Huntington Pulmonary Medical Group

Primary specialty

Pulmonary Disease PhysicianTaxonomy code 207RP1001X

License

A88722 Issued in CA

Legal business name

HUNTINGTON PULMONARY MEDICAL GROUP

Practice address

39 Congress St
Suite 201
Pasadena, CA 91105-3024

Phone

(626) 486-0181

Fax

(626) 486-0189

NPI assigned

Jan 5, 2015

Organization subpart

No

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

Authorized official

Name

Jimi M Gonzalez

Title

Office Manager

Phone

(626) 316-7026

Specialties & licenses 9

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/CGDABD

Practitioners 9

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

• Daryl Banta, M.D.

  • Internal Medicine Physician
  • Pasadena, CA
  • NPI 1932299450

  Critical Care Medicine

  Medicare reassignment Care Compare group NPD
• Ewa Izabela Kraish, M.D.

  • Pulmonary Disease Physician
  • Pasadena, CA
  • NPI 1265756860

  Multi-Specialty

  Medicare reassignment Care Compare group NPD
• Bert Liu

  • Pulmonary Disease Physician
  • Pasadena, CA
  • NPI 1437511607
  Medicare reassignment Care Compare group NPD
• Ashish B Patel, MD

  • Pulmonary Disease Physician
  • Pasadena, CA
  • NPI 1104023977
  Medicare reassignment Care Compare group NPD
• Hooman Yonatan Sazegar, D.O.

  • Pulmonary Disease Physician
  • Pasadena, CA
  • NPI 1073924056
  Medicare reassignment Care Compare group NPD
• Brooke Bafus Chandrasoma, M.D.

  • Pulmonary Disease Physician
  • Pasadena, CA
  • NPI 1770785610
  Medicare reassignment Care Compare group
• Vincent Chao Chang

  • Internal Medicine Physician
  • San Jose, CA
  • NPI 1255836334
  Medicare reassignment Care Compare group
• Ayman Saad, M.D.

  • Pulmonary Disease Physician
  • Pasadena, CA
  • NPI 1669679718
  Medicare reassignment Care Compare group
• Alana Marie France, RN

  • Critical Care Medicine Registered Nurse
  • Los Angeles, CA
  • NPI 1326580069
  Medicare reassignment NPD

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

{
    "created_epoch": "1420416000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1469664000000",
    "number": "1194113803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39 CONGRESS ST",
            "address_2": "SUITE 201",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911053024",
            "telephone_number": "626-486-0181",
            "fax_number": "626-486-0189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39 CONGRESS ST",
            "address_2": "SUITE 201",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911053024",
            "telephone_number": "626-486-0181",
            "fax_number": "626-486-0189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUNTINGTON PULMONARY MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-05",
        "last_updated": "2016-07-28",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "JIMI",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "626-316-7026"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "CA",
            "license": "A97268",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "CA",
            "license": "A102461",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "CA",
            "license": "A82228",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "CA",
            "license": "A88722",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "CA",
            "license": "A88722",
            "primary": true
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "CA",
            "license": "A82228",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "CA",
            "license": "A102461",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "CA",
            "license": "A97268",
            "primary": false
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "CA",
            "license": "A82228",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Huntington Pain and Wellness Center, Inc
• Huntington Palliative Medicine Inc
• Huntington Pathology Medical Group Inc
• Huntington Perinatal Group Inc
• Huntington Psychological Services Inc
• Huntington Radiation Medical Group
• Huntington Radiation Oncology Medical Group
• Huntington Rehabilitation Medicine Associates
• Huntington Rehabilitation Medicine Associates
• Huntington Reproductive Center Medical Group

• Pulmonary Disease Physician in Pasadena, CA
• Providers in Pasadena, CA by specialty
• Pulmonary Disease Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.