Active NPI
Richard John Vasak, M.D.
- Trauma Surgery Physician
- Pasadena, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Trauma Surgery Physician
- License
- A125307
- Practice address
- 542 S Fair Oaks Ave
Pasadena, CA 91105-2606 - Phone
- (626) 397-5000
- NPI assigned
- Oct 24, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | A125307 | CA | |
| Trauma Surgery Physician | 2086S0127X | A125307 | CA | Primary |
| Surgical Critical Care Physician | 2086S0102X | A125307 | CA |
Addresses
Primary practice location
542 S Fair Oaks Ave
Pasadena, CA 91105-2606
Mailing address
9716 Panther Hollow St
Las Vegas, NV 89141-8709
Phone (626) 737-0874
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- New York Medical College, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1044 S Fair Oaks Ave
Suite 101
Pasadena, CA 91105-2622
Phone (626) 449-4859
Hospital & facility affiliations
- Partners Home Health Care, Inc
- Huntington Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Hernia repair (minimally invasive) | 1-10 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 1-10 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A125307 | CA | MD | Trauma Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Richard J. Vasak, M.D., Inc. | Current | Accepting new patients |
Locations
35 E Glenarm St
Pasadena, CA 91105
Phone (626) 768-4415
100 W California Blvd
Pasadena, CA 91105
Phone (626) 397-3445
1044 S Fair Oaks Ave
Ste 101
Pasadena, CA 91105
Phone (626) 449-4859
Interoperability endpoints
- premieresurgical.richardvasak@144321.advancedmd-direct.com
Organizations & group practices 1
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.
-
- Trauma Surgery Physician
- Pasadena, CA
- NPI 1124550355
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Glendora, CA
- NPI 1730184722
-
- General Acute Care Hospital
- Pasadena, CA
- NPI 1407828429
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1319414400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1789084800000",
"number": "1215213103",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9716 PANTHER HOLLOW ST",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891418709",
"telephone_number": "626-737-0874",
"fax_number": "702-974-0404"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "542 S FAIR OAKS AVE",
"city": "PASADENA",
"state": "CA",
"postal_code": "911052606",
"telephone_number": "626-397-5000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VASAK",
"first_name": "RICHARD",
"middle_name": "JOHN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-10-24",
"last_updated": "2026-09-11",
"certification_date": "2026-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "CA",
"license": "A125307",
"primary": false
},
{
"code": "2086S0127X",
"taxonomy_group": "",
"desc": "Surgery, Trauma Surgery",
"state": "CA",
"license": "A125307",
"primary": true
},
{
"code": "2086S0102X",
"taxonomy_group": "",
"desc": "Surgery, Surgical Critical Care",
"state": "CA",
"license": "A125307",
"primary": false
}
],
"identifiers": [],
"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 11, 2026; 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.