CLAYTON ALEXANDER VARGA (NPI# 1629060694) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629060694 |
| Entity Type | Individual |
| Full Name | CLAYTON ALEXANDER VARGA |
| Credential | MD |
| Practice Address |
1017 S Fair Oaks Ave Pasadena CA 91105-2621 |
| Mailing Address |
File 50475 Los Angeles CA 90074-0475 |
| Practice Telephone | 6264036200 |
| Practice Fax Number | 6264032968 |
| Mailing Telephone | 6264036200 |
| Mailing Fax Number | 6264032968 |
| Enumeration Date | 2005-08-16 |
| Last Update Date | 2009-04-23 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
G52859 | CA | Allopathic & Osteopathic Physicians |
| Y | 2081P2900X |
Physical Medicine & Rehabilitation Specialization: Pain Medicine |
G52859 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00G528590 | 05 | |
| CA | MEDICAL LICENSE | G52859 | 01 |
| Street Address |
1017 S FAIR OAKS AVE |
| City | PASADENA |
| State | CA |
| Zip Code | 91105-2621 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871138529 | Norman Wong | Physical Therapist | 1017 S Fair Oaks Ave, Pasadena, CA 91105-2621 | 2019-11-16 |
| 1346802840 | Shakeela Swaby | Nurse Practitioner | 1017 S Fair Oaks Ave, Pasadena, CA 91105-2621 | 2019-07-03 |
| 1801351531 | Rod William Young | Physical Therapist | 1017 S Fair Oaks Ave, Pasadena, CA 91105-2621 | 2019-02-06 |
| 1750890083 | Sioneh Paria | Nurse Practitioner | 1017 S Fair Oaks Ave, Pasadena, CA 91105-2621 | 2017-09-29 |
| 1831626043 | Faith Adole | Nurse Practitioner | 1017 S Fair Oaks Ave, Pasadena, CA 91105-2621 | 2017-05-18 |
| 1437696226 | Michela S. Termechi | Nurse Practitioner | 1017 S Fair Oaks Ave, Pasadena, CA 91105 | 2017-01-31 |
| 1376093914 | Alexandra Kirtchik | Nurse Practitioner | 1017 S Fair Oaks Ave, Pasadena, CA 91105-2621 | 2016-10-06 |
| 1649727587 | Amanda Miller | Occupational Therapist | 1017 S Fair Oaks Ave, Pasadena, CA 91105-2621 | 2016-09-08 |
| 1073960613 | Aparna Kuvalekar | Physical Therapist | 1017 S Fair Oaks Ave, Pasadena, CA 91105-2621 | 2016-05-24 |
| 1508227596 | Allison Mary Brown | Specialist/Technologist | 1017 S Fair Oaks Ave, Pasadena, CA 91105-2621 | 2016-03-17 |
| 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 | 2081P2900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Specialization | Pain Medicine |
| A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source changed] Additional Resources: American Board of Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. A subspecialty certificate was approved by the ABMS in 1999. ACGME Accredited Residency Program Requirements: Proposal under development. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275871436 | Hudson Medical Group | Physical Medicine & Rehabilitation | 530 S Lake Ave # 451, Pasadena, CA 91101-3515 | 2013-01-23 |
| 1114218658 | Triet Q Huynh Md Pa | Physical Medicine & Rehabilitation | 5150 Crenshaw Rd Ste B100, Pasadena, TX 77505-3095 | 2011-05-01 |
| 1619110269 | Equi-med Corp | Physical Medicine & Rehabilitation | 1252 N Sierra Bonita Ave, Pasadena, CA 91104-3147 | 2009-04-13 |
| 1518126176 | Jos Santz II | Physical Medicine & Rehabilitation | 2693 E. Washington Blvd, Pasadena, CA 91107 | 2008-06-08 |
| 1417974478 | Harout Raffi Balian | Physical Medicine & Rehabilitation | 333 N Hill Ave, Suite 101, Pasadena, CA 91106-1570 | 2006-07-16 |
| 1245615350 | Ryan Mattie | Physical Medicine & Rehabilitation | 1017 S Fair Oaks Ave, Pasadena, CA 91105 | 2015-07-30 |
| 1750673638 | Jared Myers | Physical Medicine & Rehabilitation | 2627 E Washington Blvd, Pasadena, CA 91107-1412 | 2011-05-10 |
| 1104001213 | Plb United, Pa | Physical Medicine & Rehabilitation | 923 Pasadena Fwy, Pasadena, TX 77506-1400 | 2008-01-08 |
| 1700067295 | Jaspreet Kaur Takhar | Physical Medicine & Rehabilitation | 393 E Walnut St, 3rd Floor - Phrs, Pasadena, CA 91188-0001 | 2007-11-26 |
| 1528196045 | Vibha Agrawal | Physical Medicine & Rehabilitation | 1017 S Fair Oaks Ave, Pasadena, CA 91105-2621 | 2007-02-28 |
| 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.