DR. WILLIAM ROBERT DIETRICK (NPI# 1881712248) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881712248 |
| Entity Type | Individual |
| Full Name | DR. WILLIAM ROBERT DIETRICK |
| Credential | MD |
| Practice Address |
800 Fairmount Ave 215 Pasadena CA 91105-3150 |
| Practice Telephone | 6263975126 |
| Mailing Telephone | 6263975126 |
| Enumeration Date | 2007-03-26 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | G13777 | CA | Other Service Providers |
| Street Address |
800 FAIRMOUNT AVE 215 |
| City | PASADENA |
| State | CA |
| Zip Code | 91105-3150 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386649713 | Lynda D Roman | Obstetrics & Gynecology | 800 Fairmount Ave, Ste 220, Pasadena, CA 91105-3154 | 2005-06-13 |
| 1194142539 | Melinda Medeiros | Nurse Practitioner | 800 Fairmount Ave, Suite 220, Pasadena, CA 91105-3150 | 2014-03-24 |
| 1093136582 | Annie A. Barseghian Md Inc | Clinic/Center | 800 Fairmount Ave, Suite 210, Pasadena, CA 91105-3150 | 2013-12-30 |
| 1164766093 | Lisa P. Uribe, M.d., Inc. | Internal Medicine | 800 Fairmount Ave, Suite 210, Pasadena, CA 91105-3150 | 2012-11-15 |
| 1841543832 | Amy Savagian | Internal Medicine | 800 Fairmount Ave, #210, Pasadena, CA 91105-3150 | 2012-10-16 |
| 1568722668 | Pacific Coast Eye Specialists | Ophthalmology | 800 Fairmount Ave, Ste. 219, Pasadena, CA 91105-3150 | 2012-05-22 |
| 1972863413 | Altina Karimyan Dds A Dental Corporation | Dentist | 800 Fairmount Ave, #100, Pasadena, CA 91105-3150 | 2012-05-17 |
| 1558656090 | Mark Miller Md Inc | Internal Medicine | 800 Fairmount Ave, Ste 205, Pasadena, CA 91105-3150 | 2011-06-13 |
| 1295039782 | Altina Karimyan | Dentist | 800 Fairmount Ave, #100, Pasadena, CA 91105-3150 | 2010-12-27 |
| 1053633016 | Jason Reginald Spears | Dentist | 800 Fairmount Ave, Suite 203, Pasadena, CA 91105-3150 | 2010-02-18 |
| Find all providers in the same location | ||||
| 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 | ||||
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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.