DR. TODD B DIETRICK (NPI# 1619963444) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619963444 |
| Entity Type | Individual |
| Full Name | DR. TODD B DIETRICK |
| Credential | M.D. |
| Practice Address |
800 S Raymond Ave Pasadena CA 91105-3229 |
| Mailing Address |
Po Box 90730 Pasadena CA 91109-0730 |
| Practice Telephone | 6267958051 |
| Practice Fax Number | 6267950356 |
| Mailing Telephone | 6267958051 |
| Mailing Fax Number | 6267950356 |
| Enumeration Date | 2005-09-27 |
| Last Update Date | 2009-01-26 |
| NPI Deactivation Date | 03/24/2006 |
| NPI Reactivation Date | 2006-04-06 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | A70565 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | RAIL ROAD MEDICARE | P00205814 | 01 |
| CA | MEDICARE INDIVIDULA ID # | A70565 | 01 |
| Street Address |
800 S RAYMOND AVE |
| City | PASADENA |
| State | CA |
| Zip Code | 91105-3229 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164418893 | Michael J Fraipont | Orthopaedic Surgery | 800 S Raymond Ave, Pasadena, CA 91105-3229 | 2005-09-27 |
| 1629676184 | Allyson M Andreini | Physical Medicine & Rehabilitation | 800 S Raymond Ave, Pasadena, CA 91105-3229 | 2020-10-15 |
| 1255826244 | Adameros Camesa | Physician Assistant | 800 S Raymond Ave, Pasadena, CA 91105-3229 | 2018-06-22 |
| 1336637032 | Priscilla Thai | Physical Therapist | 800 S Raymond Ave, Pasadena, CA 91105-3229 | 2018-04-27 |
| 1619415858 | Hsueh-fang Ting | Occupational Therapist | 800 S Raymond Ave, Pasadena, CA 91105-3229 | 2017-02-08 |
| 1750830204 | Kyle Luong | Physical Therapist | 800 S Raymond Ave, Pasadena, CA 91105-3229 | 2016-09-26 |
| 1619343423 | Democratic Anesthesiologists Inc | Anesthesiology | 800 S Raymond Ave, Pasadena, CA 91105-3229 | 2015-08-16 |
| 1548645617 | Patriot Distribution LLC | Durable Medical Equipment & Medical Supplies | 800 S Raymond Ave, Pasadena, CA 91105-3229 | 2015-07-29 |
| 1609255405 | C7 Surgical Solutions Inc | Orthopaedic Surgery | 800 S Raymond Ave, Third Floor, Pasadena, CA 91105-3229 | 2015-05-26 |
| 1558754903 | Liberty Billing Inc | Orthopaedic Surgery | 800 S Raymond Ave, Pasadena, CA 91105-3229 | 2015-03-10 |
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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 | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| 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 Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801454665 | Orthopedic Physicians of Annapolis LLC | Orthopaedic Surgery | 8109 Ritchie Hwy Ste 200, Pasadena, MD 21122-6917 | 2019-06-05 |
| 1578985123 | Southern California Orthopedic Institute, Lp | Orthopaedic Surgery | 39 Congress St Ste 201, Pasadena, CA 91105-3021 | 2014-01-16 |
| 1467773085 | Kathleen Savage, M.d., Apc | Orthopaedic Surgery | 1180 N Arroyo Blvd, Pasadena, CA 91103-2406 | 2010-06-17 |
| 1467680793 | Kenneth Lee Caldwell | Orthopaedic Surgery | 3801 Vista Rd Ste 360, Pasadena, TX 77504-2161 | 2009-06-25 |
| 1376771980 | Micah Diaz Berry | Orthopaedic Surgery | 710 Mira Monte Pl, Pasadena, CA 91101-2521 | 2009-06-23 |
| 1770705675 | Ronald Bruce Heisey | Orthopaedic Surgery | 3222 Burke Road, Suite 108, Pasadena, TX 77504 | 2007-05-02 |
| 1164418893 | Michael J Fraipont | Orthopaedic Surgery | 800 S Raymond Ave, Pasadena, CA 91105-3229 | 2005-09-27 |
| 1831191410 | Donald J Norquist | Orthopaedic Surgery | 2627 E Washington Blvd, Pasadena, CA 91107-1412 | 2005-08-12 |
| 1447899752 | Pasadena Orthopedics Inc | Orthopaedic Surgery | 959 E Walnut St Ste 220, Pasadena, CA 91106-5363 | 2020-01-03 |
| 1114585395 | Gilead Orthopedics, Pllc | Orthopaedic Surgery | 3801 Vista Rd Ste 360, Pasadena, TX 77504-2161 | 2019-06-03 |
| 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.