Cedars Tower Medical Group, Inc

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

21671 Issued in CA

Legal business name

CEDARS TOWER MEDICAL GROUP, INC

Practice address

8631 W 3Rd St Ste 1140
Los Angeles, CA 90048-5965

Phone

(323) 712-1411

Fax

(818) 506-9030

NPI assigned

Jul 5, 2012

Last updated

Jul 5, 2012By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Alina Kievsky, NPNPI 1295009306

Title

Vice-President

Phone

(323) 606-3888

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Alina Kievsky, NP

  • Family Nurse Practitioner
  • Los Angeles, CA
  • NPI 1295009306
  Medicare reassignment NPD Authorized official
• Ramprasad C Dandillaya, MD

  • Cardiovascular Disease Physician
  • Beverly Hills, CA
  • NPI 1316900236
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1341446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1341446400000",
    "number": "1689939787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8631 W 3RD ST STE 1140",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900485965",
            "telephone_number": "323-712-1411",
            "fax_number": "818-506-9030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8631 W 3RD ST STE 1140",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900485965",
            "telephone_number": "323-712-1411",
            "fax_number": "818-506-9030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CEDARS TOWER MEDICAL GROUP, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-05",
        "last_updated": "2012-07-05",
        "status": "A",
        "authorized_official_last_name": "KIEVSKY",
        "authorized_official_first_name": "ALINA",
        "authorized_official_title_or_position": "VICE-PRESIDENT",
        "authorized_official_telephone_number": "323-606-3888",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "CA",
            "license": "21671",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cedars Sinai
• Cedars Sinai Medical Center
• Cedars Sinai Medical Center
• Cedars Sinai Medical Center
• Cedars Sinai Medical Center
• Cedars Towers Surgical Medical Group
• Cedars-Sinai
• Cedars-Sinai Medical Care Foundation
• Cedars-Sinai Medical Care Foundation
• Cedars-Sinai Medical Care Foundation

• Primary Care Nurse Practitioner in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Primary Care Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.