Christakis Christodoulou (NPI# 1043396732, PAC ID# 2163505298) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CARDIOVASCULAR DISEASE (CARDIOLOGY).
| Nation Provider ID (NPI) | 1043396732 |
| PAC ID by PECOS | 2163505298 |
| Professional Enrollment ID | I20080213000408 |
| Full Name | Christakis Christodoulou |
| Organization Legal Name | CALIFORNIA CARDIOVASCULAR CARE MEDICAL GROUP, INC |
| Address |
3235 E Colorado Blvd Suite 201 Pasadena CA 91107-3849 |
| Phone Number | 6265777050 |
| Gender | M |
| Graduation Year | 1990 |
| Primary Specialty | CARDIOVASCULAR DISEASE (CARDIOLOGY) |
| Group Practice PAC ID | 1254410830 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050438 | HUNTINGTON MEMORIAL HOSPITAL |
| 050238 | METHODIST HOSPITAL OF SOUTHERN CA |
| 050597 | FOOTHILL PRESBYTERIAN HOSPITAL |
| 050124 | USC VERDUGO HILLS HOSPITAL |
| 050382 | CITRUS VALLEY MEDICAL CENTER-IC CAMPUS |
| Address | Phone | Organization |
|---|---|---|
| 3235 E Colorado Blvd, Suite 201, Pasadena, CA 91107-3849 | 6265777050 | CALIFORNIA CARDIOVASCULAR CARE MEDICAL GROUP, INC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 100% |
| Organization Legal Name | CALIFORNIA CARDIOVASCULAR CARE MEDICAL GROUP, INC |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Paul G Hovsepian | Cardiovascular Disease (cardiology) | California Cardiovascular Care Medical Group, Inc | 3235 E Colorado Blvd, Suite 201, Pasadena, CA 91107-3849 |
| William L Discepolo | Cardiac Electrophysiology | California Cardiovascular Care Medical Group, Inc | 3235 E Colorado Blvd, Suite 201, Pasadena, CA 91107-3849 |
| Street Address |
3235 E COLORADO BLVD SUITE 201 |
| City | PASADENA |
| State | CA |
| Zip | 91107-3849 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Paul G Hovsepian | Cardiovascular Disease (cardiology) | California Cardiovascular Care Medical Group, Inc | 3235 E Colorado Blvd, Suite 201, Pasadena, CA 91107-3849 |
| William L Discepolo | Cardiac Electrophysiology | California Cardiovascular Care Medical Group, Inc | 3235 E Colorado Blvd, Suite 201, Pasadena, CA 91107-3849 |
| Stephanie King | Chiropractic | Dedicated To Health Inc | 3235 E Colorado Blvd, Suite 101, Pasadena, CA 91107-3837 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Garo B Darian | Pulmonary Disease | 2595 E Washington Blvd, Suite 101, Pasadena, CA 91107-1409 | |
| Walter Spears | General Practice | 2595 E Washington Blvd, Suite 107, Pasadena, CA 91107-1409 | |
| Matthew J Cavallero | Orthopedic Surgery | Risser Orthopaedic Group, A Medical Corp. | 2627 E Washington Blvd, Pasadena, CA 91107-1412 |
| Ndidiamaka Dillibe Matthews | Physical Therapy | 2693 E Washington Blvd, Pasadena, CA 91107-1412 | |
| Louella M Regis | Family Practice | Crown City Medical Group Inc | 2661 E Washington Blvd, Pasadena, CA 91107-1412 |
| Daniel R Laster | Orthopedic Surgery | Risser Orthopaedic Group, A Medical Corp. | 2627 E Washington Blvd, Pasadena, CA 91107-1412 |
| Richard Delingon Ramos | Physician Assistant | Risser Orthopaedic Group, A Medical Corp. | 2627 E Washington Blvd, Pasadena, CA 91107-1412 |
| Jared Myers | Physical Medicine and Rehabilitation | Risser Orthopaedic Group, A Medical Corp. | 2627 E Washington Blvd, Pasadena, CA 91107-1412 |
| Ben Bhupendra Pradhan | Orthopedic Surgery | Risser Orthopaedic Group, A Medical Corp. | 2627 E Washington Blvd, Pasadena, CA 91107-1412 |
| Donald J Norquist | Orthopedic Surgery | Risser Orthopaedic Group, A Medical Corp. | 2627 E Washington Blvd, Pasadena, CA 91107-1412 |
| Find all physicians in zip 91107 | |||
| City | PASADENA |
| Zip Code | 91107 |
| Specialty | CARDIOVASCULAR DISEASE (CARDIOLOGY) |
| City + Specialty | PASADENA + CARDIOVASCULAR DISEASE (CARDIOLOGY) |
Please comment or provide details below to improve the information on Christakis Christodoulou.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.