Pasadena Primary Care Inc

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

A44253 Issued in CA

Legal business name

PASADENA PRIMARY CARE INC

Practice address

1403 N Fair Oaks Ave
Suite 2
Pasadena, CA 91103-1858

Phone

(626) 797-4477

Fax

(626) 797-4471

NPI assigned

Feb 10, 2007

Organization subpart

No

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

Authorized official

Name

Muhammad R Nasir, MDNPI 1427002526

Title

Director

Phone

(626) 797-4477

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Muhammad R Nasir, M.D.

  • Internal Medicine Physician
  • Pasadena, CA
  • NPI 1427002526
  Medicare reassignment NPD Authorized official
• Carlos Gustavo Rodriguez, M.D.

  • Family Medicine Physician
  • Pasadena, CA
  • NPI 1811046485

  General Practice

  NPD (past)

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

{
    "created_epoch": "1171065600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190592000000",
    "number": "1679614648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1403 N FAIR OAKS AVE",
            "address_2": "SUITE 2",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911031858",
            "telephone_number": "626-797-4477",
            "fax_number": "626-797-4471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1403 N FAIR OAKS AVE",
            "address_2": "SUITE 2",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911031858",
            "telephone_number": "626-797-4477",
            "fax_number": "626-797-4471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PASADENA PRIMARY CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-10",
        "last_updated": "2007-09-24",
        "status": "A",
        "authorized_official_last_name": "NASIR",
        "authorized_official_first_name": "MUHAMMAD",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "626-797-4477",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "CA",
            "license": "A44253",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A442532",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "00A442530",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pasadena Physical Therapy Associates
• Pasadena Physical Therapy, PC
• Pasadena Plastic Surgery Center Inc
• Pasadena Podiatry a Professional Corporation
• Pasadena Premier Dermatology Partners
• Pasadena Psychiatric Medical Group
• Pasadena Psychological Services, Inc.
• Pasadena Public Health Department.
• Pasadena Recovery Center
• Pasadena Senior Living Center LLC

• General Practice Physician in Pasadena, CA
• Providers in Pasadena, CA by specialty
• General Practice Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2007; 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.

Verify at the official NPI Registry.