Pasadena Neuropsychiatry Center a Medical Corporation

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

Legal business name

PASADENA NEUROPSYCHIATRY CENTER A MEDICAL CORPORATION

Practice address

595 E Colorado Blvd Ste 311
Pasadena, CA 91101-2021

Phone

(626) 765-6704

NPI assigned

Feb 13, 2019

Last updated

Sep 29, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ron Andrew Shatzmiller, MDNPI 1417152042

Title

Authorized Official

Phone

(626) 765-6704

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ron Andrew Shatzmiller, MD, M.SC.

  • Neurology Physician
  • Pasadena, CA
  • NPI 1417152042
  Medicare reassignment Care Compare group NPD Authorized official
• Justine Kaluzny

  • Marriage & Family Therapist
  • Pasadena, CA
  • NPI 1689030751
  Medicare reassignment Care Compare group NPD
• Torang Shatzmiller Sepah, M.D.

  • Psychiatry Physician
  • Norwalk, CA
  • NPI 1598901167
  Medicare reassignment Care Compare group NPD
• Kimia Nowbari

  • Physician Assistant
  • Pasadena, CA
  • NPI 1063368926
  NPD (past)

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

{
    "created_epoch": "1550016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695945600000",
    "number": "1316403512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "595 E COLORADO BLVD STE 602",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911012015",
            "telephone_number": "626-765-6704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "595 E COLORADO BLVD STE 311",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911012021",
            "telephone_number": "626-765-6704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PASADENA NEUROPSYCHIATRY CENTER A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-13",
        "last_updated": "2023-09-29",
        "certification_date": "2023-09-29",
        "status": "A",
        "authorized_official_last_name": "SHATZMILLER",
        "authorized_official_first_name": "RON",
        "authorized_official_middle_name": "ANDREW",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "626-765-6704",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2084B0040X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Behavioral Neurology & Neuropsychiatry",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Pasadena Medical Imaging LLC
• Pasadena Nephrology Corporation a Medical Group
• Pasadena Neuro Center Inc
• Pasadena Nyx LLC (NYX Sleep Disorders Center of Pasadena)
• Pasadena Orthopedics Inc
• Pasadena Outpatient
• Pasadena Palace Tcu LLC
• Pasadena Pediatric Surgery, Inc.

• Neurology Physician in Pasadena, CA
• Providers in Pasadena, CA by specialty
• Neurology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2023; 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.