ALTADENA SURGERY CENTER, LLC (NPI# 1780188052) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780188052 |
| Entity Type | Organization |
| Organization Name | ALTADENA SURGERY CENTER, LLC |
| Practice Address |
2615 E Washington Blvd Ste 100 Pasadena CA 91107-1412 |
| Practice Telephone | 6262692608 |
| Mailing Telephone | 6262692608 |
| Enumeration Date | 2018-03-21 |
| Last Update Date | 2018-03-21 |
| Authorized Official Name | DR. DANIEL LASTER (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 6262692608 |
| Authorized Official Credential | M.D. |
| 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 |
| Street Address |
2615 E WASHINGTON BLVD STE 100 |
| City | PASADENA |
| State | CA |
| Zip Code | 91107-1412 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801412002 | Kwasi Nkansa | Physical Medicine & Rehabilitation | 2585 East Washington Blvd, Pasadena, CA 91107 | 2020-06-23 |
| 1609402742 | H & S Hospice Care Inc | Hospice Care, Community Based | 2525 E Colordo Blvd Suite 109, Pasadena, CA 91107 | 2020-03-20 |
| 1013557115 | Cindy Phun | Pharmacist | 3383 E Foothill Blvd, Pasadena, CA 91107 | 2020-01-07 |
| 1184185548 | Preferred Home Health Services | Home Health | 40 N Atlandena Dr Suite 219, Pasadena, CA 91107 | 2019-03-28 |
| 1861973729 | Julia E Underwood | Doula | 2335-115 E. Colorado Blvd #339, Pasadena, CA 91107 | 2018-08-28 |
| 1982183166 | Melissa Castillo | Counselor | 26 S Kinneloa Ave, Pasadena, CA 91107 | 2018-08-09 |
| 1083109904 | Lourice Boutros | Optometrist | 3235 E Colorado Blvd Ste 101, Pasadena, CA 91107 | 2018-06-22 |
| 1902313026 | Cecily Brogdon | Marriage & Family Therapist | 2115 Lambert Drive, Pasadena, CA 91107 | 2018-01-10 |
| 1790204915 | Vanessa Nicole Contreras | Licensed Vocational Nurse | 36 S. Kinneiloa Ave., Pasadena, CA 91107 | 2017-09-19 |
| 1730614397 | Rita Mason | Behavioral Analyst | 890 S Rosemead Blvd, Ste 45, Pasadena, CA 91107 | 2017-04-20 |
| Find all providers in zip 91107 | ||||
| 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 |
| 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 |
| 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.