NPIMap

Organization Active NPI

Planned Parenthood Pasadena and San Gabriel Valley Inc

  • Community Health Clinic/Center
  • Pasadena, CA
National Provider Identifier
1073669040
Registry record updated Mar 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health Clinic/CenterTaxonomy code 261QC1500X
Legal business name
PLANNED PARENTHOOD PASADENA AND SAN GABRIEL VALLEY INC
Practice address
1045 N Lake Ave
Pasadena, CA 91104-4521
Phone
(626) 794-5737
Fax
(626) 794-2533
NPI assigned
Jan 25, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2025

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

Authorized official

Name
Sheri Bonner
Title
President Ceo
Phone
(626) 794-5737

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Voluntary or Charitable Agency 251V00000X 960000134 CA
Community Health Clinic/Center 261QC1500X Primary
Clinical Medical Laboratory 291U00000X 960000134 CA

Addresses

Primary practice location

1045 N Lake Ave
Pasadena, CA 91104-4521

Mailing address

620 N Lake Ave
Pasadena, CA 91101-1220
Phone (626) 794-5737

Other identifiers 2

IdentifierTypeStateIssuer
960000134OtherCACOMMUNITY CLINIC
1073669040MedicaidCA

Other names 1

  • Planned Parenthood Pasadena Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210511001009 CA Part B Supplier - Clinic/Group Practice 8628487352 Receives reassigned benefits from 24 practitioners
4 other NPIs on this enrollment
Practice locations: Highland Park, CA; Pasadena, CA; Glendora, CA; Baldwin Park, CA; Alhambra, CA

Other NPIs on the same Medicare enrollment 4

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D0969008Planned Parenthood of Pasadena1045 N Lake Ave, Pasadena, CA 91104Certificate of waiverJul 29, 2027

National Provider Directory

National Provider Directory

Locations

330 S Garfield Ave
Ste 300
Alhambra, CA 91801
Phone (626) 417-6193

2333 Lake Ave
Fl 2
Altadena, CA 91001
Phone (626) 794-5737

1045 N Lake Ave
Pasadena, CA 91104
Phone (626) 794-5737

Practitioners & affiliated clinicians

Practitioners 30

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 30

NPI Registry JSON

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742428800000",
    "number": "1073669040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 N LAKE AVE",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911011220",
            "telephone_number": "626-794-5737",
            "fax_number": "626-794-2533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1045 N LAKE AVE",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911044521",
            "telephone_number": "626-794-5737",
            "fax_number": "626-794-2533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLANNED PARENTHOOD PASADENA AND SAN GABRIEL VALLEY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-25",
        "last_updated": "2025-03-20",
        "certification_date": "2025-03-20",
        "status": "A",
        "authorized_official_last_name": "BONNER",
        "authorized_official_first_name": "SHERI",
        "authorized_official_title_or_position": "PRESIDENT CEO",
        "authorized_official_telephone_number": "626-794-5737"
    },
    "taxonomies": [
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": "CA",
            "license": "960000134",
            "primary": false
        },
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "CA",
            "license": "960000134",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMUNITY CLINIC",
            "identifier": "960000134",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1073669040",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Planned Parenthood Pasadena",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pasadena, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.