Dr Carl Nordstrom, MD | |
1223 16th St Ste 3100, Santa Monica, CA 90404-1275 | |
(310) 582-6240 | |
(424) 259-7788 |
Full Name | Dr Carl Nordstrom |
---|---|
Gender | Male |
Speciality | Gastroenterology |
Experience | 15 Years |
Location | 1223 16th St Ste 3100, Santa Monica, California |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1528298528 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | A116293 (California) | Secondary |
207RG0100X | Internal Medicine - Gastroenterology | A116293 (California) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Santa Monica - Ucla Med Ctr & Orthopaedic Hospital | Santa monica, CA | Hospital |
Ronald Reagan Ucla Medical Center | Los angeles, CA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
The Regents Of The University Of California | 1355248584 | 1170 |
Entity Name | The Regents Of The University Of California |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1235107566 PECOS PAC ID: 1355248584 Enrollment ID: O20031223000439 |
Mailing Address | Practice Location Address |
---|---|
Dr Carl Nordstrom, MD 8700 Beverly Blvd, Rm 5512, West Hollywood, CA 90048-1804 Ph: (310) 423-5161 | Dr Carl Nordstrom, MD 1223 16th St Ste 3100, Santa Monica, CA 90404-1275 Ph: (310) 582-6240 |
Irawan Susanto, MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 1223 16th St, Suite 3400, Santa Monica, CA 90404 Phone: 310-449-0939 Fax: 424-259-7790 | |
Louis Ravitz, MD Gastroenterology Medicare: Not Enrolled in Medicare Practice Location: 2336 Santa Monica Blvd, Suite 207, Santa Monica, CA 90404 Phone: 310-828-9311 Fax: 310-453-8533 | |
Janet Winikoff, MD Gastroenterology Medicare: Not Enrolled in Medicare Practice Location: 2001 Santa Monica Blvd Ste 860, Santa Monica, CA 90404 Phone: 310-828-3209 Fax: 310-828-5165 | |
Dr. Sean Dooley, M.D. Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 2121 Santa Monica Blvd, Santa Monica, CA 90404 Phone: 323-829-8745 | |
Lorraine Anderson, MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 1245 16th St Ste 303, Santa Monica, CA 90404 Phone: 310-481-4646 Fax: 310-899-7599 | |
Dr. Colleen Lucy Channick, M.D. Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 1223 16th St Ste 3400, Santa Monica, CA 90404 Phone: 310-449-0939 | |
Carol Yukiko Nishikubo, M.D. Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 2001 Santa Monica Blvd Ste 560w, Santa Monica, CA 90404 Phone: 310-453-5654 Fax: 310-453-6885 |