DR. SANTOS FLAVIO PACHECO (NPI# 1881765048) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1881765048 |
Entity Type | Individual |
Full Name | DR. SANTOS FLAVIO PACHECO |
Credential | M.D. |
Practice Address |
15159 Prairie Ave Lawndale CA 90260-2210 |
Practice Telephone | 3106447964 |
Practice Fax Number | 3106447989 |
Mailing Telephone | 3106447964 |
Mailing Fax Number | 3106447989 |
Enumeration Date | 2006-11-10 |
Last Update Date | 2012-02-24 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208D00000X | General Practice | A54292 | CA | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CA | 00A542922 | 05 | |
CA | 00A542920 | 05 |
Street Address |
15159 PRAIRIE AVE |
City | LAWNDALE |
State | CA |
Zip Code | 90260-2210 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063050441 | Medical Legal Experts Mle | Specialist/Technologist, Other | 4623 Hawthorne Blvd., Suite 401, Lawndale, CA 90260 | 2019-12-16 |
1730659392 | Spine Pro Tardaguila Chiropractic and Pt Rehab Corp | Chiropractor | 15901 Hawthorne Blvd. 160, Lawndale, CA 90260 | 2018-11-27 |
1356810758 | Jason H. Ta, Dmd, Inc. | Dentist | 16709 Hawthorne Blvd., Lawndale, CA 90260 | 2018-11-15 |
1437631868 | Careplus Palliative Inc. | Hospice Care, Community Based | 14708 Hawthorne Blvd Suite 8, Lawndale, CA 90260 | 2018-09-01 |
1083072664 | Joann Kim Ha Tran | Dentist | 15655 Hawthorne Blvd Ste A, Lawndale, CA 90260 | 2016-02-10 |
1598134785 | Stephanie Galang | Specialist/Technologist | 15413 Cranbrook Ave., Lawndale, CA 90260 | 2015-09-18 |
1275929804 | Healthy Heart Home Care | Home Health | 15901 Hawthorne Bl, Ste. 410, Lawndale, CA 90260 | 2015-04-10 |
1699190496 | Stephanie Ann Cross | Chiropractor | 14623 Hawthorne Blvd Ste 207, Lawndale, CA 90260 | 2014-03-03 |
1659681773 | Sorour Dmd PC | Dentist | 14979 Praire Ave, Lawndale, CA 90260 | 2010-10-08 |
1669625430 | Safety Works Medical, Inc | Chiropractor | 14623 Hawthorne Blvd., Suite 207, Lawndale, CA 90260 | 2008-10-24 |
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Taxonomy Code | 208D00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | General Practice |
Definition to come... |
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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.