ACCATUR DIAGNOSTICS 1, LLC (NPI# 1912239856) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912239856 |
| Entity Type | Organization |
| Organization Name | ACCATUR DIAGNOSTICS 1, LLC |
| Other Organization Name | MEDICAL DIAGNOSTIC CONSULTANTS |
| Practice Address |
1000 Laguna Rd Pasadena CA 91105-2320 |
| Mailing Address |
Po Box 61240 Pasadena CA 91116-7240 |
| Practice Telephone | 3107204664 |
| Mailing Telephone | 3107204664 |
| Enumeration Date | 2010-02-03 |
| Last Update Date | 2018-04-10 |
| Authorized Official Name | MS. ELLEN L. PALM-LEIS (MANAGER) |
| Authorized Official Telephone | 3107204664 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QH0100X |
Clinic/Center Specialization: Health Service |
Ambulatory Health Care Facilities | ||
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| Y | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Medical Diagnostic Consultants | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 18092 Sky Park Cir Ste F, Irvine, CA 926146530 | 6264401340 | 6264036050 |
| Street Address |
1000 LAGUNA RD |
| City | PASADENA |
| State | CA |
| Zip Code | 91105-2320 |
| 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 | 261QM2500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Medical Specialty |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235437450 | James A. Macer, M D A Professional Corp | Clinic/Center | 10 Congress St Ste 400, Pasadena, CA 91105-3020 | 2011-03-11 |
| 1558542076 | Gloria De Olarte M.d. Inc. | Clinic/Center | 65 N.madison Avenue, Suite 406, Pasadena, CA 91101 | 2007-11-27 |
| 1114358249 | Shriners Hospitals for Children | Clinic/Center | 909 S Fair Oaks Ave, Pasadena, CA 91105-2625 | 2013-11-27 |
| 1467886549 | Healthy Living Medical, Inc | Clinic/Center | 301 S Fair Oaks Ave, Suite 404, Pasadena, CA 91105-2561 | 2013-08-26 |
| 1063854883 | Delgado Medical Group LLC | Clinic/Center | 3910 Fairmont Pkwy, Suite H, Pasadena, TX 77504-3076 | 2013-07-22 |
| 1528332657 | Ayman Saad Md Inc | Clinic/Center | 39 Congress St, Suite 201a, Pasadena, CA 91105-3024 | 2012-03-07 |
| 1053602250 | Valerie P. Myers, M.d. Inc | Clinic/Center | 10 Congress St, #400, Pasadena, CA 91105-3045 | 2011-04-22 |
| 1689987505 | Gerald T. Bowns, M.d., A Professional Corporation | Clinic/Center | 10 Congress St, Suite 340, Pasadena, CA 91105-3045 | 2010-07-20 |
| 1831416734 | Pasadena Pellet Therapy, Inc. | Clinic/Center | 625 S Fair Oaks Ave, Suite 255, Pasadena, CA 91105-2613 | 2010-05-01 |
| 1285878017 | Scott L Carder Md Phd PC | Clinic/Center | 259 S Euclid Ave, Pasadena, CA 91101-2717 | 2009-04-23 |
| 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.