Individual provider Active NPI

Tasoula Vorvolakos, DO

  • Pediatrics Physician
  • Pasadena, CA
National Provider Identifier
1326466079
Registry record updated Mar 31, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
20A12727 Issued in CA
Practice address
280 S Euclid Ave
Apt # 222
Pasadena, CA 91101-2768
Phone
(602) 399-2583
NPI assigned
Mar 31, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 20A12727 CA Primary

Addresses

Primary practice location

280 S Euclid Ave
Apt # 222
Pasadena, CA 91101-2768

Mailing address

280 S Euclid Ave
Apt # 222
Pasadena, CA 91101-2768
Phone (602) 399-2583

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191204001402 CA Practitioner - Pediatric Medicine 1850724998 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
20A12727CAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Santa Barbara County Auditor Current Accepting new patients
Santa Barbara County Auditor CurrentSince Sep 29, 2019 Accepting new patients
Santa Barbara County Auditor CurrentSince Sep 29, 2019 Accepting new patients

Locations

301 N R St
Lompoc, CA 93436
Phone (805) 737-6400

300 N San Antonio Rd
Santa Barbara, CA 93110
Phone (805) 681-5220

300 N San Antonio Rd
Rm 107
Santa Barbara, CA 93110
Phone (805) 681-5461

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1396224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1396224000000",
    "number": "1326466079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "280 S EUCLID AVE",
            "address_2": "APT # 222",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911012768",
            "telephone_number": "602-399-2583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "280 S EUCLID AVE",
            "address_2": "APT # 222",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911012768",
            "telephone_number": "602-399-2583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VORVOLAKOS",
        "first_name": "TASOULA",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-03-31",
        "last_updated": "2014-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "20A12727",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasadena, CA

Sources for this page

Verify at the official NPI Registry.