Organization Active NPI

First Choice Diagnostic, Inc

  • Contractor
  • Pasadena, CA
National Provider Identifier
1255546198
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ContractorTaxonomy code 171W00000X
Legal business name
FIRST CHOICE DIAGNOSTIC, INC
Practice address
556 S. Fair Oaks Ave
Suite 357
Pasadena, CA 91105
Phone
(909) 484-2865
Fax
(909) 484-7257
NPI assigned
May 14, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Florencio Devora
Title
Management
Phone
(909) 484-2865

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ContractorGroup: 193400000X SINGLE SPECIALTY GROUP 171W00000X CA Primary

Addresses

Primary practice location

556 S. Fair Oaks Ave
Suite 357
Pasadena, CA 91105

Mailing address

556 S Fair Oaks Ave
Suite 357
Pasadena, CA 91105-2656
Phone (909) 484-2865

National Provider Directory

National Provider Directory

Locations

556 S Fair Oaks Ave
Ste 357
Pasadena, CA 91105

NPI Registry JSON

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

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1255546198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "556 S FAIR OAKS AVE",
            "address_2": "SUITE 357",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911052656",
            "telephone_number": "909-484-2865",
            "fax_number": "909-484-7257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "556 S. FAIR OAKS AVE",
            "address_2": "SUITE 357",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "91105",
            "telephone_number": "909-484-2865",
            "fax_number": "909-484-7257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRST CHOICE DIAGNOSTIC, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DEVORA",
        "authorized_official_first_name": "FLORENCIO",
        "authorized_official_title_or_position": "MANAGEMENT",
        "authorized_official_telephone_number": "909-484-2865"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Contractor",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "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 Aug 22, 2020; 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.