HENRY P SIDEROPOULOS MD INC (NPI# 1366800823) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366800823 |
| Entity Type | Organization |
| Organization Name | HENRY P SIDEROPOULOS MD INC |
| Other Organization Name | HENRY P SIDEROPOULOS MD INC |
| Practice Address |
1771 E Orange Grove Blvd Pasadena CA 91104-0000 |
| Practice Telephone | 6264848947 |
| Practice Fax Number | 6266280492 |
| Mailing Telephone | 9094842865 |
| Mailing Fax Number | 9099416974 |
| Enumeration Date | 2016-01-29 |
| Last Update Date | 2016-07-29 |
| Authorized Official Name | HENRY P SIDEROPOULOS (MD) |
| Authorized Official Telephone | 9094842865 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | G42050 | CA | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| HENRY P SIDEROPOULOS MD INC | Former Legal Business Name - Organization |
| Street Address |
1771 E ORANGE GROVE BLVD |
| City | PASADENA |
| State | CA |
| Zip Code | 91104-0000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093284382 | Jack Lee Johnson II | Counselor | 1680 North Fair Oaks, Pasadena, CA 91104 | 2018-11-16 |
| 1699257055 | Aqueelah Russell | Lactation Consultant, Non-RN | 855 N. Catalina Ave, Pasadena, CA 91104 | 2018-09-02 |
| 1053893529 | Jordann Ashley Stewart | Case Manager/Care Coordinator | 691 East Washington Blvd, Pasadena, CA 91104 | 2018-08-31 |
| 1942789706 | Elmer Caballero | Case Manager/Care Coordinator | 691 E Washington Blvd, Pasadena, CA 91104 | 2018-08-12 |
| 1649759648 | Orlando Javier Sava Jr. | Case Manager/Care Coordinator | 1395 E. Orange Grove Blvd, Pasadena, CA 91104 | 2018-08-09 |
| 1669923611 | Grandview Foundation, Inc. | Substance Abuse Rehabilitation Facility | 225 Grandview Street, Pasadena, CA 91104 | 2016-10-14 |
| 1255734166 | Linhua Wang-kim | Massage Therapist | 1028 N. Lake Ave., Suite 108c, Pasadena, CA 91104 | 2014-10-06 |
| 1477893782 | Med Tec Diagnostic Inc. | Clinic/Center | 1310 N. Mar Vista Unit 3, Pasadena, CA 91104 | 2013-02-22 |
| 1750631321 | Gordon Sheldall | Marriage & Family Therapist | 1495 N Lake Avenue, Pasadena, CA 91104 | 2012-09-11 |
| 1699024521 | Sherry Lynn Wait | Marriage & Family Therapist | 1495 N. Lake Ave., Pasadena, CA 91104 | 2012-09-06 |
| Find all providers in zip 91104 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255957205 | Direct Urgent Care Inc | Internal Medicine | 600 E Colorado Blvd # 120, Pasadena, CA 91101-2006 | 2020-06-24 |
| 1154988111 | Liviu Chindris Md, Inc. | Internal Medicine | 257 S De Lacey Ave Unit 4129, Pasadena, CA 91105-4504 | 2019-05-24 |
| 1952872905 | Bay Area Internal Medicine Care Pllc | Internal Medicine | Baywood Crossing Rehabilitation and Healthcare Center, 5020 Space Center Blvd., Pasadena, TX 77505 | 2018-12-16 |
| 1568812196 | George Kevork Abrahamian | Internal Medicine | 960 E Green St Ste 106, Pasadena, CA 91106-2401 | 2016-06-14 |
| 1730571555 | Cheryl Lynne Reid | Internal Medicine | 482 S Madison Ave, Unit 3, Pasadena, CA 91101-3300 | 2015-03-03 |
| 1114319910 | Ramon A. Pineda Md Pa | Internal Medicine | 2418 Southmore Ave, Pasadena, TX 77502-1421 | 2015-03-03 |
| 1477968733 | Amy Savagian Md, Medical Corporation | Internal Medicine | 800 Fairmount Blvd, 210, Pasadena, CA 91105 | 2014-06-25 |
| 1124439617 | Eva Poon | Internal Medicine | 675 S Arroyo Pkwy Ste 110, Pasadena, CA 91105-3248 | 2014-05-19 |
| 1679903306 | Eileen Laverne Carter | Internal Medicine | 1509 Chelten Way South, Pasadena, CA 91030-3915 | 2013-11-15 |
| 1831436831 | Ralph Carl Jung | Internal Medicine | 737 Old Mill Rd, Pasadena, CA 91108-1739 | 2013-01-10 |
| 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.