Jason K Boutros


Address: 2554 E Washington Blvd, Pasadena, CA 91107-1445

Jason K Boutros (NPI# 1942243563, PAC ID# 5496656241) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.

Physician Overview

Nation Provider ID (NPI) 1942243563
PAC ID by PECOS 5496656241
Professional Enrollment ID I20040120000580
Full Name Jason K Boutros
Address 2554 E Washington Blvd
Pasadena
CA 91107-1445
Gender M
Credential MD
Graduation Year 1983
Primary Specialty INTERNAL MEDICINE
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
050763 SILVER LAKE MEDICAL CENTER
050438 HUNTINGTON MEMORIAL HOSPITAL
050132 SAN GABRIEL VALLEY MEDICAL CENTER
050238 METHODIST HOSPITAL OF SOUTHERN CA

Other Locations

Address Phone Organization
2554 E Washington Blvd, Pasadena, CA 91107-1445
1267 W 7th St, Upland, CA 91786-7069

Organization Information

Office Location

Street Address 2554 E WASHINGTON BLVD
City PASADENA
State CA
Zip 91107-1445

Physicians in the same zip code

Name Specialty Organization Address
Garo B Darian Pulmonary Disease 2595 E Washington Blvd, Suite 101, Pasadena, CA 91107-1409
Walter Spears General Practice 2595 E Washington Blvd, Suite 107, Pasadena, CA 91107-1409
Matthew J Cavallero Orthopedic Surgery Risser Orthopaedic Group, A Medical Corp. 2627 E Washington Blvd, Pasadena, CA 91107-1412
Ndidiamaka Dillibe Matthews Physical Therapy 2693 E Washington Blvd, Pasadena, CA 91107-1412
Louella M Regis Family Practice Crown City Medical Group Inc 2661 E Washington Blvd, Pasadena, CA 91107-1412
Daniel R Laster Orthopedic Surgery Risser Orthopaedic Group, A Medical Corp. 2627 E Washington Blvd, Pasadena, CA 91107-1412
Richard Delingon Ramos Physician Assistant Risser Orthopaedic Group, A Medical Corp. 2627 E Washington Blvd, Pasadena, CA 91107-1412
Jared Myers Physical Medicine and Rehabilitation Risser Orthopaedic Group, A Medical Corp. 2627 E Washington Blvd, Pasadena, CA 91107-1412
Ben Bhupendra Pradhan Orthopedic Surgery Risser Orthopaedic Group, A Medical Corp. 2627 E Washington Blvd, Pasadena, CA 91107-1412
Donald J Norquist Orthopedic Surgery Risser Orthopaedic Group, A Medical Corp. 2627 E Washington Blvd, Pasadena, CA 91107-1412
Find all physicians in zip 91107

Competitor

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City PASADENA
Zip Code 91107
Specialty INTERNAL MEDICINE
City + Specialty PASADENA + INTERNAL MEDICINE

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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