TAL MEDOVOY (NPI# 1013424928) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013424928 |
| Entity Type | Individual |
| Full Name | TAL MEDOVOY |
| Practice Address |
210 S De Lacey Ave Ste 110 Pasadena CA 91105-2074 |
| Practice Telephone | 6263957100 |
| Mailing Telephone | 6263957100 |
| Enumeration Date | 2018-01-02 |
| Last Update Date | 2018-01-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225400000X | Rehabilitation Practitioner | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
210 S DE LACEY AVE STE 110 |
| City | PASADENA |
| State | CA |
| Zip Code | 91105-2074 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467582692 | Noemi Cristina Harnen | Rehabilitation Practitioner | 210 S De Lacey Ave Ste 110, Pasadena, CA 91105-2074 | 2007-03-06 |
| 1003314204 | Thomas Mackey | Rehabilitation Practitioner | 210 S De Lacey Ave Ste 110, Pasadena, CA 91105-2074 | 2018-01-23 |
| 1477069771 | Naomi Choi | Marriage & Family Therapist | 210 S De Lacey Ave Ste 110, Pasadena, CA 91105-2074 | 2017-12-21 |
| 1861908436 | Abel Torres | Marriage & Family Therapist | 210 S De Lacey Ave Ste 110, Pasadena, CA 91105-2074 | 2017-12-19 |
| 1134633431 | Christopher Monroy | Rehabilitation Practitioner | 210 S De Lacey Ave Ste 110, Pasadena, CA 91105-2074 | 2017-11-22 |
| 1255845897 | Tatiana Ewing | Marriage & Family Therapist | 210 S De Lacey Ave Ste 110, Pasadena, CA 91105-2074 | 2017-11-17 |
| 1619480662 | Stephanie Bobadilla | Social Worker | 210 S De Lacey Ave Ste 110, Pasadena, CA 91105-2074 | 2017-11-13 |
| 1982117198 | Vickie Joan Wagner | Marriage & Family Therapist | 210 S De Lacey Ave Ste 110, Pasadena, CA 91105-2074 | 2017-11-09 |
| 1225540271 | Mariah Gabriella Dillard | Marriage & Family Therapist | 210 S De Lacey Ave Ste 110, Pasadena, CA 91105-2074 | 2017-10-31 |
| 1821508904 | Hazel Cornejo | Rehabilitation Practitioner | 210 S De Lacey Ave Ste 110, Pasadena, CA 91105-2074 | 2017-10-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619451697 | Tonya Michlin | Registered Nurse | 800 Fairmount Ave Ste 110, Pasadena, CA 91105 | 2018-09-17 |
| 1639674161 | David Marcus Md, Inc. | Psychiatry & Neurology | 107 S. Fair Oaks Avenue, Suite #315, Pasadena, CA 91105 | 2018-03-27 |
| 1548778541 | Elias & Jun Dental Corp | Dentist | 301 S. Fair Oaks Ave., Ste 107, Pasadena, CA 91105 | 2018-01-12 |
| 1013429745 | Whitney Catalano | Dietitian, Registered | 100 S Orange Grove Blvd, 103, Pasadena, CA 91105 | 2017-11-03 |
| 1518485630 | Marlon O Miller | Counselor | 1020 South Arroyo Parkway, Pasadena, CA 91105 | 2017-09-08 |
| 1316469976 | Alexandra Scott | Speech-Language Pathologist | 235 La Vereda Road, Pasadena, CA 91105 | 2017-07-14 |
| 1346770443 | Amanda Grace Gentz | Rehabilitation Practitioner | 210 S De Lacey, Ste 110, Pasadena, CA 91105 | 2017-06-13 |
| 1427598390 | Melina Gomez Loza | Licensed Vocational Nurse | 66 Hilburt St #2, Pasadena, CA 91105 | 2017-02-27 |
| 1588115281 | Ramon Banuelos | Rehabilitation Practitioner | 210 S. Delacey Ave Suite 110, Pasadena, CA 91105 | 2016-10-18 |
| 1922554245 | Daniel Joseph Ybarra | Student in an Organized Health Care Education/Training Program | 100 W. California Blvd. Pasadena, Ca 91105, Pasadena, CA 91105 | 2016-08-28 |
| Find all providers in zip 91105 | ||||
| Taxonomy Code | 225400000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Rehabilitation Practitioner |
| A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669008991 | Delman Lee Williams | Rehabilitation Practitioner | 456 E Orange Grove Blvd Ste 140, Pasadena, CA 91104-5235 | 2020-03-18 |
| 1548805344 | Aimee Isabelle Rodriguez | Rehabilitation Practitioner | 100 W Walnut St Ste 375110, Pasadena, CA 91103-3697 | 2019-11-15 |
| 1518427830 | Samantha Jo Elvira Haun | Rehabilitation Practitioner | 867 N Fair Oaks Ave # 867, Pasadena, CA 91103-3050 | 2019-03-22 |
| 1477041580 | Imani Nicole Glenn | Rehabilitation Practitioner | 1575 E Washington Blvd, Pasadena, CA 91104-2675 | 2018-04-24 |
| 1093230252 | John Jesus Smith | Rehabilitation Practitioner | 867 Fair Oaks Ave, Pasadena, CA 91103 | 2017-08-09 |
| 1477076172 | Towana Danielle Hooks | Rehabilitation Practitioner | 867 North Fair Oaks, Pasadena, CA 91103 | 2017-07-25 |
| 1346770443 | Amanda Grace Gentz | Rehabilitation Practitioner | 210 S De Lacey, Ste 110, Pasadena, CA 91105 | 2017-06-13 |
| 1588115281 | Ramon Banuelos | Rehabilitation Practitioner | 210 S. Delacey Ave Suite 110, Pasadena, CA 91105 | 2016-10-18 |
| 1366821613 | Claudia Boileu-flores | Rehabilitation Practitioner | 940 Avenue, 64, Pasadena, CA 91105 | 2015-05-20 |
| 1497161756 | Marine Bambakyan | Rehabilitation Practitioner | 66 Hurlbut St Fl 2, Pasadena, CA 91105-4026 | 2014-07-08 |
| Find all providers in PASADENA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.