PASADENA ENDOSCOPY CENTER INC (NPI# 1336247642) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336247642 |
| Entity Type | Organization |
| Organization Name | PASADENA ENDOSCOPY CENTER INC |
| Practice Address |
55 W Valley St Pasadena CA 91105-2015 |
| Practice Telephone | 6267939900 |
| Practice Fax Number | 6267939944 |
| Mailing Telephone | 6267939900 |
| Mailing Fax Number | 6267939944 |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2014-03-11 |
| Authorized Official Name | DR. RICHARD NICKOWITZ (PRESIDENT/MEDICAL DIRECTOR) |
| Authorized Official Telephone | 6267939900 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QE0800X |
Clinic/Center Specialization: Endoscopy |
930000974 | CA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | SUR01537F | 05 | |
| CA | RAILROAD MEDICARE PIN | 490005486 | 01 |
| Street Address |
55 W VALLEY ST |
| City | PASADENA |
| State | CA |
| Zip Code | 91105-2015 |
| 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 | 261QE0800X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Endoscopy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740416924 | Fairmont Endoscopy Center | Clinic/Center | 4001 Preston Ave Ste 125, Pasadena, TX 77505-2051 | 2009-06-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518592021 | First Surgery Center, Inc. | Clinic/Center | 31625 De Portola Rd Ste 102, Temecula, CA 92592-2770 | 2020-03-04 |
| 1316231020 | Desert View Endoscopy Center, LLC. | Clinic/Center | 12595 Hesperia Rd, Suite 100, Victorville, CA 92395-5882 | 2011-05-31 |
| 1174715445 | Digestive Health Center of Thousand Oaks, LLC | Clinic/Center | 3510 N Moorpark Rd Ste 101, Thousand Oaks, CA 91360-2688 | 2007-08-10 |
| 1619181765 | Lee & Bae Gi Medical Corporation | Clinic/Center | 3200 Wilshire Blvd Ste 101, Los Angeles, CA 90010-1307 | 2007-05-09 |
| 1336292853 | University of California, San Francisco | Clinic/Center | 400 Parnassus Ave, A-655, San Francisco, CA 94143-0338 | 2007-01-19 |
| 1912069832 | Endoscopy Services, Inc | Clinic/Center | 700 Garden View Ct Ste 101, Encinitas, CA 92024-2478 | 2006-12-15 |
| 1457449498 | Augusto Rojas M.d, Inc | Clinic/Center | 11961 Venice Blvd, Los Angeles, CA 90066-3905 | 2006-10-11 |
| 1821019738 | Santa Barbara Endoscopy Center LLC | Clinic/Center | 25 W Micheltorena St, Santa Barbara, CA 93101-2509 | 2006-07-23 |
| 1497788145 | Endoscopy Center of Southern California | Clinic/Center | 2336 Santa Monica Blvd Ste 376, Santa Monica, CA 90404-2095 | 2006-07-08 |
| 1629009071 | Endoscopy Center of Santa Monica LLC | Clinic/Center | 12400 Wilshire Blvd, Suite 100, Los Angeles, CA 90025-1019 | 2006-07-05 |
| 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.