NORTHWEST SURGICAL DEVELOPMENT OF PASADENA LLC (NPI# 1548651623) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548651623 |
| Entity Type | Organization |
| Organization Name | NORTHWEST SURGICAL DEVELOPMENT OF PASADENA LLC |
| Other Organization Name | ATHENIX BODY SCULPTING INSTITUTE |
| Practice Address |
150 E Colorado Blvd Ste 102 Pasadena CA 91105-1937 |
| Mailing Address |
65 Enterprise Ste 125 Aliso Viejo CA 92656-2706 |
| Practice Telephone | 6265845898 |
| Mailing Telephone | 9496009931 |
| Mailing Fax Number | 9496008029 |
| Enumeration Date | 2015-02-11 |
| Last Update Date | 2015-02-11 |
| Authorized Official Name | MR. JAMES HAEFNER (ADMINISTRATION) |
| Authorized Official Telephone | 9496009931 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Athenix Body Sculpting Institute | Doing Business As Name - Organization |
| Street Address |
150 E COLORADO BLVD STE 102 |
| City | PASADENA |
| State | CA |
| Zip Code | 91105-1937 |
| 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 | 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 |
| 1871939082 | Raymond Renaissance Surgery Center LLC | Clinic/Center | 125 N Raymond Ave Suite 212, Pasadena, CA 91105-4535 | 2013-05-14 |
| 1295978401 | Pasadena Plastic Surgery Center Inc | Clinic/Center | 452 North Altadena Drive, Pasadena, CA 91107 | 2009-04-17 |
| 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.