DR. MARTIN A. O'TOOLE (NPI# 1063504058) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063504058 |
| Entity Type | Individual |
| Full Name | DR. MARTIN A. O'TOOLE |
| Credential | M.D. |
| Practice Address |
542 S Fair Oaks Ave Pasadena CA 91105-2606 |
| Mailing Address |
Po Box 158 La Canada CA 91012-0158 |
| Practice Telephone | 6264498910 |
| Mailing Telephone | 6264498910 |
| Enumeration Date | 2006-09-28 |
| Last Update Date | 2012-12-05 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208200000X | Plastic Surgery | G67312 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00G673120 | 05 |
| Street Address |
542 S FAIR OAKS AVE |
| City | PASADENA |
| State | CA |
| Zip Code | 91105-2606 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558846949 | Spirit Medical Management, Inc. | Clinic/Center | 542 S Fair Oaks Ave, Pasadena, CA 91105-2606 | 2018-10-01 |
| 1841536075 | Martin A. O'toole, Md, Facs, A Professional Corporation | Plastic Surgery | 542 S Fair Oaks Ave, Pasadena, CA 91105-2606 | 2012-12-16 |
| 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 | 208200000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Plastic Surgery |
| A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Plastic Surgery, 2007. http://www.abplsurg.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Plastic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962929778 | Teleos Outpatient Surgery Center LLC | Plastic Surgery | 836 S Arroyo Pkwy Ste A, Pasadena, CA 91105-3212 | 2017-08-23 |
| 1790041697 | Caroline Yao | Plastic Surgery | 909 S Fair Oaks Avenue, Pasadena, CA 91105-2625 | 2012-04-04 |
| 1720304447 | Sanjeev Naresh Puri | Plastic Surgery | 50 Bellefontaine St Ste 304, Pasadena, CA 91105-3132 | 2010-04-20 |
| 1730311226 | Lily F Lee | Plastic Surgery | 100 E. California Blvd., Pasadena, CA 91105 | 2009-08-17 |
| 1033346978 | Lawton W Tang Md Medical Coporation | Plastic Surgery | 125 N Raymond Ave Ste 212, Pasadena, CA 91103-4535 | 2009-06-18 |
| 1518109750 | Michael Hakimi | Plastic Surgery | 200 S Oak Knoll Ave # 101, Pasadena, CA 91101-2912 | 2009-04-02 |
| 1073763447 | Stephen D Duffy | Plastic Surgery | 1044 S Fair Oaks Ave Ste 101, Pasadena, CA 91105-2622 | 2008-09-23 |
| 1710177845 | Andre Panossian | Plastic Surgery | 39 Congress St Ste 402, Pasadena, CA 91105-3024 | 2007-07-25 |
| 1992927248 | Lawton Wai-choy Tang | Plastic Surgery | 125 N Raymond Ave, Unit 212, Pasadena, CA 91103-4535 | 2007-05-03 |
| 1184730822 | Gordon Hiroshi Sasaki | Plastic Surgery | 800 Fairmont, #319, Pasadena, CA 91105 | 2006-08-23 |
| 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.