Henry P Sideropoulos MD Inc

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

G42050 Issued in CA

Legal business name

HENRY P SIDEROPOULOS MD INC

Practice address

1771 E Orange Grove Blvd
Pasadena, CA 91104-0000

Phone

(626) 484-8947

Fax

(626) 628-0492

NPI assigned

Jan 29, 2016

Organization subpart

No

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

Authorized official

Name

Henry P Sideropoulos, MD

Title

MD

Phone

(909) 484-2865

Specialties & licenses 1

Addresses

Other names 1

• HENRY P SIDEROPOULOS MD INC Former legal business name

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

{
    "created_epoch": "1454025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1469750400000",
    "number": "1366800823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1771 E ORANGE GROVE BLVD",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911040000",
            "telephone_number": "909-484-2865",
            "fax_number": "909-941-6974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1771 E ORANGE GROVE BLVD",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911040000",
            "telephone_number": "626-484-8947",
            "fax_number": "626-628-0492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HENRY P SIDEROPOULOS MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-29",
        "last_updated": "2016-07-29",
        "status": "A",
        "authorized_official_last_name": "SIDEROPOULOS",
        "authorized_official_first_name": "HENRY",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "909-484-2865",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G42050",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HENRY P SIDEROPOULOS MD INC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Lynn Marie Henning, MFT, PSYCHOANALYST
• Catherine Hennings
• Joel B. Henriod, D.D.S.
• Daniel Henriquez
• Guadalupe Henriquez
• Kim Henry-Nance, L.M.F.T
• Jean Claude Henry, MD
• Marlena Henry
• Skylar Madison Henry
• Stephen Douglas Henry, M.D.

• Internal Medicine Physician in Pasadena, CA
• Providers in Pasadena, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2016; 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.