HUNTINGTON TRAUMA SURGERY MED GROUP, INC (NPI# 1093023780) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093023780 |
| Entity Type | Organization |
| Organization Name | HUNTINGTON TRAUMA SURGERY MED GROUP, INC |
| Practice Address |
1044 S Fair Oaks Ave Suite 101 Pasadena CA 91105-2622 |
| Mailing Address |
Po Box 80248 San Marino CA 91118-8248 |
| Practice Telephone | 6264494859 |
| Practice Fax Number | 6264030311 |
| Mailing Telephone | 6267684415 |
| Mailing Fax Number | 6267684421 |
| Enumeration Date | 2010-09-16 |
| Last Update Date | 2010-09-16 |
| Authorized Official Name | AMAL K OBAID (PRESIDENT) |
| Authorized Official Telephone | 6266833030 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | A75419 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | FICTITIOUS NAME PERMIT | FNP32017 | 01 |
| Street Address |
1044 S FAIR OAKS AVE SUITE 101 |
| City | PASADENA |
| State | CA |
| Zip Code | 91105-2622 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952307985 | Brian A. Cox | Plastic Surgery | 1044 S Fair Oaks Ave, Ste 101, Pasadena, CA 91105-2622 | 2005-06-23 |
| 1124550355 | Richard J. Vasak, M.d., Inc. | Surgery | 1044 S Fair Oaks Ave, Ste 101, Pasadena, CA 91105-2622 | 2017-03-28 |
| 1932540895 | Kaveh Najafi Do Inc | Surgery | 1044 S Fair Oaks Ave, Suite 101, Pasadena, CA 91105-2622 | 2013-07-08 |
| 1538417381 | Shana L Ballow Do Inc | Surgery | 1044 S Fair Oaks Ave, Suite 101, Pasadena, CA 91105-2622 | 2012-08-28 |
| 1083906242 | Kaveh N Najafi | Surgery | 1044 S Fair Oaks Ave, Suite 101, Pasadena, CA 91105-2622 | 2011-05-06 |
| 1942506878 | Isaac Benjamin Paz Md Inc | Surgery | 1044 S Fair Oaks Ave, Suite 101, Pasadena, CA 91105-2622 | 2011-02-10 |
| 1497911804 | Brian Lugo | Surgery | 1044 S Fair Oaks Ave, Suite 101, Pasadena, CA 91105-2622 | 2008-08-05 |
| 1629231782 | Pasadena Advanced Surgery Institute | Clinic/Center | 1044 S Fair Oaks Ave, Suite 110, Pasadena, CA 91105-2622 | 2008-07-08 |
| 1336319441 | Premiere Plastic Surgery Inc | Specialist | 1044 S Fair Oaks Ave, Suite 101, Pasadena, CA 91105-2622 | 2008-03-04 |
| 1306039318 | John Michael Compoginis | Surgery | 1044 S Fair Oaks Ave, Suite 101, Pasadena, CA 91105-2622 | 2007-08-22 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619451697 | Tonya Michlin | Registered Nurse | 800 Fairmount Ave Ste 110, Pasadena, CA 91105 | 2018-09-17 |
| 1639674161 | David Marcus Md, Inc. | Psychiatry & Neurology | 107 S. Fair Oaks Avenue, Suite #315, Pasadena, CA 91105 | 2018-03-27 |
| 1548778541 | Elias & Jun Dental Corp | Dentist | 301 S. Fair Oaks Ave., Ste 107, Pasadena, CA 91105 | 2018-01-12 |
| 1013429745 | Whitney Catalano | Dietitian, Registered | 100 S Orange Grove Blvd, 103, Pasadena, CA 91105 | 2017-11-03 |
| 1518485630 | Marlon O Miller | Counselor | 1020 South Arroyo Parkway, Pasadena, CA 91105 | 2017-09-08 |
| 1316469976 | Alexandra Scott | Speech-Language Pathologist | 235 La Vereda Road, Pasadena, CA 91105 | 2017-07-14 |
| 1346770443 | Amanda Grace Gentz | Rehabilitation Practitioner | 210 S De Lacey, Ste 110, Pasadena, CA 91105 | 2017-06-13 |
| 1427598390 | Melina Gomez Loza | Licensed Vocational Nurse | 66 Hilburt St #2, Pasadena, CA 91105 | 2017-02-27 |
| 1588115281 | Ramon Banuelos | Rehabilitation Practitioner | 210 S. Delacey Ave Suite 110, Pasadena, CA 91105 | 2016-10-18 |
| 1922554245 | Daniel Joseph Ybarra | Student in an Organized Health Care Education/Training Program | 100 W. California Blvd. Pasadena, Ca 91105, Pasadena, CA 91105 | 2016-08-28 |
| Find all providers in zip 91105 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780068189 | Pro Surgical Inc | Surgery | 88 N Fair Oaks Ave Ste 105, Pasadena, CA 91103-3655 | 2015-07-15 |
| 1255756524 | Tirso Deljunco Sr. | Surgery | 1010 E. Union St., #130, Pasadena, CA 91106 | 2014-02-24 |
| 1710319017 | Premiere Surgical Specialists, A Professional Corporation | Surgery | 35 E Glenarm St, Pasadena, CA 91105-3418 | 2013-08-08 |
| 1376860346 | Gloria Marie F. Kimie Tumbaga | Surgery | 1294 E Colorado Blvd, Pasadena, CA 91106-1901 | 2010-04-29 |
| 1346417714 | Arthur Joseph Donovan | Surgery | 111 S Orange Grove Blvd Apt 308, Pasadena, CA 91105-1756 | 2008-05-14 |
| 1356549398 | N V Danekar M D A Professional Corporation | Surgery | 3235 Villa Highlands Dr, Pasadena, CA 91107-1537 | 2007-07-10 |
| 1235336033 | David J Lourie Md Inc Wes J Powell Md Inc David R Martin Md Inc | Surgery | 50 Bellefontaine St Ste 404, Pasadena, CA 91105-3132 | 2007-06-27 |
| 1215022561 | Jean Claude Henry | Surgery | 655 S Euclid Ave, Pasadena, CA 91106-3732 | 2006-10-03 |
| 1205879822 | Fernando E Miranda Sr. | Surgery | 4301b Vista Rd, #100, Pasadena, TX 77504-2117 | 2006-06-13 |
| 1013966571 | David J Lourie | Surgery | 950 S Arroyo Pkwy, Fl 3, Pasadena, CA 91105-3930 | 2006-05-10 |
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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.