NPIMap

Organization Active NPI

Pioneer Medical Diagnostics Corporation

  • Electroneurodiagnostic Specialist/Technologist
  • Pasadena, CA
National Provider Identifier
1871796888
Registry record updated Oct 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Electroneurodiagnostic Specialist/TechnologistTaxonomy code 246ZE0600X
License
704 Issued in MA
Legal business name
PIONEER MEDICAL DIAGNOSTICS CORPORATION
Practice address
833 S Los Robles Ave
Pasadena, CA 91106-3716
Phone
(310) 592-5067
NPI assigned
Jun 7, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2012

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

Authorized official

Name
Khashayar Pourmand, RNCS.TNPI 1457453516
Title
Ceo
Phone
(310) 592-5067

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
Electroneurodiagnostic Specialist/TechnologistGroup: 193400000X SINGLE SPECIALTY GROUP 246ZE0600X 704 MA Primary

Addresses

Primary practice location

833 S Los Robles Ave
Pasadena, CA 91106-3716

Mailing address

833 S Los Robles Ave
Pasadena, CA 91106-3716
Phone (310) 592-5067

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1181174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349913600000",
    "number": "1871796888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "833 S LOS ROBLES AVE",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911063716",
            "telephone_number": "310-592-5067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "833 S LOS ROBLES AVE",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911063716",
            "telephone_number": "310-592-5067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIONEER MEDICAL DIAGNOSTICS CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-07",
        "last_updated": "2012-10-11",
        "status": "A",
        "authorized_official_last_name": "POURMAND",
        "authorized_official_first_name": "KHASHAYAR",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "310-592-5067",
        "authorized_official_credential": "RNCS.T"
    },
    "taxonomies": [
        {
            "code": "246ZE0600X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist/Technologist, Other, Electroneurodiagnostic",
            "state": "MA",
            "license": "704",
            "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 11, 2012; 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.