OAK TREE ASC, LLC (NPI# 1417051533) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417051533 |
| Entity Type | Organization |
| Organization Name | OAK TREE ASC, LLC |
| Practice Address |
751 Cordova St Ste 2 Pasadena CA 91101-2617 |
| Practice Telephone | 6265772525 |
| Practice Fax Number | 6265772986 |
| Mailing Telephone | 6265772525 |
| Mailing Fax Number | 6265772986 |
| Enumeration Date | 2006-09-11 |
| Last Update Date | 2008-08-28 |
| Authorized Official Name | MR. ROBERT EDMUND WYCOFF (ADMINISTRATOR) |
| Authorized Official Telephone | 6265773415 |
| Authorized Official Credential | BA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
930000938 | CA | Ambulatory Health Care Facilities |
| Street Address |
751 CORDOVA ST STE 2 |
| City | PASADENA |
| State | CA |
| Zip Code | 91101-2617 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700961489 | Juan C. Esteva | Radiology | 751 Cordova St, #1, Pasadena, CA 91101-2617 | 2006-10-25 |
| 1972607091 | R Robert Wycoff Md Inc | Radiology | 751 Cordova St, Ste 1, Pasadena, CA 91101-2617 | 2006-09-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720696404 | Sophia Ting-jan Liang | Student in an Organized Health Care Education/Training Program | 98 S. Los Robles Ave., Kaiser Permanente Bernard J. Tyson School of Medicine, Pasdena, CA 91101 | 2020-07-17 |
| 1851917033 | Casa De Las Amigas | Lodging | 173 N Oak Knoll Ave, Pasadena, CA 91101 | 2020-06-23 |
| 1467076869 | Tong Qi | Student in an Organized Health Care Education/Training Program | Kaiser Permanente Bernard Kj. Tyson School of Medicine, Pasadena, CA 91101 | 2020-06-01 |
| 1386267839 | Kelly B Shriver | Student in an Organized Health Care Education/Training Program | Kaiser Permanente Bernard J. Tyson School of Medicine, 98 S. Los Robles, Pasadena, CA 91101 | 2020-05-19 |
| 1427600758 | Brooke Danielle Pechman | Marriage & Family Therapist | 221 E Walnut Street, Suite 138, Pasadena, CA 91101 | 2019-07-16 |
| 1952897563 | Robert Howes Hambleton | Dentist | 200 S. Oak Knoll Ave #201, Pasadena, CA 91101 | 2018-07-06 |
| 1801306774 | Joseph Hendrix | Social Worker | 1500 South Mcdonnell Avenue, Commerce, CA 91101 | 2017-10-05 |
| 1730606070 | Candice Anne Watson | Nurse Practitioner | 350 South Madison Ave #322, Pasadena, CA 91101 | 2017-08-28 |
| 1700320223 | Jenny H. Pak | Psychologist | 180 N. Oakland Ave., Pasadena, CA 91101 | 2016-12-19 |
| 1578005401 | James Maddox | Student in an Organized Health Care Education/Training Program | 447 El Molino Ave, Pasadena, CA 91101 | 2016-11-09 |
| Find all providers in zip 91101 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134739147 | Pasadena Ambulatory Surgery Center LLC | Clinic/Center | 301 S Fair Oaks Ave Ste 106, Pasadena, CA 91105-2536 | 2020-08-04 |
| 1447714829 | Chesapeake Plastic Surgery Suite | Clinic/Center | 8028 Ritchie Hwy Ste 100, Pasadena, MD 21122-1020 | 2019-01-30 |
| 1932679461 | Arcadia Outpatient Surgery Center Lp | Clinic/Center | 625 S Fair Oaks Ave Ste 380, Pasadena, CA 91105-2683 | 2018-11-27 |
| 1295204113 | Huntington Specialty Surgery LLC | Clinic/Center | 39 Congress St Ste 310, Pasadena, CA 91105-3024 | 2018-11-20 |
| 1780188052 | Altadena Surgery Center, LLC | Clinic/Center | 2615 E Washington Blvd Ste 100, Pasadena, CA 91107-1412 | 2018-03-21 |
| 1225531544 | Anne Arundel-sca Surgicenter, LLC | Clinic/Center | 8109 Ritchie Hwy Ste 250, Pasadena, MD 21122 | 2018-03-13 |
| 1437523834 | Crenshaw Ambulatory Surgical Center, LLC | Clinic/Center | 5150 Crenshaw Road, Suite H 100, Pasadena, TX 77505-3094 | 2015-11-23 |
| 1801288089 | Greater Houston Oral and Facial Surgery,pa | Clinic/Center | 4007 Woodlawn Ave, Pasadena, TX 77504-1910 | 2015-02-25 |
| 1548651623 | Northwest Surgical Development of Pasadena LLC | Clinic/Center | 150 E Colorado Blvd, Ste 102, Pasadena, CA 91105-1937 | 2015-02-11 |
| 1871939082 | Raymond Renaissance Surgery Center LLC | Clinic/Center | 125 N Raymond Ave Suite 212, Pasadena, CA 91105-4535 | 2013-05-14 |
| 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.