CALIFORNIA CANCER SPECIALISTS MEDICAL GROUP (NPI# 1417087933) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417087933 |
| Entity Type | Organization |
| Organization Name | CALIFORNIA CANCER SPECIALISTS MEDICAL GROUP |
| Other Organization Name | CITY OF HOPE MEDICAL GROUP |
| Practice Address |
50 Bellefontaine Suite 104 Pasadena CA 91105 |
| Mailing Address |
Po Box 5059 Monrovia CA 91017 |
| Practice Telephone | 6263962900 |
| Mailing Telephone | 6267753200 |
| Mailing Fax Number | 6267753271 |
| Enumeration Date | 2007-03-06 |
| Last Update Date | 2007-09-27 |
| Authorized Official Name | MR. LAWRENCE WEISS (PRESIDENT) |
| Authorized Official Telephone | 6263598111 |
| Authorized Official Credential | MD |
| Is Organization Subpart | Y |
| Parent Organization Name | CITY OF HOPE MEDICAL GROUP |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 291U00000X | Clinical Medical Laboratory | Laboratories |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | GR0087670 | 05 |
| Other Name | Type Code |
|---|---|
| City of Hope Medical Group | Doing Business As Name - Organization |
| Street Address |
50 BELLEFONTAINE SUITE 104 |
| City | PASADENA |
| State | CA |
| Zip Code | 91105 |
| 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 | 291U00000X |
| Grouping | Laboratories |
| Classification | Clinical Medical Laboratory |
| (1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology. |
| Notes: Source: (1) Code of Federal Regulations #42, Public Health, Section 493.2. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 186. |
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| 1396088316 | Arroyo Holdings, LLC | Clinical Medical Laboratory | 898 N Fair Oaks Ave Ste F, Pasadena, CA 91103-3067 | 2013-03-27 |
| 1245409457 | One Source Toxicology Laboratory Inc | Clinical Medical Laboratory | 1209 Genoa Red Bluff Rd, Pasadena, TX 77504 | 2008-02-22 |
| 1831219484 | One Source Toxicology Laboratory | Clinical Medical Laboratory | 1213 Genoa Red Bluff Rd, Pasadena, TX 77504-4030 | 2007-03-29 |
| 1275666778 | Faye Adele Eggerding | Clinical Medical Laboratory | 99 N El Molino Ave, Pasadena, CA 91101-1830 | 2007-03-13 |
| 1427181072 | University of Southern California | Clinical Medical Laboratory | 126 W. Del Mar Blvd, Pasadena, CA 91105-2508 | 2007-03-13 |
| 1013082957 | Kaiser Foundation Health Plan of The Mid-atlantic States, Inc | Clinical Medical Laboratory | 8028 Richie Highway, Pasadena, MD 21222-1030 | 2006-11-22 |
| 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.