ALLYSON REGINE SELF-STOICO (NPI# 1104074707) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104074707 |
| Entity Type | Individual |
| Full Name | ALLYSON REGINE SELF-STOICO |
| Other Name | ALLYSON REGINE SELF |
| Credential | M.D. |
| Practice Address |
800 Fairmount Ave Ste 415 Pasadena CA 91105-3154 |
| Mailing Address |
5767 W Century Blvd Ste 400 Los Angeles CA 90045-5631 |
| Practice Telephone | 6264498440 |
| Practice Fax Number | 6264498999 |
| Enumeration Date | 2008-09-08 |
| Last Update Date | 2019-09-16 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | A108876 | CA | Allopathic & Osteopathic Physicians |
| N | 208000000X | Pediatrics | 25MA08463800 | NJ | Allopathic & Osteopathic Physicians |
| Street Address |
800 FAIRMOUNT AVE STE 415 |
| City | PASADENA |
| State | CA |
| Zip Code | 91105-3154 |
| 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 | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| 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 Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699315390 | Burke Childrens Pllc | Pediatrics | 900 West Jackson Ave, Suite 170, Pasadena, TX 77506 | 2020-01-10 |
| 1326466079 | Tasoula Vorvolakos | Pediatrics | 280 S Euclid Ave, Apt # 222, Pasadena, CA 91101-2768 | 2014-03-31 |
| 1700120276 | Samuels Valley Professional Services, LLC | Pediatrics | 908 Southmore Ave Ste 350, Pasadena, TX 77502-1133 | 2012-11-21 |
| 1053679472 | Sabrina Perrino | Pediatrics | 393 E Walnut Street Pasadena Ca 91188, Pasadena, CA 91188-0001 | 2012-04-24 |
| 1720354996 | Julie Taylor | Pediatrics | 415 Orange Grove Cir Unit 301, Pasadena, CA 91105-2872 | 2012-03-31 |
| 1033439674 | Leslie Allyson Richard | Pediatrics | 1136 Wotkyns Dr, Pasadena, CA 91103-2838 | 2010-06-06 |
| 1528231362 | Family First Medical Group | Pediatrics | 456 E Orange Grove Blvd, Suite 120, Pasadena, CA 91104-5234 | 2008-04-11 |
| 1497970115 | Rahul Grover Inc | Pediatrics | 65 N Madison Ave Ste 304, Pasadena, CA 91101-2050 | 2007-04-16 |
| 1184779654 | Paula Marie Verrette | Pediatrics | 1145 E Green St, Pasadena, CA 91106-2505 | 2007-01-24 |
| 1952453789 | Issac M. Haddad | Pediatrics | 2990 E. Colorado Blvd #105c, Pasadena, CA 91107-4463 | 2007-01-18 |
| Find all providers in PASADENA | ||||
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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.