Stanley Keith Mathis (NPI# 1871516922, PAC ID# 9234023961) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PODIATRY.
| Nation Provider ID (NPI) | 1871516922 |
| PAC ID by PECOS | 9234023961 |
| Professional Enrollment ID | I20110202000120 |
| Full Name | Stanley Keith Mathis |
| Organization Legal Name | COMPLETE CARE COMMUNITY HEALTH CENTER, INC |
| Address |
2928 E Cesar E Chavez Ave Los Angeles CA 90033-3110 |
| Phone Number | 3232666700 |
| Gender | M |
| Medical School | CALIFORNIA COLLEGE PODIATRIC MEDICINE |
| Graduation Year | 1988 |
| Primary Specialty | PODIATRY |
| Group Practice PAC ID | 3779494190 |
| Number of Group Practice Members | 11 |
| Accepts Medicare Assignment | M |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050103 | WHITE MEMORIAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1700 Cesar E Chavez Ave, Suite 3300, Los Angeles, CA 90033-2414 | 3232685000 | WHITE MEMORIAL MEDICAL CENTER |
| 1701 E Cesar Chavez Ave, Suite 510, Los Angeles, CA 90030-0000 | 3239871362 | WHITE MEMORIAL MEDICAL GROUP, INC. |
| 1828 E Cesar E Chavez Ave, Suite 4600, Los Angeles, CA 90033-2414 | 3232685000 | WHITE MEMORIAL MEDICAL CENTER |
| 2928 E Cesar E Chavez Ave, Los Angeles, CA 90033-3110 | 3232666700 | COMPLETE CARE COMMUNITY HEALTH CENTER, INC |
| Organization Legal Name | COMPLETE CARE COMMUNITY HEALTH CENTER, INC |
| Physicians | 9 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Shari Laverne Mcnair | Nurse Practitioner | Complete Care Community Health Center, Inc | 5831 Firestone Blvd, Suite E, South Gate, CA 90280-3718 |
| Zhanna Feldsher | General Practice | Complete Care Community Health Center, Inc | 2928 E Cesar E Chavez Ave, Los Angeles, CA 90033-3110 |
| Alla Liberstein | Internal Medicine | Complete Care Community Health Center, Inc | 2928 E Cesar E Chavez Ave, Los Angeles, CA 90033-3110 |
| Harut M Madatovian | Family Medicine | Complete Care Community Health Center, Inc | 2928 E Cesar E Chavez Ave, Los Angeles, CA 90033-3110 |
| Kalpathy V Venkatesan | Internal Medicine | Complete Care Community Health Center, Inc | 2928 E Cesar E Chavez Ave, Los Angeles, CA 90033-3110 |
| Bridget M Marrin | Nurse Practitioner | Complete Care Community Health Center, Inc | 2928 E Cesar E Chavez Ave, Los Angeles, CA 90033-3110 |
| Ramachandran Srinivasan | Rheumatology | Complete Care Community Health Center, Inc | 2928 E Cesar E Chavez Ave, Los Angeles, CA 90033-3110 |
| Nicola F Azar | Family Medicine | Complete Care Community Health Center, Inc | 2928 E Cesar E Chavez Ave, Los Angeles, CA 90033-3110 |
| Street Address |
2928 E CESAR E CHAVEZ AVE |
| City | LOS ANGELES |
| State | CA |
| Zip | 90033-3110 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Zhanna Feldsher | General Practice | Complete Care Community Health Center, Inc | 2928 E Cesar E Chavez Ave, Los Angeles, CA 90033-3110 |
| Alla Liberstein | Internal Medicine | Complete Care Community Health Center, Inc | 2928 E Cesar E Chavez Ave, Los Angeles, CA 90033-3110 |
| Harut M Madatovian | Family Medicine | Complete Care Community Health Center, Inc | 2928 E Cesar E Chavez Ave, Los Angeles, CA 90033-3110 |
| Kalpathy V Venkatesan | Internal Medicine | Complete Care Community Health Center, Inc | 2928 E Cesar E Chavez Ave, Los Angeles, CA 90033-3110 |
| Bridget M Marrin | Nurse Practitioner | Complete Care Community Health Center, Inc | 2928 E Cesar E Chavez Ave, Los Angeles, CA 90033-3110 |
| Ramachandran Srinivasan | Rheumatology | Complete Care Community Health Center, Inc | 2928 E Cesar E Chavez Ave, Los Angeles, CA 90033-3110 |
| Nicola F Azar | Family Medicine | Complete Care Community Health Center, Inc | 2928 E Cesar E Chavez Ave, Los Angeles, CA 90033-3110 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Eric Leung | Internal Medicine | Senior Care Clinic A Medical Corp | 1700 Cesar Chavez Ave, Suite 3900, Los Angeles, CA 90033 |
| Faisal A Khan | General Surgery | Surgical Multispecialties Medical Group | 1701 Cesar Chavez Ave, Suite 300, Los Angeles, CA 90033 |
| Arpita Amin Devani | Internal Medicine | 1720 E Cesar Chavez Ave, Los Angeles, CA 90033 | |
| Azmy F Ghaly | Internal Medicine | Senior Care Clinic A Medical Corp | 1700 Cesar Chavez Ave, Suite 3900, Los Angeles, CA 90033 |
| Marian A Fedak | Internal Medicine | Senior Care Clinic A Medical Corp | 1700 Cesar Chavez Ave, Suite 3900, Los Angeles, CA 90033 |
| Matthew S C Tan | General Surgery | Surgical Multispecialties Medical Group | 1701 Cesar Chavez Ave, Suite 300, Los Angeles, CA 90033 |
| Ramsay Nucho | Thoracic Surgery | Surgical Multispecialties Medical Group | 1701 Cesar Chavez Ave, Suite 300, Los Angeles, CA 90033 |
| Ahmad Jabaiah | Internal Medicine | Senior Care Clinic A Medical Corp | 1700 Cesar Chavez Ave, Suite 3900, Los Angeles, CA 90033 |
| Francisco Quijas | Internal Medicine | Senior Care Clinic A Medical Corp | 1700 Cesar Chavez Ave, Suite 3900, Los Angeles, CA 90033 |
| Rene N Kohlieber | Family Medicine | Senior Care Clinic A Medical Corp | 1700 Cesar Chavez Ave, Suite 3900, Los Angeles, CA 90033 |
| Find all physicians in zip 90033 | |||
| City | LOS ANGELES |
| Zip Code | 90033 |
| Specialty | PODIATRY |
| City + Specialty | LOS ANGELES + PODIATRY |
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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.