Organization Active NPI

Pasadena Pediatric Surgery, Inc.

  • Pediatric Surgery Physician
  • Pasadena, CA
National Provider Identifier
1598137291
Registry record updated Oct 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Surgery PhysicianTaxonomy code 2086S0120X
License
G76785 Issued in CA
Legal business name
PASADENA PEDIATRIC SURGERY, INC.
Practice address
625 S Fair Oaks Ave Ste 286
Pasadena, CA 91105-2613
Phone
(626) 243-7000
Fax
(310) 657-0096
NPI assigned
Oct 21, 2015
Last updated
Oct 21, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2015

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

Authorized official

Name
Dr. Steve CHI-Long Chen, MDNPI 1013991009
Title
Medical Director
Phone
(626) 243-7000

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Surgery Physician 2086S0120X G76785 CA Primary

Addresses

Primary practice location

625 S Fair Oaks Ave Ste 286
Pasadena, CA 91105-2613

Mailing address

625 S Fair Oaks Ave Ste 286
Pasadena, CA 91105-2613
Phone (626) 243-7000

National Provider Directory

National Provider Directory

Locations

625 S Fair Oaks Ave
Ste 286
Pasadena, CA 91105
Phone (626) 243-7000

Practitioners & affiliated clinicians

Practitioners 2

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": "1445385600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1445385600000",
    "number": "1598137291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 S FAIR OAKS AVE STE 286",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911052613",
            "telephone_number": "626-243-7000",
            "fax_number": "310-657-0096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 S FAIR OAKS AVE STE 286",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911052613",
            "telephone_number": "626-243-7000",
            "fax_number": "310-657-0096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PASADENA PEDIATRIC SURGERY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-21",
        "last_updated": "2015-10-21",
        "status": "A",
        "authorized_official_last_name": "CHEN",
        "authorized_official_first_name": "STEVE",
        "authorized_official_middle_name": "CHI-LONG",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "626-243-7000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2086S0120X",
            "taxonomy_group": "",
            "desc": "Surgery, Pediatric Surgery",
            "state": "CA",
            "license": "G76785",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Oct 21, 2015; 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.