PASADENA OUTPATIENT (NPI# 1174040208) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174040208 |
| Entity Type | Organization |
| Organization Name | PASADENA OUTPATIENT |
| Practice Address |
1 W Mountain St Unit 10 Pasadena CA 91103-3070 |
| Practice Telephone | (800) 521-1766 |
| Mailing Telephone | 8005211766 |
| Enumeration Date | 2017-08-29 |
| Last Update Date | 2017-08-31 |
| Authorized Official Name | MR. MICHAEL BLOOM (CEO) |
| Authorized Official Telephone | 8182072088 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
11299 | CA | Ambulatory Health Care Facilities |
| Street Address |
1 W MOUNTAIN ST UNIT 10 |
| City | PASADENA |
| State | CA |
| Zip Code | 91103-3070 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013407071 | Sean Patrick Comingore | Counselor | 1680 N. Fair Oaks Ave., Pasadena, CA 91103 | 2018-05-15 |
| 1093230252 | John Jesus Smith | Rehabilitation Practitioner | 867 Fair Oaks Ave, Pasadena, CA 91103 | 2017-08-09 |
| 1760906085 | Roberto Sotelo Jr. | Licensed Vocational Nurse | 867 North Fair Oaks Ave., Pasadena, CA 91103 | 2017-07-28 |
| 1477076172 | Towana Danielle Hooks | Rehabilitation Practitioner | 867 North Fair Oaks, Pasadena, CA 91103 | 2017-07-25 |
| 1437671807 | Yolanda Centeno | Marriage & Family Therapist | 867 Fairoaks., Pasadena, CA 91103 | 2017-07-07 |
| 1306366604 | Joseph Anthony Zepeda | Counselor | 1680 N. Fair Oaks Avenue, Pasadena, CA 91103 | 2017-06-27 |
| 1922537372 | Chaznii Bradford | Licensed Vocational Nurse | 867 N. Fair Oaks, Pasadena, CA 91103 | 2017-06-08 |
| 1629505425 | Wassim Ammary | Pharmacist | 1855 South Fair Oaks Ave, Pasadena, CA 91103 | 2017-05-11 |
| 1679005920 | Grace Caroline Seto | Marriage & Family Therapist | 236 W. Mountain St, Suite 202d, Pasadena, CA 91103 | 2017-03-28 |
| 1225575293 | Catherine Lynn Gray | Psychologist | 30 North Raymond Avenue, Suite 403, Pasadena, CA 91103 | 2017-01-27 |
| Find all providers in zip 91103 | ||||
| Taxonomy Code | 261QR0405X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation, Substance Use Disorder |
| Definition to come... |
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|---|---|---|---|---|
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| 1225582828 | Abacus Guidance Center Inc | Clinic/Center | 312 N Allen Ave, Pasadena, CA 91106-1604 | 2016-08-11 |
| 1477694107 | Share Oxford Foundation | Clinic/Center | 1628 N Oxford Ave, Pasadena, CA 91104-1514 | 2007-02-08 |
| 1821135393 | The Bishop Gooden Home | Clinic/Center | 191 N El Molino Ave, Pasadena, CA 91101-1804 | 2007-01-31 |
| 1396255816 | Clear View Health Center, Inc | Clinic/Center | 1836 Kenneth Way, Pasadena, CA 91103-1254 | 2017-10-11 |
| 1851838643 | Evolve Life Centers Iop LLC | Clinic/Center | 2528 Mountain Rd, Pasadena, MD 21122 | 2017-01-31 |
| 1558653444 | Diverse Recovery | Clinic/Center | 3130 Strawberry Rd, Suite C, Pasadena, TX 77504-1767 | 2011-05-10 |
| 1437249869 | New Life Addiction Counseling Services Inc | Clinic/Center | 4231 Postal Ct, Suite 201, Pasadena, MD 21122-4439 | 2006-10-14 |
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| 1003427337 | Restorative Partners, Inc. | Clinic/Center | 3220 S Higuera St Ste 103a, San Luis Obispo, CA 93401-2023 | 2020-08-11 |
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| 1104435734 | New Life Health Authority / Dba New Life LLC | Clinic/Center | 280 E Standley St, Ukiah, CA 95482-4414 | 2020-07-29 |
| 1043829971 | House of Hope Foundation Inc | Clinic/Center | 227 W 9th St, San Pedro, CA 90731-3711 | 2020-07-27 |
| Find all providers with the same taxonomy | ||||
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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.