HEALTHY LIVING MEDICAL, INC (NPI# 1467886549) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467886549 |
| Entity Type | Organization |
| Organization Name | HEALTHY LIVING MEDICAL, INC |
| Practice Address |
301 S Fair Oaks Ave Suite 404 Pasadena CA 91105-2561 |
| Practice Telephone | 6267169206 |
| Mailing Telephone | 6267169206 |
| Mailing Fax Number | 6267093568 |
| Enumeration Date | 2013-08-26 |
| Last Update Date | 2015-01-29 |
| Authorized Official Name | DR. JOSHUA ALEXANDER JACOBI (PRESIDENT) |
| Authorized Official Telephone | 6267169206 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
CA55905 | CA | Ambulatory Health Care Facilities |
| Street Address |
301 S FAIR OAKS AVE SUITE 404 |
| City | PASADENA |
| State | CA |
| Zip Code | 91105-2561 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821093832 | Jack S Broussard Jr. | Dentist | 301 S Fair Oaks Ave, Ste 204, Pasadena, CA 91105-2536 | 2005-06-16 |
| 1528593357 | Souna Sarkis | Pharmacist | 301 S Fair Oaks Ave, Suite Number 104, Pasadena, CA 91105-2561 | 2017-04-30 |
| 1750740080 | Orange County Orofacial Pain Associates Inc | 301 S Fair Oaks Ave, Suite 402, Pasadena, CA 91105-2561 | 2016-02-15 | |
| 1740646124 | Kyung A Cho | Nurse Practitioner | 301 S Fair Oaks Ave, 404, Pasadena, CA 91105-2561 | 2016-01-14 |
| 1780066613 | Marlys R Drange, Md,inc | Internal Medicine | 301 S Fair Oaks Ave, Suite 105, Pasadena, CA 91105-2561 | 2015-06-27 |
| 1457775736 | Unicare Pharmacy & Supply Inc | Durable Medical Equipment & Medical Supplies | 301 S Fair Oaks Ave, Ste 104, Pasadena, CA 91105-2561 | 2014-02-07 |
| 1255772554 | Michael E Steuer, Md, PC | Specialist | 301 S Fair Oaks Ave, Ste 105, Pasadena, CA 91105-2561 | 2013-07-15 |
| 1811234909 | Beauty Swe, Md, Inc. | Internal Medicine | 301 S Fair Oaks Ave, Suite 203, Pasadena, CA 91105-2561 | 2013-01-09 |
| 1134476195 | American Medical Evaluation Centers Inc | Internal Medicine | 301 S Fair Oaks Ave, Ste 107, Pasadena, CA 91105-2561 | 2012-08-09 |
| 1962760991 | Huntington Pain and Wellness Center, Inc | Anesthesiology | 301 S Fair Oaks Ave, Suite 402, Pasadena, CA 91105-2561 | 2012-04-27 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619451697 | Tonya Michlin | Registered Nurse | 800 Fairmount Ave Ste 110, Pasadena, CA 91105 | 2018-09-17 |
| 1639674161 | David Marcus Md, Inc. | Psychiatry & Neurology | 107 S. Fair Oaks Avenue, Suite #315, Pasadena, CA 91105 | 2018-03-27 |
| 1548778541 | Elias & Jun Dental Corp | Dentist | 301 S. Fair Oaks Ave., Ste 107, Pasadena, CA 91105 | 2018-01-12 |
| 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 |
| 1922554245 | Daniel Joseph Ybarra | Student in an Organized Health Care Education/Training Program | 100 W. California Blvd. Pasadena, Ca 91105, Pasadena, CA 91105 | 2016-08-28 |
| Find all providers in zip 91105 | ||||
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235437450 | James A. Macer, M D A Professional Corp | Clinic/Center | 10 Congress St Ste 400, Pasadena, CA 91105-3020 | 2011-03-11 |
| 1558542076 | Gloria De Olarte M.d. Inc. | Clinic/Center | 65 N.madison Avenue, Suite 406, Pasadena, CA 91101 | 2007-11-27 |
| 1114358249 | Shriners Hospitals for Children | Clinic/Center | 909 S Fair Oaks Ave, Pasadena, CA 91105-2625 | 2013-11-27 |
| 1063854883 | Delgado Medical Group LLC | Clinic/Center | 3910 Fairmont Pkwy, Suite H, Pasadena, TX 77504-3076 | 2013-07-22 |
| 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 |
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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.