DELGADO MEDICAL GROUP LLC (NPI# 1063854883) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063854883 |
| Entity Type | Organization |
| Organization Name | DELGADO MEDICAL GROUP LLC |
| Other Organization Name | NEW LIFE SPINE AND JOINT PASADENA |
| Practice Address |
3910 Fairmont Pkwy Suite H Pasadena TX 77504-3076 |
| Practice Telephone | 2814873999 |
| Practice Fax Number | 2814877433 |
| Mailing Telephone | 2814873999 |
| Mailing Fax Number | 2814877433 |
| Enumeration Date | 2013-07-22 |
| Last Update Date | 2013-09-13 |
| Authorized Official Name | DR. ALAN EDWARD DELGADO SR. (ADMINISTRATOR) |
| Authorized Official Telephone | 2814873999 |
| Authorized Official Credential | DC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| New Life Spine and Joint Pasadena | Doing Business As Name - Organization |
| Street Address |
3910 FAIRMONT PKWY SUITE H |
| City | PASADENA |
| State | TX |
| Zip Code | 77504-3076 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275577322 | Alan Edward Delgado | Chiropractor | 3910 Fairmont Pkwy, Ste H, Pasadena, TX 77504-3076 | 2006-06-16 |
| 1770990897 | Kay F. Delgado | Physical Therapist | 3910 Fairmont Pkwy, Suite G, Pasadena, TX 77504-3076 | 2014-07-21 |
| 1518370675 | Medico Oa Rehabilitation, Pllc | Pain Medicine | 3910 Fairmont Pkwy, Suite G, Pasadena, TX 77504-3076 | 2014-06-06 |
| 1720175177 | Timothy N Marks | Anesthesiology | 3910 Fairmont Pkwy, Suite G, Pasadena, TX 77504-3076 | 2006-10-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316408149 | Caitlin Demi Valverde | Nurse Practitioner | 3412 Burke Rd Ste 100, Pasadena, TX 77504 | 2019-03-26 |
| 1780164475 | Erin Osmus | Physical Therapist | 3434 Watter, Pasadena, TX 77504 | 2018-08-21 |
| 1184117103 | Lifealysis Kidney Care, LLC | Clinic/Center | 4300 Fairmont Pkwy Ste 100, Pasadena, TX 77504 | 2018-06-13 |
| 1477044253 | Karen Colleen Watkins | Registered Nurse | 3332 Plainview Drive, Pasadena, TX 77504 | 2018-05-28 |
| 1619465192 | Morgan Pharmacy | Pharmacy | 3316 Shaver St Ste 6, Pasadena, TX 77504 | 2018-04-30 |
| 1528566890 | Assured Imaging Women's Wellness of Southern Arizona, LLC | Clinic/Center | 4008 Vista Rd. Bldg B Suite B101, Pasadena, TX 77504 | 2018-01-31 |
| 1972015022 | Oasis Mind and Body | Psychiatry & Neurology | 3301 Plainview, 1, Pasadena, TX 77504 | 2017-10-30 |
| 1629503933 | Inner City Podiatry Professional Limited Liability Company | Podiatrist | 3801 Vista Rd Ste 180, Pasadena, TX 77504 | 2017-04-24 |
| 1063952943 | Irfan Jawed Md Pllc | Internal Medicine | 4102 Woodlawn Avenue, Ste 160, Pasadena, TX 77504 | 2017-02-27 |
| 1669911707 | Quetzalli Zavala | Nurse Practitioner | 3326 Watters Rd Bldg B, Pasadena, TX 77504 | 2017-02-22 |
| Find all providers in zip 77504 | ||||
| Taxonomy Code | 261QM2500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Medical Specialty |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). |
| Notes: [7/1/2003: new] |
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| 1528332657 | Ayman Saad Md Inc | Clinic/Center | 39 Congress St, Suite 201a, Pasadena, CA 91105-3024 | 2012-03-07 |
| 1053602250 | Valerie P. Myers, M.d. Inc | Clinic/Center | 10 Congress St, #400, Pasadena, CA 91105-3045 | 2011-04-22 |
| 1689987505 | Gerald T. Bowns, M.d., A Professional Corporation | Clinic/Center | 10 Congress St, Suite 340, Pasadena, CA 91105-3045 | 2010-07-20 |
| 1831416734 | Pasadena Pellet Therapy, Inc. | Clinic/Center | 625 S Fair Oaks Ave, Suite 255, Pasadena, CA 91105-2613 | 2010-05-01 |
| 1285878017 | Scott L Carder Md Phd PC | Clinic/Center | 259 S Euclid Ave, Pasadena, CA 91101-2717 | 2009-04-23 |
| 1518127968 | Ara Keshishian, A Professional Medical Corp | Clinic/Center | 10 Congress St Ste 300, Pasadena, CA 91105-3027 | 2008-06-10 |
| 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.