Stella Asthig Atanasian, M.D.

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

A45083 Issued in CA

Practice address

2544 E Washington Blvd
Suite B
Pasadena, CA 91107-1452

Phone

(626) 794-3470

Fax

(626) 794-1088

NPI assigned

Feb 13, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1245372135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2544 E WASHINGTON BLVD",
            "address_2": "SUITE B",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911071452",
            "telephone_number": "626-794-3470",
            "fax_number": "626-794-1088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2544 E WASHINGTON BLVD",
            "address_2": "SUITE B",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911071452",
            "telephone_number": "626-794-3470",
            "fax_number": "626-794-1088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ATANASIAN",
        "first_name": "STELLA",
        "middle_name": "ASTHIG",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-13",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "CA",
            "license": "A45083",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A450830",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Primary Care Clinic/Center in Pasadena, CA
• Providers in Pasadena, CA by specialty
• Primary Care Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.