ADVANCED CARDIOTHORACIC SURGERY MEDICAL GROUP, INC.
NPI 1104818715
Thoracic Surgery (Cardiothoracic Vascular Surgery) in Los Angeles, CA

Q: What is Advanced Cardiothoracic Surgery Medical Group, Inc.'s specialty?

The primary specialty registered for this NPI is Thoracic Surgery (Cardiothoracic Vascular Surgery) with taxonomy code 208G00000X.

Active since August 19, 2005

1245 WILSHIRE BLVD, SUITE 606, LOS ANGELES, CA 90017(213) 483-1055(213) 483-1418 Get Directions Write a Review

NPPES record last updated: September 29, 2011. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Advanced Cardiothoracic Surgery Medical Group, Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ADVANCED CARDIOTHORACIC SURGERY MEDICAL GROUP, INC. (NPI 1104818715) is a healthcare organization registered as a thoracic surgery (cardiothoracic vascular surgery) in Los Angeles, California and active in the NPI registry since August 2005. The organization lists Ali Gheissari, President, as its authorized official.

NPPES Registry Identity

NPI1104818715

Entity TypeOrganization

Primary Taxonomy208G00000X

Legal Business NameADVANCED CARDIOTHORACIC SURGERY MEDICAL GROUP, INC.

Location Address1245 WILSHIRE BLVD, SUITE 606Los Angeles, CA 90017-4810

Mailing Address1245 Wilshire Blvd, Suite 606Los Angeles, CA 90017-4810 · (213) 483-1055 · Fax (213) 483-1418

Phone(213) 483-1055

Fax(213) 483-1418

Organization SubpartNo

Authorized OfficialAli GheissariPresident · (213) 483-1055

Enumeration DateAugust 19, 2005

Last NPPES UpdateSeptember 29, 2011

✔ NPI 1104818715 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyThoracic Surgery (Cardiothoracic Vascular Surgery)Allopathic & Osteopathic Physicians

Taxonomy Code208G00000X

License✔ Licensed in CA · G72926

Definition

A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty.

1245 WILSHIRE BLVD, Los Angeles, CA 90017

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Other Identifiers 1

Medicare ID-Type UnspecifiedW16644CA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. THOMAS HENRY KANEGAE M.D.

Internal Medicine

1245 WILSHIRE BLVD, STE 804
LOS ANGELES, CA 90017

Los Angeles County (213) 977-1030

DR. ELI RALPH CAPOUYA M.D.

Thoracic Surgery (Cardiothoracic Vascular Surgery)

1245 WILSHIRE BLVD, SUITE 606
LOS ANGELES, CA 90017

Los Angeles County (213) 483-1055

DR. ROBERT JOHN GOTTNER M.D.

Thoracic Surgery (Cardiothoracic Vascular Surgery)

1245 WILSHIRE BLVD, SUITE 606
LOS ANGELES, CA 90017

Los Angeles County (213) 483-1055

DOMINICK A D'ANTUONO PA-C

Physician Assistant

1245 WILSHIRE BLVD, SUITE 606
LOS ANGELES, CA 90017

Los Angeles County (213) 483-1055

DR. THOMAS LEE SHOOK M.D.

Specialist

1245 WILSHIRE BLVD, STE 703
LOS ANGELES, CA 90017

Los Angeles County (213) 977-7422

JAMES T ROE M.D.

Specialist

1245 WILSHIRE BLVD, SUITE 514
LOS ANGELES, CA 90017

Los Angeles County (213) 482-5141

DR. JORGE DAMIAN MINOR M.D.

Specialist

1245 WILSHIRE BLVD, SUITE #403
LOS ANGELES, CA 90017

Los Angeles County (213) 482-1046

LOS ANGELES CARDIOLOGY ASSOCIATES

Internal Medicine (Interventional Cardiology)

1245 WILSHIRE BLVD, SUITE 703
LOS ANGELES, CA 90017

Los Angeles County (213) 977-0419

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Advanced Cardiothoracic Surgery Medical Group, Inc.'s NPI number?

The NPI number for Advanced Cardiothoracic Surgery Medical Group, Inc. is 1104818715. It was assigned to this organization in the NPPES registry on August 19, 2005.

Where is Advanced Cardiothoracic Surgery Medical Group, Inc. located?

Advanced Cardiothoracic Surgery Medical Group, Inc. is located at 1245 Wilshire Blvd Suite 606, Los Angeles, CA 90017. The listed phone number is (213) 483-1055.

What is Advanced Cardiothoracic Surgery Medical Group, Inc.'s specialty?

The primary specialty registered for this NPI is Thoracic Surgery (Cardiothoracic Vascular Surgery) with taxonomy code 208G00000X.

When was this NPI record last updated?

The NPPES record for Advanced Cardiothoracic Surgery Medical Group, Inc. was last updated on September 29, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.