THEODORE AUGUST PASQUALI (NPI# 1164682738) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164682738 |
| Entity Type | Individual |
| Full Name | THEODORE AUGUST PASQUALI |
| Credential | M.D. |
| Practice Address |
3300 E South St Suite 105 Lakewood CA 90805-4549 |
| Practice Telephone | 5625312020 |
| Mailing Telephone | 5625312020 |
| Enumeration Date | 2008-06-16 |
| Last Update Date | 2017-01-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 174400000X | Specialist | A126375 | CA | Other Service Providers |
| Y | 207W00000X | Ophthalmology | A 126375 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
3300 E SOUTH ST SUITE 105 |
| City | LAKEWOOD |
| State | CA |
| Zip Code | 90805-4549 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063411684 | Sultanali Alidina | Internal Medicine | 3300 E South St, Suite 209, Lakewood, CA 90805-4549 | 2005-07-15 |
| 1396271763 | Priority Medical Care, Inc. | Internal Medicine | 3300 E South St, Suit 201, Lakewood, CA 90805-4549 | 2017-05-04 |
| 1568813723 | Kevin Kwok | Optometrist | 3300 E South St, Suite 105, Lakewood, CA 90805-4549 | 2016-06-28 |
| 1386048429 | Caremore Health Plan | Clinic/Center | 3300 E South St, #102, Lakewood, CA 90805-4549 | 2014-10-17 |
| 1730427436 | Mvm Medical Corporation | Internal Medicine | 3300 E South St, Ste 305, Lakewood, CA 90805-4549 | 2013-01-30 |
| 1154693307 | Rohun Medical Corporation | Specialist | 3300 E South St, Suite 206, Lakewood, CA 90805-4549 | 2012-02-03 |
| 1306115332 | Theresa Adele Smith | Nurse Practitioner | 3300 E South St, Suite #: 102, Lakewood, CA 90805-4549 | 2011-12-20 |
| 1114218559 | Jesse J Licuanan Md A Medical Corporation | Internal Medicine | 3300 E South St, Suite 205, Lakewood, CA 90805-4549 | 2011-04-19 |
| 1689978140 | Amy Elizabeth Pound | Social Worker | 3300 E South St, Lakewood, CA 90805-4549 | 2010-12-27 |
| 1407165079 | Ronald Castillo Tejada Jr. | Internal Medicine | 3300 E South St, Suite 205, Lakewood, CA 90805-4549 | 2010-09-30 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073154928 | Makando Mutanda | Counselor | 161 West Victoria St., Long Beach, CA 90805 | 2019-10-02 |
| 1326609496 | Alliance Hospitalist Medical Corporation | Internal Medicine | 3300 E South St Ste 307, Lakewood, CA 90805 | 2019-06-27 |
| 1609345925 | Belmont Rx LLC | Pharmacy | 6583 Atlantic Ave., 1st Floor Ste 109, Long Beach, CA 90805 | 2018-11-15 |
| 1508359605 | Mykayla Rowley | Case Manager/Care Coordinator | 5190 Atlatic Ave, Long Beach, CA 90805 | 2018-06-13 |
| 1942728589 | Marissa Liana Cabral | Social Worker | 5190 Atantic Ave, Long Beach, CA 90805 | 2017-09-04 |
| 1245757673 | Karina Vasquez | Licensed Vocational Nurse | 1325 E Poppy St, Long Beach, CA 90805 | 2017-08-25 |
| 1376060277 | Rebekkah Dawn Williams | Counselor | 100 East Market Street, Long Beach, CA 90805 | 2017-08-23 |
| 1871038919 | Andrea Dabbs | Pharmacist | 3700 E. South St., Lakewood, CA 90805 | 2016-12-28 |
| 1164972360 | Young Men's Christian Association of Greater Long Beach | Health Educator | 4949 Atlantic Ave, Long Beach, CA 90805 | 2016-10-12 |
| 1043662158 | Kristina Eunjeong Chang | Podiatrist | 3700 E South Street, Lakewood, CA 90805 | 2016-07-13 |
| Find all providers in zip 90805 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578030011 | Invision Eyecare Specialists | Ophthalmology | 1 State Route 70, Lakewood, NJ 08701-5895 | 2018-11-01 |
| 1154834562 | Fountain Anti-aging | Ophthalmology | 892 Beach Rd, Lakewood, OH 44107-1018 | 2017-11-07 |
| 1477064905 | Nj Eye Consultants | Ophthalmology | 101 Prospect St Ste 102, Lakewood, NJ 08701-5003 | 2017-10-24 |
| 1740689728 | Don Pearson | Ophthalmology | 6708 Bridgeport Way W, Lakewood, WA 98499-8115 | 2014-08-15 |
| 1386860575 | Marvin Isaac Gordon | Ophthalmology | 3300 E South St Ste 207, Lakewood, CA 90805-4549 | 2007-04-17 |
| 1962446690 | Jonathan Marc Barofsky | Ophthalmology | 1255 Route 70 Ste 31n, Lakewood, NJ 08701-5973 | 2006-06-15 |
| 1548219934 | Gregory A Kouyoumdjian | Ophthalmology | 2766 S Wadsworth Blvd., Lakewood, CO 80227 | 2006-05-10 |
| 1720049588 | Moshe M Rothkopf | Ophthalmology | 1195 Highway 70, Lakewood, NJ 08701-5946 | 2006-03-31 |
| 1164492591 | Fairview Eye Center | Ophthalmology | 16400 Hilliard Rd, Lakewood, OH 44107-5610 | 2006-01-26 |
| 1003897729 | Thomas P Cliffel | Ophthalmology | 14200 Madison Ave, Lakewood, OH 44107-4510 | 2005-11-09 |
| Find all providers in LAKEWOOD | ||||
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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.