PENGUIN MEDICAL GROUP, INC


Address: 11 W Del Mar Blvd Ste 201, Pasadena, CA 91105-2593
Phone: 8183950455

PENGUIN MEDICAL GROUP, INC (NPI# 1144799750) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1144799750
Entity Type Organization
Organization Name PENGUIN MEDICAL GROUP, INC
Practice Address 11 W Del Mar Blvd Ste 201
Pasadena
CA 91105-2593
Practice Telephone 8183950455
Practice Fax Number 6267440987
Mailing Telephone 8183950455
Mailing Fax Number 6267440987
Enumeration Date 2018-11-13
Last Update Date 2018-11-13
Authorized Official Name MOHAMMAD A KAMAL (PRESIDENT)
Authorized Official Telephone 8183950455
Authorized Official Credential M.D.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207ZP0102X Pathology
Specialization: Anatomic Pathology & Clinical Pathology
Allopathic & Osteopathic Physicians

Other Data Sources

Entity Type Entity Name Entity Address
System for Award Management (SAM) Entities PENGUIN MEDICAL GROUP, INC. 11 W Del Mar Blvd Ste 203, Pasadena, CA 91105-2593

Office Location

Street Address 11 W DEL MAR BLVD STE 201
City PASADENA
State CA
Zip Code 91105-2593

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NPI Name Taxonomy Address Enumeration
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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
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Taxonomy Information

Taxonomy Code 207ZP0102X
Grouping Allopathic & Osteopathic Physicians
Classification Pathology
Specialization Anatomic Pathology & Clinical Pathology

Taxonomy Definition

A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added, 7/1/2009: definition reformatted] Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/ This taxonomy code identifies the combined anatomic pathology & clinical pathology route. Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. To acknowledge the diverse activities in the practice of pathology and to accommodate the interests of individuals wanting to enter the field, the ABP offers primary certification through the following three routes: combined anatomic pathology and clinical pathology, anatomic pathology only and clinical pathology only. Primary certification in anatomic pathology or clinical pathology may be combined with some of the subspecialty certifications.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1295941383 Rubio R. Punzalan, Md, Inc. Pathology 427 S Grand Oaks Ave, Pasadena, CA 91107-5011 2007-05-15
1730173386 Parakrama T Chandrasoma Md A Medical Corporation Pathology 405 Linda Vista Ave, Pasadena, CA 91105-1237 2005-09-08
1164862306 Joseph Heitzman Pathology 4000 Spencer Hwy, Pasadena, TX 77504-1202 2013-07-02
1336497759 Brit S Shackley Md Apc Pathology 100 W California Blvd, Pasadena, CA 91105-3010 2012-08-15
1659633493 Pathology Associates of Arcadia Pathology 405 Linda Vista Ave, Pasadena, CA 91105-1237 2012-06-07
1629371224 Lauren Obrien Md, Inc Pathology 100 W California Blvd, Pasadena, CA 91105-3010 2010-12-21
1144521253 Susan S Murakami Md A Med Corp Pathology 100 W California Blvd, Pasadena, CA 91105-3010 2010-11-04
1407157514 Xuedong Wang Md Phd Apc Pathology 100 W California Blvd, Pasadena, CA 91105-3010 2010-11-04
1154622264 Dr Henry D Slosser Inc Pathology 100 W California Blvd, Pasadena, CA 91105-3010 2010-11-04
1184933442 Danielle Lu, Md, Inc. Pathology 100 W California Blvd, Pasadena, CA 91105-3010 2010-10-04
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Competitor

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City PASADENA
Zip Code 91105

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Dataset Information

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.

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