Michelle A Tyson (NPI# 1689672370, PAC ID# 6901989482) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY PRACTICE.
| Nation Provider ID (NPI) | 1689672370 |
| PAC ID by PECOS | 6901989482 |
| Professional Enrollment ID | I20080206000525 |
| Full Name | Michelle A Tyson |
| Organization Legal Name | CROWN CITY MEDICAL GROUP INC |
| Address |
2661 E Washington Blvd Pasadena CA 91107-1412 |
| Phone Number | 6267988792 |
| Gender | F |
| Medical School | UNIVERSITY OF SOUTHERN CALIFORNIA SCHOOL OF MEDICINE |
| Graduation Year | 1998 |
| Primary Specialty | FAMILY PRACTICE |
| Group Practice PAC ID | 1254389471 |
| Number of Group Practice Members | 7 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 2661 E Washington Blvd, Pasadena, CA 91107-1412 | 6267988792 | CROWN CITY MEDICAL GROUP INC |
| Organization Legal Name | CROWN CITY MEDICAL GROUP INC |
| Physicians | 6 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Louella M Regis | Family Practice | Crown City Medical Group Inc | 2661 E Washington Blvd, Pasadena, CA 91107-1412 |
| Kevin B Tyson | Internal Medicine | Crown City Medical Group Inc | 1542 E Florence Ave, Los Angeles, CA 90001-2536 |
| Evan E Feinstein | Physician Assistant | Crown City Medical Group Inc | 1542 E Florence Ave, Los Angeles, CA 90001-2536 |
| Jose M Robles | Physician Assistant | Crown City Medical Group Inc | 1542 E Florence Ave, Los Angeles, CA 90001-2536 |
| Pacita B Neumann | General Practice | Crown City Medical Group Inc | 1542 E Florence Ave, Los Angeles, CA 90001-2536 |
| Street Address |
2661 E WASHINGTON BLVD |
| City | PASADENA |
| State | CA |
| Zip | 91107-1412 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Louella M Regis | Family Practice | Crown City Medical Group Inc | 2661 E Washington Blvd, Pasadena, CA 91107-1412 |
| 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 | |
| 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 |
| Braden J Criswell | Orthopedic Surgery | Risser Orthopaedic Group, A Medical Corp. | 2627 E Washington Blvd, Pasadena, CA 91107-1412 |
| Find all physicians in zip 91107 | |||
| City | PASADENA |
| Zip Code | 91107 |
| Specialty | FAMILY PRACTICE |
| City + Specialty | PASADENA + FAMILY PRACTICE |
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| 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.