SOUTHERN CALIFORNIA GLAUCOMA CONSULTANTS MEDICAL GROUP (NPI# 1588943682) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588943682 |
| Entity Type | Organization |
| Organization Name | SOUTHERN CALIFORNIA GLAUCOMA CONSULTANTS MEDICAL GROUP |
| Practice Address |
630 S Raymond Ave 230 Pasadena CA 91105-3278 |
| Practice Telephone | 6265771115 |
| Practice Fax Number | 6265771385 |
| Mailing Telephone | 6265771115 |
| Mailing Fax Number | 6265771385 |
| Enumeration Date | 2011-08-08 |
| Last Update Date | 2011-08-08 |
| Authorized Official Name | DR. ALFRED MARC SOLISH (OWNER/ MEDICAL DIRECTOR) |
| Authorized Official Telephone | 6265771115 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | G42828 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
630 S RAYMOND AVE 230 |
| City | PASADENA |
| State | CA |
| Zip Code | 91105-3278 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023014750 | Mary A Mioux Berry | Physical Medicine & Rehabilitation | 630 S Raymond Ave, Suite #120, Pasadena, CA 91105-3278 | 2005-06-27 |
| 1295249225 | Tracy Le Henry | Nurse Practitioner | 630 S Raymond Ave, Pasadena, CA 91105-3278 | 2017-11-29 |
| 1316493737 | Asa Maria Albecz | Technician, Other | 630 S Raymond Ave, #310, Pasadena, CA 91105-3278 | 2016-08-26 |
| 1023564481 | Neurologicinc | Specialist/Technologist, Other | 630 S Raymond Ave, Pasadena, CA 91105-3278 | 2016-08-26 |
| 1720475825 | Neuro-rehab Consultation & Treatment Services | Psychologist | 630 S Raymond Ave, #340, Pasadena, CA 91105-3278 | 2015-04-16 |
| 1215365747 | Roxanne Prilutsky, Ph.d., A Psychology Corporation | Psychologist | 630 S Raymond Ave, Suite 310, Pasadena, CA 91105-3278 | 2013-10-18 |
| 1467897322 | West Coast Neurology | Psychiatry & Neurology | 630 S Raymond Ave, Suite 310, Pasadena, CA 91105-3278 | 2013-05-06 |
| 1376867309 | Valley Diagnostic Imaging Medical Group Inc | Specialist | 630 S Raymond Ave, Unit 210, Pasadena, CA 91105-3278 | 2010-03-19 |
| 1033431127 | Imaging Specialist of Pasadena LLC | Specialist | 630 S Raymond Ave, Unit 210, Pasadena, CA 91105-3278 | 2010-02-17 |
| 1245561752 | Elisa C Alvarado Md Inc | Internal Medicine | 630 S Raymond Ave, Suite 340, Pasadena, CA 91105-3278 | 2010-01-22 |
| Find all providers in the same location | ||||
| 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 | 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 |
|---|---|---|---|---|
| 1699265546 | Glaucoma Associates of Los Angeles | Ophthalmology | 625 S Fair Oaks Ave Ste 265, Pasadena, CA 91105-2613 | 2018-05-16 |
| 1649550872 | Vivien Au | Ophthalmology | 2619 E Colorado Blvd, Suite 100, Pasadena, CA 91107-3747 | 2011-08-19 |
| 1033342118 | Huntington Eye Medical Group Inc | Ophthalmology | 800 So. Fairmount Ave, Suite 219, Pasadena, CA 91105-3153 | 2009-08-24 |
| 1770748758 | Emily Ellen Cook | Ophthalmology | 630 S Raymond Ave Unit 230, Pasadena, CA 91105-3283 | 2008-07-18 |
| 1689832636 | James Kao Ophthalmology Corp | Ophthalmology | 790 E Colorado Blvd Ste 100, Pasadena, CA 91101-2178 | 2008-05-27 |
| 1205036456 | Payam Amini | Ophthalmology | 2619 E Colorado Blvd # 150, Pasadena, CA 91107-3747 | 2007-07-24 |
| 1427192947 | Audra Yoshimura | Ophthalmology | 800 E Colorado Blvd, Suite 450, Pasadena, CA 91101-2103 | 2007-02-16 |
| 1790829208 | Warren C Stout | Ophthalmology | 800 E. Colorado Blvd., Suite 260, Pasadena, CA 91101 | 2007-02-16 |
| 1336153816 | Hugo Y Hsu | Ophthalmology | 800 Fairmount Ave Ste 215, Pasadena, CA 91105-3152 | 2006-07-28 |
| 1457376774 | Michael J Miller | Ophthalmology | 960 E Green St Ste 268, Pasadena, CA 91106-2401 | 2006-07-13 |
| 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.