Todd Dietrick (NPI# 1619963444, PAC ID# 9234120007) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ORTHOPEDIC SURGERY.
| Nation Provider ID (NPI) | 1619963444 |
| PAC ID by PECOS | 9234120007 |
| Professional Enrollment ID | I20040520000624 |
| Full Name | Todd Dietrick |
| Organization Legal Name | CONGRESS ASSOCIATES INC |
| Address |
800 S Raymond Ave Pasadena CA 91105-3229 |
| Phone Number | 6267958051 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF SOUTHERN CALIFORNIA SCHOOL OF MEDICINE |
| Graduation Year | 1998 |
| Primary Specialty | ORTHOPEDIC SURGERY |
| Group Practice PAC ID | 8921997313 |
| Number of Group Practice Members | 27 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050438 | HUNTINGTON MEMORIAL HOSPITAL |
| 050239 | GLENDALE ADVENTIST MEDICAL CENTER |
| 050597 | FOOTHILL PRESBYTERIAN HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 800 S Raymond Ave, Pasadena, CA 91105-3229 | 6267958051 | CONGRESS ASSOCIATES INC |
| Organization Legal Name | CONGRESS ASSOCIATES INC |
| Physicians | 39 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael J Fraipont | Sports Medicine | Congress Associates Inc | 800 S Raymond Ave, Pasadena, CA 91105-3229 |
| Emily Dolores Grullon | Occupational Therapy | Congress Associates Inc | 289 W Huntington Dr, Suite 103, Arcadia, CA 91007-3492 |
| Barry I Shafer | Physical Therapy | Congress Associates Inc | 289 W Huntington Dr, Suite 103, Arcadia, CA 91007-3492 |
| Gary M Moscarello | Orthopedic Surgery | Congress Associates Inc | 289 W Huntington Dr, Suite 103, Arcadia, CA 91007-3492 |
| Norman Truong | Physical Therapy | Congress Associates Inc | 289 W Huntington Dr, Suite 103, Arcadia, CA 91007-3492 |
| Rishi Garg | Orthopedic Surgery | Congress Associates Inc | 800 S Raymond Ave, Pasadena, CA 91105-3229 |
| Timothy Centola | Physical Therapy | Congress Associates Inc | 289 W Huntington Dr, Suite 103, Arcadia, CA 91007-3492 |
| Ada Oshiro | Occupational Therapy | Congress Associates Inc | 800 S Raymond Ave, Pasadena, CA 91105-3229 |
| John Thomas Quigley | Orthopedic Surgery | Congress Associates Inc | 800 S Raymond Ave, Pasadena, CA 91105-3229 |
| Timothy J Jackson | Orthopedic Surgery | Congress Associates Inc | 800 S Raymond Ave, Pasadena, CA 91105-3229 |
| Street Address |
800 S RAYMOND AVE |
| City | PASADENA |
| State | CA |
| Zip | 91105-3229 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael J Fraipont | Sports Medicine | Congress Associates Inc | 800 S Raymond Ave, Pasadena, CA 91105-3229 |
| Rishi Garg | Orthopedic Surgery | Congress Associates Inc | 800 S Raymond Ave, Pasadena, CA 91105-3229 |
| Ada Oshiro | Occupational Therapy | Congress Associates Inc | 800 S Raymond Ave, Pasadena, CA 91105-3229 |
| John Thomas Quigley | Orthopedic Surgery | Congress Associates Inc | 800 S Raymond Ave, Pasadena, CA 91105-3229 |
| Timothy J Jackson | Orthopedic Surgery | Congress Associates Inc | 800 S Raymond Ave, Pasadena, CA 91105-3229 |
| Pamela C Luk | Orthopedic Surgery | Congress Associates Inc | 800 S Raymond Ave, Pasadena, CA 91105-3229 |
| Richard C Diehl Jr. | Orthopedic Surgery | Congress Associates Inc | 800 S Raymond Ave, Pasadena, CA 91105-3229 |
| James A Shankwiler | Orthopedic Surgery | Congress Associates Inc | 800 S Raymond Ave, Pasadena, CA 91105-3229 |
| Jeremy S Heiner | Certified Registered Nurse Anesthetist (crna) | Pacific Valley Medical Group | 800 S Raymond Ave, Fl 2, Pasadena, CA 91105-3229 |
| Andre Van Commenee | Physical Therapy | Congress Associates Inc | 800 S Raymond Ave, Pasadena, CA 91105-3229 |
| Find all physicians in the same address | |||
| 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 | |
| Krystal Marie Boothe | Clinical Social Worker | 355 S Grand Ave, Suite 2450, Pasadena, CA 91105-1638 | |
| 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 | |
| Find all physicians in zip 91105 | |||
| City | PASADENA |
| Zip Code | 91105 |
| Specialty | ORTHOPEDIC SURGERY |
| City + Specialty | PASADENA + ORTHOPEDIC SURGERY |
Please comment or provide details below to improve the information on Todd Dietrick.
| 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.