Jason K Boutros (NPI# 1942243563, PAC ID# 5496656241) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1942243563 |
| PAC ID by PECOS | 5496656241 |
| Professional Enrollment ID | I20040120000580 |
| Full Name | Jason K Boutros |
| Address |
2554 E Washington Blvd Pasadena CA 91107-1445 |
| Gender | M |
| Credential | MD |
| Graduation Year | 1983 |
| Primary Specialty | INTERNAL MEDICINE |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050763 | SILVER LAKE MEDICAL CENTER |
| 050438 | HUNTINGTON MEMORIAL HOSPITAL |
| 050132 | SAN GABRIEL VALLEY MEDICAL CENTER |
| 050238 | METHODIST HOSPITAL OF SOUTHERN CA |
| Address | Phone | Organization |
|---|---|---|
| 2554 E Washington Blvd, Pasadena, CA 91107-1445 | ||
| 1267 W 7th St, Upland, CA 91786-7069 |
| Street Address |
2554 E WASHINGTON BLVD |
| City | PASADENA |
| State | CA |
| Zip | 91107-1445 |
| 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 | INTERNAL MEDICINE |
| City + Specialty | PASADENA + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Jason K Boutros.
| 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.