GREGGORY R. DEVORE M.D. A MEDICAL CORPORATION (NPI# 1679762702) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679762702 |
| Entity Type | Organization |
| Organization Name | GREGGORY R. DEVORE M.D. A MEDICAL CORPORATION |
| Other Organization Name | FETAL DIAGNOSTIC CENTER OF PASADENA, INC. |
| Practice Address |
50 Alessandro Pl Ste 330 Pasadena CA 91105-3187 |
| Practice Telephone | 6265838911 |
| Practice Fax Number | 6265838894 |
| Mailing Telephone | 6265838911 |
| Mailing Fax Number | 6265838894 |
| Enumeration Date | 2007-10-15 |
| Last Update Date | 2018-10-04 |
| Authorized Official Name | DR. GREGGORY RUSSELL DEVORE (PRESIDENT) |
| Authorized Official Telephone | 6265838911 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | G44446 | CA | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 1679762702 | 05 | |
| CA | 00G444460 | 05 | |
| CA | 00G444461 | 05 |
| Other Name | Type Code |
|---|---|
| Fetal Diagnostic Center of Pasadena, Inc. | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 625 S Fair Oaks Ave, Suite 220, Pasadena, CA 911052662 | 6265838911 | 6265838894 |
| Street Address |
50 ALESSANDRO PL STE 330 |
| City | PASADENA |
| State | CA |
| Zip Code | 91105-3187 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851305312 | Greggory Russell Devore | Obstetrics & Gynecology | 50 Alessandro Pl Ste 330, Pasadena, CA 91105-3187 | 2006-07-28 |
| 1225649353 | Aaron J Epstein Md | Obstetrics & Gynecology | 50 Alessandro Pl Ste 330, Pasadena, CA 91105-3187 | 2020-08-12 |
| 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 | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215309208 | Pamela Antoinette Stewart | Specialist | 77 N Holliston Ave, Apt 4, Pasadena, CA 91106-1944 | 2015-10-29 |
| 1730579228 | Daniel Parsons | Specialist | 1001 Fairmont Pkwy Ste K, Pasadena, TX 77504-2970 | 2015-02-04 |
| 1346645512 | Neogenomics Laboratories Inc | Specialist | 840 Cameron Dr, Pasadena, CA 91106 | 2014-10-29 |
| 1306250808 | Naclaysia Mcgee | Specialist | 2230 White St, Pasadena, CA 91107-3260 | 2014-06-12 |
| 1194060905 | Foothill Vascular Center Inc | Specialist | 105 N Hill Ave, Suite 200, Pasadena, CA 91106-1916 | 2012-12-05 |
| 1225314834 | Harold Crespo-ferrer | Specialist | 1851 Brigden Rd, Pasadena, CA 91104-3216 | 2011-10-26 |
| 1255624946 | Thomas Gorman Allen | Specialist | 1155 Arden Rd, Pasadena, CA 91106-4143 | 2011-05-27 |
| 1740519677 | George Edward Morgan Jr. | Specialist | 425 South Fair Oaks Avenue, Suite A, Pasadena, CA 91105-2632 | 2009-12-24 |
| 1003040858 | Michelle Yvette Sullivan | Specialist | 288 Atchison St, Pasadena, CA 91104-1002 | 2009-05-08 |
| 1316103799 | Nima Naghshineh | Specialist | 625 S Fair Oaks Ave Ste 270, Pasadena, CA 91105-2668 | 2008-08-05 |
| Find all providers in PASADENA | ||||
Please comment or provide details below to improve the information on GREGGORY R. DEVORE M.D. A MEDICAL CORPORATION.
| 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.