Richard S Baldonado, RVT
Individual provider Active NPI Vascular Specialist/Technologist Cardiovascular · La Crescenta, CA
NPI 1295079259 · NPPES record last updated Nov 15, 2012
Key facts
- NPI
- 1295079259
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Vascular Specialist/Technologist Cardiovascular 246XC2903X
- License
- 80940 (CA)
- Practice address
- 3534 Santa Carlotta St
La Crescenta, CA 91214-1115 - Phone
- (818) 957-1652
- Fax
- (818) 957-4672
- NPI assigned
- Nov 15, 2012
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 80940 | CA | MD | Vascular Specialist/Technologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| American Mobile Diagnostics Inc | Vascular Specialist | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Vascular Specialist/Technologist Cardiovascular | 246XC2903X | 80940 | CA | Yes |
Addresses
Primary practice location
3534 Santa Carlotta St
La Crescenta, CA 91214-1115
Mailing address
3534 Santa Carlotta St
La Crescenta, CA 91214-1115
Phone (818) 957-1652
Other providers in La Crescenta, CA
- Evlyn Avanessian
- Avanti Care Inc
- Maria Avedissian
- Christina Azatyan
- Nolan Bagalso
- Erika Leigh Bandy
- Sydney Lee Barney
- Jeanna M Barsamian
- Bolis Batou
- Nitika Batra
All providers in La Crescenta, CA · Vascular Specialist/Technologist Cardiovascular in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 15, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.