Dr Nicholas Namwon Back, MD | |
225 S Lake Ave, Suite 535, Pasadena, CA 91101-3005 | |
(626) 639-6214 | |
(626) 240-4990 |
Full Name | Dr Nicholas Namwon Back |
---|---|
Gender | Male |
Speciality | Anesthesiology |
Experience | 17 Years |
Location | 225 S Lake Ave, Pasadena, California |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1548467962 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | A105946 (California) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Providence Saint Joseph Medical Ctr | Burbank, CA | Hospital |
Providence Holy Cross Medical Center | Mission hills, CA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Buena Vista Anesthesia Medical Group | 7113975996 | 48 |
Entity Name | Buena Vista Anesthesia Medical Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1366462293 PECOS PAC ID: 7113975996 Enrollment ID: O20050107000780 |
Mailing Address | Practice Location Address |
---|---|
Dr Nicholas Namwon Back, MD 225 S Lake Ave, Suite 535, Pasadena, CA 91101-3005 Ph: (626) 639-6214 | Dr Nicholas Namwon Back, MD 225 S Lake Ave, Suite 535, Pasadena, CA 91101-3005 Ph: (626) 639-6214 |
Austin Wu, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 100 W California Blvd, Pasadena, CA 91105 Phone: 310-267-8654 | |
Frederic Ransom Bushnell Iii, M.D. Anesthesiology Medicare: Medicare Enrolled Practice Location: 909 South Fair Oaks Avenue, Pasadena, CA 91105 Phone: 626-389-9300 Fax: 626-389-9336 | |
Thomas John Carpenter Jr., M.D. Anesthesiology Medicare: Medicare Enrolled Practice Location: 100 W California Blvd, Pasadena, CA 91105 Phone: 626-397-5000 Fax: 626-397-2912 | |
Luke Hyaryul Chang, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 100 W California Blvd, Pasadena, CA 91105 Phone: 626-397-5000 Fax: 626-397-2912 | |
Hayk Minasyan, Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 2923 Bradley St Ste 120, Pasadena, CA 91107 Phone: 626-639-6214 | |
Kevin K Li, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 2555 E Colorado Blvd Ste 306, Pasadena, CA 91107 Phone: 626-538-8950 Fax: 626-566-7620 | |
Ernest Keith Polk, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 100 W California Blvd, Pasadena, CA 91105 Phone: 626-397-5000 Fax: 626-397-2912 |