Foothill Urology Associates

Primary specialty

Urology PhysicianTaxonomy code 208800000X

Legal business name

FOOTHILL UROLOGY ASSOCIATES

Practice address

630 S Raymond Ave
Suite 220
Pasadena, CA 91105-3278

Phone

(626) 795-8454

Fax

(626) 795-5631

NPI assigned

Jan 3, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Tina M. Soto

Title

Office Manager

Phone

(626) 795-8454

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205452800000",
    "number": "1003963216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "630 S RAYMOND AVE",
            "address_2": "SUITE 220",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911053278",
            "telephone_number": "626-795-8454",
            "fax_number": "626-795-5631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 S RAYMOND AVE",
            "address_2": "SUITE 220",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911053278",
            "telephone_number": "626-795-8454",
            "fax_number": "626-795-5631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOOTHILL UROLOGY ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-03",
        "last_updated": "2008-03-14",
        "status": "A",
        "authorized_official_last_name": "SOTO",
        "authorized_official_first_name": "TINA",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "626-795-8454",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RR",
            "identifier": "CN2645",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "ZZZ33990Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Foothill Family Service
• Foothill Family Service - Hudson
• Foothill Heights Care Center LLC
• Foothill Physical Therapy PC
• Foothill Pulmonary & Critical Care Consultants Medical Group Inc.
• Jon M Foran, MEDICAL DOCTOR
• Andrea Forbes, PSY.D.
• Aimee Ford, AMFT
• Ann Ford
• Brittanae Nicole Ford

• Urology Physician in Pasadena, CA
• Providers in Pasadena, CA by specialty
• Urology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.