Active NPI
North Lake Rehab and Medical Center Inc
- Pain Medicine Physician
- Pasadena, CA
National Provider Identifier
1386697977
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine Physician
- License
- A044253
- Legal business name
- NORTH LAKE REHAB AND MEDICAL CENTER INC
- Practice address
- 1403 N Fair Oaks Ave Ste 2
Pasadena, CA 91103-1893 - Phone
- (626) 798-8976
- Fax
- (626) 794-3010
- NPI assigned
- May 18, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Muhammad R Nasir, M.D.
- Title
- Owner/Doctor
- Phone
- (626) 798-8976
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | A044253 | CA | |
| Pain Medicine Physician | 208VP0000X | A044253 | CA | Primary |
Addresses
Primary practice location
1403 N Fair Oaks Ave Ste 2
Pasadena, CA 91103-1893
Mailing address
2052 N Lake Ave
Suite 2
Altadena, CA 91001-2450
Phone (626) 798-8976
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A442530 | Medicaid | CA | |
| 00A442530 | Other | CA | CALIFORNIA BLUE SHIELD |
| P00119240 | Other | CA | RAIL ROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Pasadena, CA
- NPI 1427002526
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147910400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1672876800000",
"number": "1386697977",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2052 N LAKE AVE",
"address_2": "SUITE 2",
"city": "ALTADENA",
"state": "CA",
"postal_code": "910012450",
"telephone_number": "626-798-8976",
"fax_number": "626-794-3010"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1403 N FAIR OAKS AVE STE 2",
"city": "PASADENA",
"state": "CA",
"postal_code": "911031893",
"telephone_number": "626-798-8976",
"fax_number": "626-794-3010"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NORTH LAKE REHAB AND MEDICAL CENTER INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-18",
"last_updated": "2023-01-05",
"certification_date": "2023-01-05",
"status": "A",
"authorized_official_last_name": "NASIR",
"authorized_official_first_name": "MUHAMMAD",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "OWNER/DOCTOR",
"authorized_official_telephone_number": "626-798-8976",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "CA",
"license": "A044253",
"primary": false
},
{
"code": "208VP0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pain Medicine, Pain Medicine",
"state": "CA",
"license": "A044253",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A442530",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CALIFORNIA BLUE SHIELD",
"identifier": "00A442530",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAIL ROAD MEDICARE",
"identifier": "P00119240",
"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 Jan 5, 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.