VIBHA AGRAWAL


Address: 1017 S Fair Oaks Ave, Pasadena, CA 91105-2621
Phone: 6264036200

VIBHA AGRAWAL (NPI# 1528196045) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1528196045
Entity Type Individual
Full Name VIBHA AGRAWAL
Credential MD
Practice Address 1017 S Fair Oaks Ave
Pasadena
CA 91105-2621
Practice Telephone 6264036200
Practice Fax Number 6264032580
Mailing Telephone 6264036200
Mailing Fax Number 6264032580
Enumeration Date 2007-02-28
Last Update Date 2015-10-02
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 2081P2900X Physical Medicine & Rehabilitation
Specialization: Pain Medicine
C135409 CA Allopathic & Osteopathic Physicians
Y 2081P2900X Physical Medicine & Rehabilitation
Specialization: Pain Medicine
52154-020 WI Allopathic & Osteopathic Physicians

Other Providers VIBHA AGRAWAL

NPI Name Taxonomy Address Enumeration
1679972244 Vibha Agrawal Internal Medicine 1901 1st Ave, New York, NY 10029-7404 2014-08-19

Office Location

Street Address 1017 S FAIR OAKS AVE
City PASADENA
State CA
Zip Code 91105-2621

Providers in the same location

NPI Name Taxonomy Address Enumeration
1629060694 Clayton Alexander Varga Anesthesiology 1017 S Fair Oaks Ave, Pasadena, CA 91105-2621 2005-08-16
1871138529 Norman Wong Physical Therapist 1017 S Fair Oaks Ave, Pasadena, CA 91105-2621 2019-11-16
1346802840 Shakeela Swaby Nurse Practitioner 1017 S Fair Oaks Ave, Pasadena, CA 91105-2621 2019-07-03
1801351531 Rod William Young Physical Therapist 1017 S Fair Oaks Ave, Pasadena, CA 91105-2621 2019-02-06
1750890083 Sioneh Paria Nurse Practitioner 1017 S Fair Oaks Ave, Pasadena, CA 91105-2621 2017-09-29
1831626043 Faith Adole Nurse Practitioner 1017 S Fair Oaks Ave, Pasadena, CA 91105-2621 2017-05-18
1437696226 Michela S. Termechi Nurse Practitioner 1017 S Fair Oaks Ave, Pasadena, CA 91105 2017-01-31
1376093914 Alexandra Kirtchik Nurse Practitioner 1017 S Fair Oaks Ave, Pasadena, CA 91105-2621 2016-10-06
1649727587 Amanda Miller Occupational Therapist 1017 S Fair Oaks Ave, Pasadena, CA 91105-2621 2016-09-08
1073960613 Aparna Kuvalekar Physical Therapist 1017 S Fair Oaks Ave, Pasadena, CA 91105-2621 2016-05-24
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 2081P2900X
Grouping Allopathic & Osteopathic Physicians
Classification Physical Medicine & Rehabilitation
Specialization Pain Medicine

Taxonomy Definition

A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source changed] Additional Resources: American Board of Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. A subspecialty certificate was approved by the ABMS in 1999. ACGME Accredited Residency Program Requirements: Proposal under development.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1275871436 Hudson Medical Group Physical Medicine & Rehabilitation 530 S Lake Ave # 451, Pasadena, CA 91101-3515 2013-01-23
1114218658 Triet Q Huynh Md Pa Physical Medicine & Rehabilitation 5150 Crenshaw Rd Ste B100, Pasadena, TX 77505-3095 2011-05-01
1619110269 Equi-med Corp Physical Medicine & Rehabilitation 1252 N Sierra Bonita Ave, Pasadena, CA 91104-3147 2009-04-13
1518126176 Jos Santz II Physical Medicine & Rehabilitation 2693 E. Washington Blvd, Pasadena, CA 91107 2008-06-08
1417974478 Harout Raffi Balian Physical Medicine & Rehabilitation 333 N Hill Ave, Suite 101, Pasadena, CA 91106-1570 2006-07-16
1245615350 Ryan Mattie Physical Medicine & Rehabilitation 1017 S Fair Oaks Ave, Pasadena, CA 91105 2015-07-30
1750673638 Jared Myers Physical Medicine & Rehabilitation 2627 E Washington Blvd, Pasadena, CA 91107-1412 2011-05-10
1104001213 Plb United, Pa Physical Medicine & Rehabilitation 923 Pasadena Fwy, Pasadena, TX 77506-1400 2008-01-08
1700067295 Jaspreet Kaur Takhar Physical Medicine & Rehabilitation 393 E Walnut St, 3rd Floor - Phrs, Pasadena, CA 91188-0001 2007-11-26
1386719904 Mark Douglas Bernhard Physical Medicine & Rehabilitation 1060 E Green St, #107, Pasadena, CA 91106-2413 2006-11-21
Find all providers in PASADENA

Competitor

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City PASADENA
Zip Code 91105

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Dataset Information

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.

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