ASCLEPION FAMILY MEDICAL GROUP INC. (NPI# 1790869113) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1790869113 |
Entity Type | Organization |
Organization Name | ASCLEPION FAMILY MEDICAL GROUP INC. |
Practice Address |
960 E Green St 208 Pasadena CA 91106-2401 |
Practice Telephone | 6264491944 |
Practice Fax Number | 6264492759 |
Mailing Telephone | 6264491944 |
Mailing Fax Number | 6264492759 |
Enumeration Date | 2006-10-24 |
Last Update Date | 2020-08-22 |
Authorized Official Name | DR. CLEO TSOLAKOGLOU-WILLIAMS (PRESIDENT) |
Authorized Official Telephone | 6264491944 |
Authorized Official Credential | M.D |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261Q00000X | Clinic/Center | A52191 | CA | Ambulatory Health Care Facilities |
Street Address |
960 E GREEN ST 208 |
City | PASADENA |
State | CA |
Zip Code | 91106-2401 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063408623 | Michael S Schwartz,md A Professional Corporation | Otolaryngology | 960 E Green St, #101, Pasadena, CA 91106-2401 | 2005-09-20 |
1578962825 | Craig R. Johnson, M.d., Inc. | Family Medicine | 960 E Green St, Suite 292, Pasadena, CA 91106-2412 | 2014-08-21 |
1639599830 | Timothy W Markle | Chiropractor | 960 E Green St, Suite 206, Pasadena, CA 91106-2412 | 2014-04-27 |
1811235450 | Ams Neurology | Specialist | 960 E Green St, Ste L11, Pasadena, CA 91106-2412 | 2013-01-16 |
1134493505 | Howard L Askins, A Medical Corporation | Psychiatry & Neurology | 960 E Green St, #202, Pasadena, CA 91106-2401 | 2012-03-02 |
1750655122 | Phillip D. Snyder Phd Clinical Psychologist A Professional Corp | Psychologist | 960 E Green St, #202, Pasadena, CA 91106-2412 | 2012-03-02 |
1558661934 | Thuc T. Bach, M.d., Inc. | Specialist | 960 E Green St, Suite 201, Pasadena, CA 91106-2401 | 2010-11-01 |
1528372620 | Sharon Leigh Ives Kirchheimer | Nurse Practitioner | 960 E Green St, Suite 292, Pasadena, CA 91106-2412 | 2010-07-30 |
1033423413 | Razieh Soltani Arabshahi | Dermatology | 960 E Green St, Ste 330, Pasadena, CA 91106 | 2010-07-28 |
1568788016 | Ted Shen M.d., Inc | Clinic/Center | 960 E Green St, Suite 101, Pasadena, CA 91106-2401 | 2010-04-08 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922625987 | Alexa Ann Mettrick | Behavior Technician | 1055 E. Colorado Blcd., Suite 560, Pasadena, CA 91106 | 2020-06-25 |
1780205344 | Giovani Telusma | Behavior Technician | 1055 E Colorado Blvd Ste 560 Pasadena, Pasadena, CT 91106 | 2020-05-05 |
1356838973 | Susan Ende | Marriage & Family Therapist | 945 Hillcrest Place, Pasadena, CA 91106 | 2018-04-19 |
1639678287 | Sean C Velazco | Counselor | 1245 E. Walnut St., Pasadena, CA 91106 | 2018-02-09 |
1023558848 | Gregory Ohanian Dds Ms Inc. | Dentist | 225 North Allen Avenue, Pasadena, CA 91106 | 2017-02-27 |
1508308586 | Quik Care Express Inc | Non-emergency Medical Transport (VAN) | 592 N. Wilson Ave, 5, Pasadena, CA 91106 | 2016-11-08 |
1194119867 | Kimberly Ann Ebner | Dentist | 1060 E. Green St., Suite 105, Pasadena, CA 91106 | 2015-03-20 |
1346645512 | Neogenomics Laboratories Inc | Specialist | 840 Cameron Dr, Pasadena, CA 91106 | 2014-10-29 |
1255756524 | Tirso Deljunco Sr. | Surgery | 1010 E. Union St., #130, Pasadena, CA 91106 | 2014-02-24 |
1386072601 | Hiroko Ogura | Acupuncturist | 1224 E Green St Ste 100, Pasadena, CA 91106 | 2013-10-23 |
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Taxonomy Code | 261Q00000X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
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1639619414 | Lysander Jim, M.d. Inc | Clinic/Center | 452 N Altadena Dr, Pasadena, CA 91107-2536 | 2017-02-27 |
1083076442 | Kevin Farnam, M.d., Inc. | Clinic/Center | 65 N Madison Ave Ste 202, Pasadena, CA 91101-5248 | 2016-03-24 |
1235599598 | White Memorial Medical Center | Clinic/Center | 259 N Euclid Ave, Apt 12, Pasadena, CA 91101-1516 | 2016-02-29 |
1154714772 | R&r Clinical | Clinic/Center | 1403 N Fair Oaks Ave Ste 1, Pasadena, CA 91103-1865 | 2015-03-06 |
1184963183 | Cac-family Medical Centers | Clinic/Center | 3901 Spencer Hwy, Pasadena, TX 77504-1205 | 2013-02-11 |
1295053023 | Cal Tex Medical Management Associates, LLC | Clinic/Center | 908 E Southmore Ave Ste 340, Pasadena, TX 77502-1133 | 2010-05-04 |
1912237702 | Fairmont Weight Loss Clinic LLC | Clinic/Center | 4416 Fairmont Pkwy Ste 108, Pasadena, TX 77504-3327 | 2009-12-30 |
1700019882 | Zuhair Albana Md Pa | Clinic/Center | 1946 Pasadena Blvd, Pasadena, TX 77502-2742 | 2009-08-24 |
1144434341 | Laser Eye Care of California, LLC | Clinic/Center | 790 E Colorado Blvd, Ste. 100, Pasadena, CA 91101-2113 | 2007-05-09 |
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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.