DR. CHARLES EVAN OMONDI OTIENO (NPI# 1326097338) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326097338 |
| Entity Type | Individual |
| Full Name | DR. CHARLES EVAN OMONDI OTIENO |
| Credential | M.D. |
| Practice Address |
960 E Green St. Thatcher Medical Center Suite L10 Pasadena CA 91106 |
| Mailing Address |
2034 Los Amigos St La Canada CA 91011-1346 |
| Practice Telephone | 6264862674 |
| Practice Fax Number | 6264862674 |
| Mailing Telephone | 3234597089 |
| Enumeration Date | 2006-05-08 |
| Last Update Date | 2017-02-28 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207P00000X | Emergency Medicine | MD2006-0790 | NM | Allopathic & Osteopathic Physicians |
| Y | 207P00000X | Emergency Medicine | A85874 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
960 E GREEN ST. THATCHER MEDICAL CENTER SUITE L10 |
| City | PASADENA |
| State | CA |
| Zip Code | 91106 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922625987 | Alexa Ann Mettrick | Behavior Technician | 1055 E. Colorado Blcd., Suite 560, Pasadena, CA 91106 | 2020-06-25 |
| 1780205344 | Giovani Telusma | Behavior Technician | 1055 E Colorado Blvd Ste 560 Pasadena, Pasadena, CT 91106 | 2020-05-05 |
| 1356838973 | Susan Ende | Marriage & Family Therapist | 945 Hillcrest Place, Pasadena, CA 91106 | 2018-04-19 |
| 1639678287 | Sean C Velazco | Counselor | 1245 E. Walnut St., Pasadena, CA 91106 | 2018-02-09 |
| 1023558848 | Gregory Ohanian Dds Ms Inc. | Dentist | 225 North Allen Avenue, Pasadena, CA 91106 | 2017-02-27 |
| 1508308586 | Quik Care Express Inc | Non-emergency Medical Transport (VAN) | 592 N. Wilson Ave, 5, Pasadena, CA 91106 | 2016-11-08 |
| 1194119867 | Kimberly Ann Ebner | Dentist | 1060 E. Green St., Suite 105, Pasadena, CA 91106 | 2015-03-20 |
| 1346645512 | Neogenomics Laboratories Inc | Specialist | 840 Cameron Dr, Pasadena, CA 91106 | 2014-10-29 |
| 1255756524 | Tirso Deljunco Sr. | Surgery | 1010 E. Union St., #130, Pasadena, CA 91106 | 2014-02-24 |
| 1386072601 | Hiroko Ogura | Acupuncturist | 1224 E Green St Ste 100, Pasadena, CA 91106 | 2013-10-23 |
| Find all providers in zip 91106 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841704848 | Medexpress Urgent Care Texas, P.a. | Emergency Medicine | 4750 Fairmont Pkwy, Pasadena, TX 77504-3330 | 2017-11-29 |
| 1578829438 | Kevin W Chu | Emergency Medicine | 100 West California Blvd, Unit 25, Pasadena, CA 91105 | 2012-04-05 |
| 1528367174 | Huma Khan | Emergency Medicine | 2079 Monte Vista St, Pasadena, CA 91107 | 2011-03-22 |
| 1811207384 | Josephine Bufalino | Emergency Medicine | 293 S Grand Ave, Pasadena, CA 91105-1623 | 2010-10-18 |
| 1235364167 | Allison Daum | Emergency Medicine | 5161 E Sam Houston Pkwy S, Pasadena, TX 77505-3915 | 2009-05-21 |
| 1972629707 | Lawrence Jeffrey Rudd | Emergency Medicine | 1414 Ridge Way, Pasadena, CA 91106-4516 | 2007-03-22 |
| 1902902257 | Stanton C. Packard | Emergency Medicine | 4002 Burke Rd, Pasadena, TX 77504-3451 | 2006-09-15 |
| 1386758746 | James Daniel Luna | Emergency Medicine | 100 California Blvd, Pasadena, CA 91105-1510 | 2006-08-19 |
| 1699792127 | Robert Alan Yoho | Emergency Medicine | 797 S Arroyo Pkwy, Pasadena, CA 91105-3234 | 2006-07-17 |
| 1689618464 | Dirk De Brito | Emergency Medicine | 751 N Fair Oaks Ave, Suite 300, Pasadena, CA 91103-3069 | 2006-06-15 |
| 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.