Eaton Canyon Pediatric Group

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

C28806 Issued in CA

Legal business name

EATON CANYON PEDIATRIC GROUP

Practice address

2750 E Washington Blvd
Suite Number 360
Pasadena, CA 91107-1448

Phone

(626) 794-8098

Fax

(626) 794-6723

NPI assigned

Mar 6, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Lionel P NG, M. D.NPI 1336244094

Title

President

Phone

(626) 794-8098

Specialties & licenses 1

Addresses

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPDPlans: Blue Shield 65 Plus (HMO) (H0504-015-000, H0504); Blue Shield 65 Plus (HMO) (H0504-039-000, H0504); Blue Shield 65 Plus Plan 2 (HMO) (H0504-021-000, H0504); Blue Shield Inspire (HMO) (H0504-041-000, H0504); Blue Shield 65 Plus (HMO) (H0504-038-000, H0504); Blue Shield Inspire (HMO) (H0504-047-000, H0504); Blue Shield 65 Plus (HMO) (H0504-026-000, H0504); Blue Shield Advantage (HMO) (H0504-050-000, H0504); Blue Shield AdvantageOptimum Plan (HMO) (H5928-004-000, H5928); Blue Shield Inspire (HMO) (H0504-043-000, H0504)…

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.

• Lionel P NG, MD

  • Pediatrics Physician
  • Pasadena, CA
  • NPI 1336244094
  NPD (past) Authorized official
• Pamela Marshall, MD

  • Pediatrics Physician
  • Pasadena, CA
  • NPI 1619067410
  NPD (past)

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1669502225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2750 E WASHINGTON BLVD",
            "address_2": "SUITE NUMBER 360",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911071448",
            "telephone_number": "626-794-8098",
            "fax_number": "626-794-6723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2750 E WASHINGTON BLVD",
            "address_2": "SUITE NUMBER 360",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911071448",
            "telephone_number": "626-794-8098",
            "fax_number": "626-794-6723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EATON CANYON PEDIATRIC GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NG",
        "authorized_official_first_name": "LIONEL",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "626-794-8098",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M. D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "C28806",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kayley Earwood
• Elizabeth Theresa East
• Robyn Angela East, MS
• John L Easthope Jr., MD
• Eastwest Homecare Los Angeles Inc (Interim Healthcare la)
• Eaton Canyon Recovery Services, Inc.
• Elaine M. Eaton, PHD
• Lauren Elizabeth Eaton, M.S.
• Gwendolyn Meier Eberhard, SLP
• Katherine Eberle, LMFT

• Pediatrics Physician in Pasadena, CA
• Providers in Pasadena, CA by specialty
• Pediatrics Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.