DR. LYSANDER JIM (NPI# 1457642795) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457642795 |
| Entity Type | Individual |
| Full Name | DR. LYSANDER JIM |
| Credential | M.D. |
| Practice Address |
452 N Altadena Dr Unit 200 Pasadena CA 91107-2536 |
| Mailing Address |
601 Camino Verde South Pasadena CA 91030-4139 |
| Practice Telephone | 6268385485 |
| Mailing Telephone | 6262970400 |
| Enumeration Date | 2011-04-20 |
| Last Update Date | 2017-03-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208100000X | Physical Medicine & Rehabilitation | A124122 | CA | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
452 N ALTADENA DR UNIT 200 |
| City | PASADENA |
| State | CA |
| Zip Code | 91107-2536 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801412002 | Kwasi Nkansa | Physical Medicine & Rehabilitation | 2585 East Washington Blvd, Pasadena, CA 91107 | 2020-06-23 |
| 1609402742 | H & S Hospice Care Inc | Hospice Care, Community Based | 2525 E Colordo Blvd Suite 109, Pasadena, CA 91107 | 2020-03-20 |
| 1013557115 | Cindy Phun | Pharmacist | 3383 E Foothill Blvd, Pasadena, CA 91107 | 2020-01-07 |
| 1184185548 | Preferred Home Health Services | Home Health | 40 N Atlandena Dr Suite 219, Pasadena, CA 91107 | 2019-03-28 |
| 1861973729 | Julia E Underwood | Doula | 2335-115 E. Colorado Blvd #339, Pasadena, CA 91107 | 2018-08-28 |
| 1982183166 | Melissa Castillo | Counselor | 26 S Kinneloa Ave, Pasadena, CA 91107 | 2018-08-09 |
| 1083109904 | Lourice Boutros | Optometrist | 3235 E Colorado Blvd Ste 101, Pasadena, CA 91107 | 2018-06-22 |
| 1902313026 | Cecily Brogdon | Marriage & Family Therapist | 2115 Lambert Drive, Pasadena, CA 91107 | 2018-01-10 |
| 1790204915 | Vanessa Nicole Contreras | Licensed Vocational Nurse | 36 S. Kinneiloa Ave., Pasadena, CA 91107 | 2017-09-19 |
| 1730614397 | Rita Mason | Behavioral Analyst | 890 S Rosemead Blvd, Ste 45, Pasadena, CA 91107 | 2017-04-20 |
| Find all providers in zip 91107 | ||||
| Taxonomy Code | 208100000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Physical medicine and rehabilitation, also referred to as rehabilitation medicine, is the medical specialty concerned with diagnosing, evaluating, and treating patients with physical disabilities. These disabilities may arise from conditions affecting the musculoskeletal system such as neck and back pain, sports injuries, or other painful conditions affecting the limbs, such as carpal tunnel syndrome. Alternatively, the disabilities may result from neurological trauma or disease such as spinal cord injury, head injury or stroke. A physician certified in physical medicine and rehabilitation is often called a physiatrist. The primary goal of the physiatrist is to achieve maximal restoration of physical, psychological, social and vocational function through comprehensive rehabilitation. Pain management is often an important part of the role of the physiatrist. For diagnosis and evaluation, a physiatrist may include the techniques of electromyography to supplement the standard history, physical, x-ray and laboratory examinations. The physiatrist has expertise in the appropriate use of therapeutic exercise, prosthetics (artificial limbs), orthotics and mechanical and electrical devices. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. American Osteopathic Board of Physical Medicine and Rehabilitation, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Physical Medicine and Rehabilitation. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801412002 | Kwasi Nkansa | Physical Medicine & Rehabilitation | 2585 East Washington Blvd, Pasadena, CA 91107 | 2020-06-23 |
| 1184068926 | Naveed M Natanzi | Physical Medicine & Rehabilitation | Synovation Medical Group, 1017 S. Fair Oaks Avenue, Pasadena, CA 91105 | 2013-04-23 |
| 1306116041 | Ivy Medical Associates Inc | Physical Medicine & Rehabilitation | 2309 Paloma St, Pasadena, CA 91104-4926 | 2012-01-11 |
| 1376858829 | Christopher Tri Bui | Physical Medicine & Rehabilitation | 227 S Catalina Ave Unit 7, Pasadena, CA 91106-5004 | 2010-08-09 |
| 1013233576 | Mauro Walsh Zappaterra | Physical Medicine & Rehabilitation | 1035 S Fair Oaks Ave Ste 103, Institute for Regenerative Medicine & Clinical Research, Pasadena, CA 91105-2699 | 2010-04-08 |
| 1902065642 | Maureen Amber Tyson | Physical Medicine & Rehabilitation | 2693 E Washington Blvd, Pasadena, CA 91107-1412 | 2008-06-06 |
| 1023014750 | Mary A Mioux Berry | Physical Medicine & Rehabilitation | 630 S Raymond Ave, Suite #120, Pasadena, CA 91105-3278 | 2005-06-27 |
| 1003811340 | Sunil Kumar Hegde | Physical Medicine & Rehabilitation | 630 S. Raymond Ave., Suite #120, Pasadena, CA 91105 | 2005-06-14 |
| 1629676184 | Allyson M Andreini | Physical Medicine & Rehabilitation | 800 S Raymond Ave, Pasadena, CA 91105-3229 | 2020-10-15 |
| 1922578814 | Marissa Jong | Physical Medicine & Rehabilitation | 959 E Walnut St Ste 240, Pasadena, CA 91106-5348 | 2018-12-04 |
| 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.