NPIMap

Organization Active NPI

Madison 101 Pasadena, LLC

Doing business as Madison 101 Pasadena Surgery Center

  • Ambulatory Surgical Clinic/Center
  • Pasadena, CA
National Provider Identifier
1417183336
Registry record updated Jun 5, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
10275 Issued in CA
Legal business name
MADISON 101 PASADENA, LLC
Doing business as
Madison 101 Pasadena Surgery Center
Practice address
960 E Green St
Suite 101
Pasadena, CA 91106-2401
Phone
(626) 793-5134
Fax
(626) 793-2912
NPI assigned
Jun 5, 2009
Last updated
Jun 5, 2009By the provider in NPPES
Organization subpart
Yes
Parent organization
MADISON 101 PASADENA, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 5, 2009

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

Authorized official

Name
Michael S Schwartz, MDNPI 1922094382
Title
Owner
Phone
(626) 793-5134

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X 10275 CA Primary

Addresses

Primary practice location

960 E Green St
Suite 101
Pasadena, CA 91106-2401

Mailing address

960 E Green St
Suite 101
Pasadena, CA 91106-2401
Phone (626) 793-5134

Other identifiers 1

IdentifierTypeStateIssuer
10275OtherCAINSTITUTE FOR MEDICAL QUALITY AMBULATORY PROGRAM

Other names 1

  • MADISON 101 PASADENA SURGERY CENTER Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Madison 101 Pasadena LLC2 organizations share this tax ID, including this one
Part of
Madison 101 Pasadena LLC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1244160000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1244160000000",
    "number": "1417183336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "960 E GREEN ST",
            "address_2": "SUITE 101",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911062401",
            "telephone_number": "626-793-5134",
            "fax_number": "626-793-2912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "960 E GREEN ST",
            "address_2": "SUITE 101",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911062401",
            "telephone_number": "626-793-5134",
            "fax_number": "626-793-2912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MADISON 101 PASADENA, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MADISON 101 PASADENA, LLC",
        "enumeration_date": "2009-06-05",
        "last_updated": "2009-06-05",
        "status": "A",
        "authorized_official_last_name": "SCHWARTZ",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "626-793-5134",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "CA",
            "license": "10275",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INSTITUTE FOR MEDICAL QUALITY AMBULATORY PROGRAM",
            "identifier": "10275",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MADISON 101 PASADENA SURGERY CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jun 5, 2009; 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.