECOS | 9032483250 |
| Professional Enrollment ID | I20180719003555 |
| Full Name | Anatoly Vaisman |
| Address |
11273 Laurel Canyon Blvd Suite 3 San Fernando CA 91340-4358 |
| Gender | M |
| Medical School | UNIV OF SOUTHERN CALIFORNIA SCHOOL OF DENTISTRY |
| Graduation Year | 1995 |
| Primary Specialty | ORAL SURGERY |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 11273 Laurel Canyon Blvd, Suite 3, San Fernando, CA 91340-4358 |
| Street Address |
11273 LAUREL CANYON BLVD SUITE 3 |
| City | SAN FERNANDO |
| State | CA |
| Zip | 91340-4358 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Robert O Flores | Family Medicine | 11273 Laurel Canyon Blvd, Suite 1, San Fernando, CA 91340-4356 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Silvia E Hernandez | Clinical Social Worker | 1056 N Maclay Ave, Suite A, San Fernando, CA 91340-1326 | |
| Robert Partovy | General Practice | Noble Care Medical Group Inc | 501 N Maclay Ave, San Fernando, CA 91340-2424 |
| Bruce Park Hector | General Practice | Noble Care Medical Group Inc | 501 N Maclay Ave, San Fernando, CA 91340-2424 |
| Julie A Gould | Obstetrics/gynecology | Providence Medical Institute | 405 N Maclay Ave, Suite 104, San Fernando, CA 91340-2455 |
| Sylvia Nobore | Nurse Practitioner | Northeast Valley Health Corporation | 1600 San Fernando Rd, San Fernando, CA 91340-3115 |
| Rowena R Alcantara Fernandez | Nurse Practitioner | Northeast Valley Health Corporation | 1600 San Fernando Rd, San Fernando, CA 91340-3115 |
| Nancy E Fitts | Family Medicine | Northeast Valley Health Corporation | 1600 San Fernando Rd, San Fernando, CA 91340-3115 |
| Saara A Niamat | Physician Assistant | Northeast Valley Health Corporation | 1600 San Fernando Rd, San Fernando, CA 91340-3115 |
| Marian N Serunjogi | Nurse Practitioner | Northeast Valley Health Corporation | 1600 San Fernando Rd, San Fernando, CA 91340-3115 |
| Sandra A Guerrero | Clinical Social Worker | Northeast Valley Health Corporation | 1600 San Fernando Rd, San Fernando, CA 91340-3115 |
| Find all physicians in zip 91340 | |||
| City | SAN FERNANDO |
| Zip Code | 91340 |
| Specialty | ORAL SURGERY |
| City + Specialty | SAN FERNANDO + ORAL SURGERY |
Please comment or provide details below to improve the information on Anatoly Vaisman.
| 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.