SPIRIT MEDICAL MANAGEMENT, INC. (NPI# 1558846949) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558846949 |
| Entity Type | Organization |
| Organization Name | SPIRIT MEDICAL MANAGEMENT, INC. |
| Other Organization Name | PURE SURGERY CENTER |
| Practice Address |
542 S Fair Oaks Ave Pasadena CA 91105-2606 |
| Mailing Address |
1510 S Central Ave Ste 120 Glendale CA 91204-2576 |
| Practice Telephone | 8182819004 |
| Enumeration Date | 2018-10-01 |
| Last Update Date | 2020-01-28 |
| Authorized Official Name | KAY BLAINE (CFO) |
| Authorized Official Telephone | 8182819004 |
| 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 |
|---|---|
| Pure Surgery Center | Doing Business As Name - Organization |
| Street Address |
542 S FAIR OAKS AVE |
| City | PASADENA |
| State | CA |
| Zip Code | 91105-2606 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063504058 | Martin A. O'toole | Plastic Surgery | 542 S Fair Oaks Ave, Pasadena, CA 91105-2606 | 2006-09-28 |
| 1841536075 | Martin A. O'toole, Md, Facs, A Professional Corporation | Plastic Surgery | 542 S Fair Oaks Ave, Pasadena, CA 91105-2606 | 2012-12-16 |
| 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 |
| 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.