MR. THOMAS L VANDER LAAN


Address: 50 Bellefontaine St, Ste 303, Pasadena, CA 91105-3132
Phone: 6267934136

MR. THOMAS L VANDER LAAN (NPI# 1639174063) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1639174063
Entity Type Individual
Full Name MR. THOMAS L VANDER LAAN
Credential M.D.
Practice Address 50 Bellefontaine St
Ste 303
Pasadena
CA 91105-3132
Practice Telephone 6267934136
Practice Fax Number 6267938279
Mailing Telephone 6267934136
Mailing Fax Number 6267938279
Enumeration Date 2005-06-13
Last Update Date 2013-04-01
NPI Deactivation Date 03/17/2006
NPI Reactivation Date 2006-03-31
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 174400000X Specialist G44443 CA Other Service Providers
Y 208600000X Surgery G44443 CA Allopathic & Osteopathic Physicians
N 2086S0102X Surgery
Specialization: Surgical Critical Care
G44443 CA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
CA MEDICARE PTAN W1289 01
CA 00G444430 05

Office Location

Street Address 50 BELLEFONTAINE ST
STE 303
City PASADENA
State CA
Zip Code 91105-3132

Providers in the same location

NPI Name Taxonomy Address Enumeration
1194282624 Chang Zaifman Dental Inc Dentist 50 Bellefontaine St, Suite 102, Pasadena, CA 91105 2019-02-20
1750740742 Academic Hospitalists Management Group Inc Hospitalist 50 Bellefontaine St, Suite 307, Pasadena, CA 91105-3132 2016-02-18
1023407707 The Leela Integrative Medicine Center, Inc Internal Medicine 50 Bellefontaine St, 307, Pasadena, CA 91105-3132 2015-01-17
1649686791 Zaree Babakhanian, M.d., Inc. Internal Medicine 50 Bellefontaine St, Suite 409, Pasadena, CA 91105-3132 2014-07-09
1407136617 Shazhou Luo Nurse Practitioner 50 Bellefontaine St, Pasadena, CA 91105-3132 2011-08-18
1477797306 Eclat Medical, Inc Clinic/Center 50 Bellefontaine St, #203, Pasadena, CA 91105-3132 2009-04-22
1932343027 Tommy H. Chen, Md.,incorporation Specialist 50 Bellefontaine St, # 301, Pasadena, CA 91105-3132 2009-04-21
1164696654 Ralph B. Martin, M.d., Inc. Internal Medicine 50 Bellefontaine St, Suite 205, Pasadena, CA 91105-3132 2008-04-16
1932372562 Joseph Del Priore Dermatology 50 Bellefontaine St, Ste 104, Pasadena, CA 91105-3132 2008-04-03
1285815423 David J. Lourie Md Inc Surgery 50 Bellefontaine St, Suite 302, Pasadena, CA 91105 2007-11-15
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 208600000X
Grouping Allopathic & Osteopathic Physicians
Classification Surgery

Taxonomy Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
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 Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1780068189 Pro Surgical Inc Surgery 88 N Fair Oaks Ave Ste 105, Pasadena, CA 91103-3655 2015-07-15
1255756524 Tirso Deljunco Sr. Surgery 1010 E. Union St., #130, Pasadena, CA 91106 2014-02-24
1710319017 Premiere Surgical Specialists, A Professional Corporation Surgery 35 E Glenarm St, Pasadena, CA 91105-3418 2013-08-08
1376860346 Gloria Marie F. Kimie Tumbaga Surgery 1294 E Colorado Blvd, Pasadena, CA 91106-1901 2010-04-29
1346417714 Arthur Joseph Donovan Surgery 111 S Orange Grove Blvd Apt 308, Pasadena, CA 91105-1756 2008-05-14
1356549398 N V Danekar M D A Professional Corporation Surgery 3235 Villa Highlands Dr, Pasadena, CA 91107-1537 2007-07-10
1235336033 David J Lourie Md Inc Wes J Powell Md Inc David R Martin Md Inc Surgery 50 Bellefontaine St Ste 404, Pasadena, CA 91105-3132 2007-06-27
1215022561 Jean Claude Henry Surgery 655 S Euclid Ave, Pasadena, CA 91106-3732 2006-10-03
1205879822 Fernando E Miranda Sr. Surgery 4301b Vista Rd, #100, Pasadena, TX 77504-2117 2006-06-13
1013966571 David J Lourie Surgery 950 S Arroyo Pkwy, Fl 3, Pasadena, CA 91105-3930 2006-05-10
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Competitor

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City PASADENA
Zip Code 91105

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Dataset Information

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.

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