HUNTINGTON PAIN AND WELLNESS CENTER, INC (NPI# 1962760991) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962760991 |
| Entity Type | Organization |
| Organization Name | HUNTINGTON PAIN AND WELLNESS CENTER, INC |
| Practice Address |
301 S Fair Oaks Ave Suite 402 Pasadena CA 91105-2561 |
| Practice Telephone | 6263898005 |
| Practice Fax Number | 6263898009 |
| Mailing Telephone | 6263898005 |
| Mailing Fax Number | 6263898009 |
| Enumeration Date | 2012-04-27 |
| Last Update Date | 2013-05-14 |
| Authorized Official Name | AMANDA TRUJILLO (DIRECTOR OF OPERATIONS) |
| Authorized Official Telephone | 6263898005 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
20A11212 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
301 S FAIR OAKS AVE SUITE 402 |
| City | PASADENA |
| State | CA |
| Zip Code | 91105-2561 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821093832 | Jack S Broussard Jr. | Dentist | 301 S Fair Oaks Ave, Ste 204, Pasadena, CA 91105-2536 | 2005-06-16 |
| 1528593357 | Souna Sarkis | Pharmacist | 301 S Fair Oaks Ave, Suite Number 104, Pasadena, CA 91105-2561 | 2017-04-30 |
| 1750740080 | Orange County Orofacial Pain Associates Inc | 301 S Fair Oaks Ave, Suite 402, Pasadena, CA 91105-2561 | 2016-02-15 | |
| 1740646124 | Kyung A Cho | Nurse Practitioner | 301 S Fair Oaks Ave, 404, Pasadena, CA 91105-2561 | 2016-01-14 |
| 1780066613 | Marlys R Drange, Md,inc | Internal Medicine | 301 S Fair Oaks Ave, Suite 105, Pasadena, CA 91105-2561 | 2015-06-27 |
| 1457775736 | Unicare Pharmacy & Supply Inc | Durable Medical Equipment & Medical Supplies | 301 S Fair Oaks Ave, Ste 104, Pasadena, CA 91105-2561 | 2014-02-07 |
| 1467886549 | Healthy Living Medical, Inc | Clinic/Center | 301 S Fair Oaks Ave, Suite 404, Pasadena, CA 91105-2561 | 2013-08-26 |
| 1255772554 | Michael E Steuer, Md, PC | Specialist | 301 S Fair Oaks Ave, Ste 105, Pasadena, CA 91105-2561 | 2013-07-15 |
| 1811234909 | Beauty Swe, Md, Inc. | Internal Medicine | 301 S Fair Oaks Ave, Suite 203, Pasadena, CA 91105-2561 | 2013-01-09 |
| 1134476195 | American Medical Evaluation Centers Inc | Internal Medicine | 301 S Fair Oaks Ave, Ste 107, Pasadena, CA 91105-2561 | 2012-08-09 |
| 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 | 207LP2900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| Specialization | Pain Medicine |
| An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists. |
| 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 |
|---|---|---|---|---|
| 1275674111 | Haddijatou Secka Ogunsola | Anesthesiology | 8055 Ritchie Hwy, Suite 101, Pasadena, MD 21122-1067 | 2007-02-12 |
| 1134279524 | Sabri E Malek | Anesthesiology | 1575 N Lake Ave, Ste 100, Pasadena, CA 91104-2340 | 2007-01-10 |
| 1861468134 | Hilary J Fausett | Anesthesiology | 39 Congress St, #303, Pasadena, CA 91105-3024 | 2006-02-27 |
| 1629060694 | Clayton Alexander Varga | Anesthesiology | 1017 S Fair Oaks Ave, Pasadena, CA 91105-2621 | 2005-08-16 |
| 1285107649 | Best Medcare Pa | Anesthesiology | 4102 Woodlawn Ave Ste 160, Pasadena, TX 77504-1922 | 2019-01-09 |
| 1841607835 | Reach Wellness & Recovery Incorporated | Anesthesiology | 65 N Madison Ave, Suite 202, Pasadena, CA 91101-2035 | 2014-07-22 |
| 1467867440 | Christy Anthony | Anesthesiology | 1017 S Fair Oaks Ave, Pasadena, CA 91105-2621 | 2014-06-27 |
| 1023450947 | Interventional Anesthesia & Pain Management Clinic Inc. | Anesthesiology | 1575 N Lake Ave, Ste 100, Pasadena, CA 91104-2340 | 2013-07-19 |
| 1952748790 | Universally Integrated Pllc | Anesthesiology | 4301 Vista Rd, Pasadena, TX 77504-2117 | 2013-06-03 |
| 1922443704 | Global Pain Management LLC | Anesthesiology | 8055 Ritchie Hwy, Suite 101, Pasadena, MD 21122-1067 | 2013-05-07 |
| 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.