BRETT RAY BRODERSEN (NPI# 1912102252) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1912102252 |
Entity Type | Individual |
Full Name | BRETT RAY BRODERSEN |
Credential | M.D. |
Practice Address |
225 S Lake Ave 535 Pasadena CA 91101-3005 |
Practice Telephone | 6267956596 |
Practice Fax Number | 6267958247 |
Mailing Telephone | 6267956596 |
Mailing Fax Number | 6267958247 |
Enumeration Date | 2007-06-18 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207L00000X | Anesthesiology | G25673 | CA | Allopathic & Osteopathic Physicians |
Street Address |
225 S LAKE AVE 535 |
City | PASADENA |
State | CA |
Zip Code | 91101-3005 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962459347 | Emil Saify | Anesthesiology | 225 S Lake Ave, 535, Pasadena, CA 91101-3005 | 2006-05-30 |
1255932778 | Jennifer Marie Estevez | Technician, Other | 225 S Lake Ave, Pasadena, CA 91101-3005 | 2020-11-02 |
1891346904 | Denise Martinez | Behavior Technician | 225 S Lake Ave, Pasadena, CA 91101-3005 | 2019-09-20 |
1780927368 | Sylvia Ashour Md Inc | Anesthesiology | 225 S Lake Ave, Ste 535, Pasadena, CA 91101-3005 | 2013-04-01 |
1760619936 | Samuel Mark Shapiro | Anesthesiology | 225 S Lake Ave, Suite 535, Pasadena, CA 91101-3005 | 2009-06-16 |
1548467962 | Nicholas Namwon Back | Anesthesiology | 225 S Lake Ave, Suite 535, Pasadena, CA 91101-3005 | 2007-06-29 |
1144425141 | Eric Bergstrom | Anesthesiology | 225 S Lake Ave, 535, Pasadena, CA 91101-3005 | 2007-06-19 |
1649390873 | Deborah Boatwright Edgar | Marriage & Family Therapist | 225 S Lake Ave, Suite 300, Pasadena, CA 91101-3005 | 2007-03-30 |
1144239492 | David A. Blake M.d. Inc. | Anesthesiology | 225 S Lake Ave, Suite 225, Pasadena, CA 91101-3005 | 2006-08-05 |
1326054255 | David Allen Blake | Anesthesiology | 225 S Lake Ave, Suite 535, Pasadena, CA 91101-3005 | 2006-07-31 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720696404 | Sophia Ting-jan Liang | Student in an Organized Health Care Education/Training Program | 98 S. Los Robles Ave., Kaiser Permanente Bernard J. Tyson School of Medicine, Pasdena, CA 91101 | 2020-07-17 |
1851917033 | Casa De Las Amigas | Lodging | 173 N Oak Knoll Ave, Pasadena, CA 91101 | 2020-06-23 |
1467076869 | Tong Qi | Student in an Organized Health Care Education/Training Program | Kaiser Permanente Bernard Kj. Tyson School of Medicine, Pasadena, CA 91101 | 2020-06-01 |
1386267839 | Kelly B Shriver | Student in an Organized Health Care Education/Training Program | Kaiser Permanente Bernard J. Tyson School of Medicine, 98 S. Los Robles, Pasadena, CA 91101 | 2020-05-19 |
1427600758 | Brooke Danielle Pechman | Marriage & Family Therapist | 221 E Walnut Street, Suite 138, Pasadena, CA 91101 | 2019-07-16 |
1952897563 | Robert Howes Hambleton | Dentist | 200 S. Oak Knoll Ave #201, Pasadena, CA 91101 | 2018-07-06 |
1801306774 | Joseph Hendrix | Social Worker | 1500 South Mcdonnell Avenue, Commerce, CA 91101 | 2017-10-05 |
1730606070 | Candice Anne Watson | Nurse Practitioner | 350 South Madison Ave #322, Pasadena, CA 91101 | 2017-08-28 |
1700320223 | Jenny H. Pak | Psychologist | 180 N. Oakland Ave., Pasadena, CA 91101 | 2016-12-19 |
1578005401 | James Maddox | Student in an Organized Health Care Education/Training Program | 447 El Molino Ave, Pasadena, CA 91101 | 2016-11-09 |
Find all providers in zip 91101 |
Taxonomy Code | 207L00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Anesthesiology |
An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1710220777 | Aisan Raisdana | Anesthesiology | 2923 Bradley St Ste 120, Pasadena, CA 91107-1503 | 2013-03-28 |
1538404256 | Anesthesia Provider Group Inc | Anesthesiology | 224 N Fair Oaks Ave, Pasadena, CA 91103-3618 | 2012-12-06 |
1275863599 | Golden State Anesthesia Consultants, Inc. | Anesthesiology | 278 E Colorado Blvd, 1514, Pasadena, CA 91101-2253 | 2010-01-08 |
1124262787 | George Lowell Torres | Anesthesiology | 856 S Marengo Ave Apt 5, Pasadena, CA 91106-3620 | 2009-04-27 |
1568605608 | Albert Tran | Anesthesiology | 133 S. Los Robles Ave, 207, Pasadena, CA 91101 | 2009-04-17 |
1861635278 | Andrew Mynn Khine Aung | Anesthesiology | 519 W Claremont St, Pasadena, CA 91103-2419 | 2009-04-15 |
1184865404 | Edwin Mirzabeigi | Anesthesiology | 239 S Euclid Ave, Pasadena, CA 91101-2717 | 2009-03-17 |
1083863690 | Kevin K Li | Anesthesiology | 2555 E Colorado Blvd Ste 306, Pasadena, CA 91107-6648 | 2008-09-18 |
1831356708 | Gregory Alexander Kogan | Anesthesiology | 2923 Bradley St, Pasadena, CA 91107-1502 | 2008-05-19 |
1780710145 | Aakash V. Agarwala | Anesthesiology | 170 W Dayton St, Unit 1015, Pasadena, CA 91105-4541 | 2007-02-27 |
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.