Organization Active NPI

Pasadena Dental Associates

  • General Practice Dentistry
  • Pasadena, CA
National Provider Identifier
1891817888
Registry record updated Jun 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
39347 Issued in CA
Legal business name
PASADENA DENTAL ASSOCIATES
Practice address
1302 N Altadena Dr
Pasadena, CA 91107-1430
Phone
(626) 797-6778
Fax
(626) 797-1885
NPI assigned
Apr 3, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2008

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

Authorized official

Name
Dr. James W Tsai, D.D.S.NPI 1972624997
Title
Owner
Phone
(626) 797-6778

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
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 39347 CA Primary

Addresses

Primary practice location

1302 N Altadena Dr
Pasadena, CA 91107-1430

Mailing address

1302 N Altadena Dr
Pasadena, CA 91107-1430
Phone (626) 797-6778

Other identifiers 1

IdentifierTypeStateIssuer
G90836-01MedicaidCA

National Provider Directory

National Provider Directory

Locations

1302 N Altadena Dr
Pasadena, CA 91107
Phone (626) 797-6778

Practitioners & affiliated clinicians

Practitioners 3

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": "1175558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213747200000",
    "number": "1891817888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1302 N ALTADENA DR",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911071430",
            "telephone_number": "626-797-6778",
            "fax_number": "626-797-1885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1302 N ALTADENA DR",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911071430",
            "telephone_number": "626-797-6778",
            "fax_number": "626-797-1885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PASADENA DENTAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-03",
        "last_updated": "2008-06-18",
        "status": "A",
        "authorized_official_last_name": "TSAI",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "626-797-6778",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "39347",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "G90836-01",
            "state": "CA"
        }
    ],
    "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 Jun 18, 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.