Active NPI
Rashida Bazolo N'Gouamba
- Gynecology Physician
- Pasadena, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gynecology Physician
- License
- 95982
- Practice address
- 50 Alessandro PL Ste 430
Pasadena, CA 91105 - Phone
- (626) 796-9114
- NPI assigned
- Sep 5, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 234013 | NY | |
| Gynecology Physician | 207VG0400X | 95982 | CA | Primary |
Addresses
Primary practice location
50 Alessandro PL Ste 430
Pasadena, CA 91105
Mailing address
50 Alessandro PL Ste 430
Pasadena, CA 91105-3170
Phone (626) 796-9114
Other practice location 1
9120 Atlantic Avenue
Ozone Park, NY 11416
Phone (718) 641-8207
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02826319 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- Yale University School of Medicine, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
100 W California Blvd
Pasadena, CA 91105-3010
Phone (626) 397-5000
Hospital & facility affiliations
- Usc Arcadia Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 234013 | NY | MD | Obstetrics & Gynecology Physician |
| 95982 | CA | MD | Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Trustees of Columbia University in the City of New York | Current | Accepting new patients | |
| Trustees of Columbia University in the City of New York | Obstetrics & Gynecology | Current | Accepting new patients |
| TJH Medical Services, P.C. | Obstetrics & Gynecology | Current | Accepting new patients |
| Obhg California, P.C. | Obstetrics & Gynecology | Current | Accepting new patients |
| Trustees of Columbia University in the City of New York | Obstetrics & Gynecology | Current | Accepting new patients |
| Pasadena Hospital Association, LTD. | Past | Accepting new patients |
Locations
100 W California Blvd
Pasadena, CA 91105
Phone (626) 397-3445
11120 Merrick Blvd
Jamaica, NY 11433
Phone (718) 206-7510
11940 Metropolitan Ave
Kew Gardens, NY 11415
Phone (718) 849-0839
80 Marcus Dr
Melville, NY 11747
Phone (631) 391-7889
51 W 51st St
Ste 360
New York, NY 10019
Phone (212) 326-8415
622 W 168th St
New York, NY 10032
Phone (212) 305-4931
161 Fort Washington Ave
New York, NY 10032
Phone (212) 305-8559
622 W 168th St
Ph 1624
New York, NY 10032
Phone (212) 305-4098
9120 Atlantic Ave
Ozone Park, NY 11416
Phone (718) 322-1580
777 Lowndes Hill Rd
Bldg 1
Greenville, SC 29607
Phone (864) 908-3736
Interoperability endpoints
- https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/
- https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
Organizations & group practices 6
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.
-
- Internal Medicine Physician
- Jamaica, NY
- NPI 1184670465
Obstetrics & Gynecology
-
- Surgery Physician
- New York, NY
- NPI 1508266347
Obstetrics & Gynecology
-
- Internal Medicine Physician
- Fort Lee, NJ
- NPI 1982993184
NY, Obstetrics & Gynecology
-
- Internal Medicine Physician
- New York, NY
- NPI 1699289488
-
- Psychiatric Hospital Unit
- Pasadena, CA
- NPI 1437121142
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Arcadia, CA
- NPI 1508851288
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157414400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1567555200000",
"number": "1184726481",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "50 ALESSANDRO PL STE 430",
"city": "PASADENA",
"state": "CA",
"postal_code": "911053170",
"telephone_number": "626-796-9114"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "50 ALESSANDRO PL STE 430",
"city": "PASADENA",
"state": "CA",
"postal_code": "91105",
"telephone_number": "626-796-9114"
}
],
"practiceLocations": [
{
"address_1": "9120 Atlantic Avenue",
"address_purpose": "LOCATION",
"city": "Ozone Park",
"state": "NY",
"postal_code": "11416",
"country_code": "US",
"telephone_number": "718-641-8207",
"fax_number": "718-845-5287",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "N'GOUAMBA",
"first_name": "RASHIDA",
"middle_name": "BAZOLO",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-09-05",
"last_updated": "2019-09-04",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "NY",
"license": "234013",
"primary": false
},
{
"code": "207VG0400X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Gynecology",
"state": "CA",
"license": "95982",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02826319",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
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 Sep 4, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.