Active NPI
Faye Adele Eggerding, M.D., PH.D.
- Clinical Medical Laboratory
- Pasadena, CA
National Provider Identifier
1275666778
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- License
- G38233
- Practice address
- 99 N El Molino Ave
Pasadena, CA 91101-1830 - Phone
- (626) 795-4343
- Fax
- (626) 795-5774
- NPI assigned
- Mar 13, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | G38233 | CA | Primary |
Addresses
Primary practice location
99 N El Molino Ave
Pasadena, CA 91101-1830
Mailing address
99 N El Molino Ave
Pasadena, CA 91101-1830
Phone (626) 795-4343
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CLF11613 | Other | CA | CA LAB ID NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine, Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G38233 | CA | MD | Clinical Medical Laboratory |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Huntington Medicalresearch Institutes | Clinical Medical Laboratory | Past | Accepting new patients |
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.
-
- Clinical Medical Laboratory
- Pasadena, CA
- NPI 1982079661
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173744000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1275666778",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "99 N EL MOLINO AVE",
"city": "PASADENA",
"state": "CA",
"postal_code": "911011830",
"telephone_number": "626-795-4343",
"fax_number": "626-795-5774"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "99 N EL MOLINO AVE",
"city": "PASADENA",
"state": "CA",
"postal_code": "911011830",
"telephone_number": "626-795-4343",
"fax_number": "626-795-5774"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EGGERDING",
"first_name": "FAYE",
"middle_name": "ADELE",
"name_prefix": "Dr.",
"credential": "M.D., PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-13",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": "CA",
"license": "G38233",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CA LAB ID NUMBER",
"identifier": "CLF11613",
"state": "CA"
}
],
"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 Jul 8, 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.