Madison 101 Pasadena LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

G50895 Issued in CA

Legal business name

MADISON 101 PASADENA LLC

Practice address

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

Phone

(626) 793-5134

NPI assigned

May 29, 2008

Organization subpart

No

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

Authorized official

Name

Michael Stephen Schwartz, M.D.

Title

Owner

Phone

(626) 793-5134

Specialties & licenses 1

Addresses

Other names 1

• Madison 101 Pasadena Surgery Center Doing business as

Tax ID family

Madison 101 Pasadena LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Madison 101 Pasadena, LLC

  • Ambulatory Surgical Clinic/Center
  • Pasadena, CA
  • NPI 1417183336
  NPD tax ID

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Madison 101 Pasadena, LLC

  • Ambulatory Surgical Clinic/Center
  • Pasadena, CA
  • NPI 1417183336
  NPPES parent name

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

{
    "created_epoch": "1212019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212019200000",
    "number": "1760640338",
    "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"
        },
        {
            "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"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MADISON 101 PASADENA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-29",
        "last_updated": "2008-05-29",
        "status": "A",
        "authorized_official_last_name": "SCHWARTZ",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "STEPHEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "626-793-5134",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "CA",
            "license": "G50895",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Madison 101 Pasadena Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Caroline Madden, MFT
• Alexandra Maddox, MA, LMFT
• James Maddox
• Alexander J Madera
• Sara A. Madigan Schwab, P.T.
• Madison 101 Pasadena, LLC
• Madison House
• Madison Radiology Medical Group, Inc.
• Madley & Mink Psychotherapy Corporation
• Lincoln Madley, LMFT

• Ambulatory Surgical Clinic/Center in Pasadena, CA
• Providers in Pasadena, CA by specialty
• Ambulatory Surgical Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2008; 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.