Pasadena Outpatient

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

License

11299 Issued in CA

Legal business name

PASADENA OUTPATIENT

Practice address

1 W Mountain St Unit 10
Pasadena, CA 91103-3070

Phone

(800) 521-1766

NPI assigned

Aug 29, 2017

Organization subpart

No

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

Authorized official

Name

Mr. Michael Bloom

Title

Ceo

Phone

(818) 207-2088

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1503964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1174040208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 W MOUNTAIN ST UNIT 10",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911033070",
            "telephone_number": "800-521-1766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 W MOUNTAIN ST UNIT 10",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911033070",
            "telephone_number": "800-521-1766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PASADENA OUTPATIENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-29",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "BLOOM",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-207-2088",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "CA",
            "license": "11299",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pasadena Nephrology Corporation a Medical Group
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• Pasadena Orthopedics Inc
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• Pasadena Pediatric Surgery, Inc.
• Pasadena Pellet Therapy, Inc.
• Pasadena Physical Therapy Associates
• Pasadena Physical Therapy, PC

• Substance Use Disorder Rehabilitation Clinic/Center in Pasadena, CA
• Providers in Pasadena, CA by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.