Krystal Marie Boothe (NPI# 1043488414, PAC ID# 5991086571) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CLINICAL SOCIAL WORKER.
| Nation Provider ID (NPI) | 1043488414 |
| PAC ID by PECOS | 5991086571 |
| Professional Enrollment ID | I20161220001977 |
| Full Name | Krystal Marie Boothe |
| Address |
355 S Grand Ave Suite 2450 Pasadena CA 91105-1638 |
| Phone Number | 66140215452 |
| Gender | F |
| Graduation Year | 2011 |
| Primary Specialty | CLINICAL SOCIAL WORKER |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1055 E Colorado Blvd, Pasadena, CA 91106-2327 | 66140215451 | |
| 355 S Grand Ave, Suite 2450, Pasadena, CA 91105-1638 | 66140215452 |
| Street Address |
355 S GRAND AVE SUITE 2450 |
| City | PASADENA |
| State | CA |
| Zip | 91105-1638 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gerrian Wuts | Psychologist, Clinical | Suite 211, Pasadena, CA 91105 | |
| Muni Nithyananda | Vascular Surgery | 769 Panorama Pl, Pasadena, CA 91105-1020 | |
| Parakrama T Chandrasoma | Pathology | 405 Linda Vista Ave, Pasadena, CA 91105-1237 | |
| Roger E Der | Pathology | Pathology Associates of Arcadia | 405 Linda Vista Ave, Pasadena, CA 91105-1237 |
| William D Bishop | Pathology | Pathology Associates of Arcadia | 405 Linda Vista Ave, Pasadena, CA 91105-1237 |
| John D F Tarr | Psychiatry | 280 S Arroyo Blvd, Pasadena, CA 91105-1507 | |
| Denise H Badaruddin | Psychologist, Clinical | 458 S Pasadena Ave, Pasadena, CA 91105-1838 | |
| Stacy Sasada | Clinical Social Worker | 107 S Fair Oaks Ave, Suite 326, Pasadena, CA 91105-2085 | |
| Beatriz Coca | Psychologist, Clinical | 107 S Fair Oaks Ave, Suite 330, Pasadena, CA 91105-2086 | |
| Daniel Chang | Chiropractic | 107 S Fair Oaks Ave, Bsmt 20, Pasadena, CA 91105-2086 | |
| Find all physicians in zip 91105 | |||
| City | PASADENA |
| Zip Code | 91105 |
| Specialty | CLINICAL SOCIAL WORKER |
| City + Specialty | PASADENA + CLINICAL SOCIAL WORKER |
Please comment or provide details below to improve the information on Krystal Marie Boothe.
| 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.