Daniel R Laster (NPI# 1457353062, PAC ID# 6507817046) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ORTHOPEDIC SURGERY.
| Nation Provider ID (NPI) | 1457353062 |
| PAC ID by PECOS | 6507817046 |
| Professional Enrollment ID | I20100212000220 |
| Full Name | Daniel R Laster |
| Organization Legal Name | RISSER ORTHOPAEDIC GROUP, A MEDICAL CORP. |
| Address |
2627 E Washington Blvd Pasadena CA 91107-1412 |
| Phone Number | 6267972002 |
| Gender | M |
| Graduation Year | 1995 |
| Primary Specialty | ORTHOPEDIC SURGERY |
| Group Practice PAC ID | 9234108226 |
| Number of Group Practice Members | 10 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050438 | HUNTINGTON MEMORIAL HOSPITAL |
| 050238 | METHODIST HOSPITAL OF SOUTHERN CA |
| Address | Phone | Organization |
|---|---|---|
| 2627 E Washington Blvd, Pasadena, CA 91107-1412 | 6267972002 | RISSER ORTHOPAEDIC GROUP, A MEDICAL CORP. |
| Organization Legal Name | RISSER ORTHOPAEDIC GROUP, A MEDICAL CORP. |
| Physicians | 9 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Matthew J Cavallero | 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 |
| Braden J Criswell | Orthopedic Surgery | Risser Orthopaedic Group, A Medical Corp. | 2627 E Washington Blvd, Pasadena, CA 91107-1412 |
| Virginia M Mabasa | Physician Assistant | Risser Orthopaedic Group, A Medical Corp. | 51 N 5th Ave, Suite 301, Arcadia, CA 91006-3712 |
| Gregory D Northrop | Orthopedic Surgery | Risser Orthopaedic Group, A Medical Corp. | 2627 E Washington Blvd, Pasadena, CA 91107-1412 |
| Street Address |
2627 E WASHINGTON BLVD |
| City | PASADENA |
| State | CA |
| Zip | 91107-1412 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Matthew J Cavallero | 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 |
| Braden J Criswell | Orthopedic Surgery | Risser Orthopaedic Group, A Medical Corp. | 2627 E Washington Blvd, Pasadena, CA 91107-1412 |
| Gregory D Northrop | Orthopedic Surgery | Risser Orthopaedic Group, A Medical Corp. | 2627 E Washington Blvd, Pasadena, CA 91107-1412 |
| 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 | |
| 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 |
| Maureen A Tyson | Physical Medicine and Rehabilitation | 2693 E Washington Blvd, Pasadena, CA 91107-1412 | |
| Michelle A Tyson | Family Practice | Crown City Medical Group Inc | 2661 E Washington Blvd, Pasadena, CA 91107-1412 |
| Sharon A Macdonald | Physical Therapy | Incourage Physical Therapy | 2693 E Washington Blvd, Pasadena, CA 91107-1412 |
| Jason K Boutros | Internal Medicine | 2554 E Washington Blvd, Pasadena, CA 91107-1445 | |
| Dean T Noritake | Rheumatology | 2750 E Washington Blvd, Suite 120, Pasadena, CA 91107-1449 | |
| Raffi Iknadossian | Chiropractic | 2750 E Washington Blvd, Suite 140, Pasadena, CA 91107-1449 | |
| Find all physicians in zip 91107 | |||
| City | PASADENA |
| Zip Code | 91107 |
| Specialty | ORTHOPEDIC SURGERY |
| City + Specialty | PASADENA + ORTHOPEDIC SURGERY |
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| 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.