Pasadena Pellet Therapy, Inc.

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

Legal business name

PASADENA PELLET THERAPY, INC.

Practice address

625 S Fair Oaks Ave
Suite 255
Pasadena, CA 91105-2613

Phone

(626) 304-2626

Fax

(626) 585-0695

NPI assigned

May 1, 2010

Last updated

Oct 31, 2010By 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. Bryan Jick, M.D.NPI 1720051436

Title

President

Phone

(626) 304-2626

Specialties & licenses 1

Addresses

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.

• Bryan S. Jick, MD

  • Obstetrics & Gynecology Physician
  • Pasadena, CA
  • NPI 1720051436
  Authorized official Same address or phone

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

{
    "created_epoch": "1272672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288483200000",
    "number": "1831416734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 S FAIR OAKS AVE",
            "address_2": "SUITE 255",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911052613",
            "telephone_number": "626-304-2626",
            "fax_number": "626-585-0695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 S FAIR OAKS AVE",
            "address_2": "SUITE 255",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911052613",
            "telephone_number": "626-304-2626",
            "fax_number": "626-585-0695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PASADENA PELLET THERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-01",
        "last_updated": "2010-10-31",
        "status": "A",
        "authorized_official_last_name": "JICK",
        "authorized_official_first_name": "BRYAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "626-304-2626",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pasadena Nyx LLC (NYX Sleep Disorders Center of Pasadena)
• Pasadena Orthopedics Inc
• Pasadena Outpatient
• Pasadena Palace Tcu LLC
• Pasadena Pediatric Surgery, Inc.
• Pasadena Physical Therapy Associates
• Pasadena Physical Therapy, PC
• Pasadena Plastic Surgery Center Inc
• Pasadena Podiatry a Professional Corporation
• Pasadena Premier Dermatology Partners

• Medical Specialty Clinic/Center in Pasadena, CA
• Providers in Pasadena, CA by specialty
• Medical Specialty Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2010; 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.