Individual provider Active NPI

Christakis Christodoulou, M.D.

  • Interventional Cardiology Physician
  • Pasadena, CA
National Provider Identifier
1043396732
Registry record updated Apr 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
A53493 Issued in CA
Practice address
3235 E Colorado Blvd
Suite 201
Pasadena, CA 91107-3813
Phone
(626) 577-7050
Fax
(626) 577-7059
NPI assigned
Oct 27, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 25, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Cardiology Physician 207RI0011X A53493 CA Primary

Addresses

Primary practice location

3235 E Colorado Blvd
Suite 201
Pasadena, CA 91107-3813

Mailing address

3235 E Colorado Blvd
Suite 201
Pasadena, CA 91107-3813
Phone (626) 577-7050

Other identifiers 1

IdentifierTypeStateIssuer
00A534930MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080213000408 CA Practitioner - Cardiovascular Disease (Cardiology) 2163505298 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
California Cardiovascular Care Medical Group, IncGroup PAC ID 1254410830, 4 clinicians

Practice addresses (Care Compare)

3235 E Colorado Blvd
Suite 201
Pasadena, CA 91107-3849
Phone (626) 577-7050

Hospital & facility affiliations

  • Total Care Home Health Care, Inc Home health agency, Burbank, CA, CCN 059465
  • Huntington Hospital Hospital, Pasadena, CA, CCN 050438
  • Usc Arcadia Hospital Hospital, Arcadia, CA, CCN 050238
  • Emanate Health Inter-Community Hospital Hospital, Covina, CA, CCN 050382
  • Pomona Valley Hospital Medical Center Hospital, Pomona, CA, CCN 050231
  • Emanate Health Foothill Presbyterian Hospital Hospital, Glendora, CA, CCN 050597

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting16
Pacemaker insertion or repair19
Varicose vein removal137

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A53493CAMDInterventional Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
California Cardiovascular Care Medical Group Inc Interventional Cardiology CurrentSince Jan 1, 2006 Accepting new patients
Usc Arcadia Hospital Past Accepting new patients
Emanate Health Foothill Presbyterian Hospital Past Accepting new patients
Emanate Health Medical Center Past Accepting new patients
Usc Verdugo Hills Hospital, LLC Past Accepting new patients
Pasadena Hospital Association, LTD. Past Accepting new patients
Emanate Health Medical Center Past Accepting new patients
Gentle Ride Inc PastSince Sep 1, 2024 Accepting new patients

Locations

4544 N Grand Ave
Covina, CA 91724
Phone (626) 577-7050

657 S 2nd Ave
Covina, CA 91723
Phone (626) 577-7050

1315 S Grand Ave
Ste 150
Glendora, CA 91740
Phone (626) 404-2838

3235 E Colorado Blvd
Ste 201
Pasadena, CA 91107
Phone (626) 577-7050

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1161907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777075200000",
    "number": "1043396732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3235 E COLORADO BLVD",
            "address_2": "SUITE 201",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911073813",
            "telephone_number": "626-577-7050",
            "fax_number": "626-577-7059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3235 E COLORADO BLVD",
            "address_2": "SUITE 201",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911073813",
            "telephone_number": "626-577-7050",
            "fax_number": "626-577-7059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHRISTODOULOU",
        "first_name": "CHRISTAKIS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-27",
        "last_updated": "2026-04-25",
        "certification_date": "2026-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "CA",
            "license": "A53493",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A534930",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasadena, CA

Sources for this page

Verify at the official NPI Registry.