| Foothill Pulmonary & Critical Care Consultants Medical Group Inc. | |
|
959 E Walnut St Suite 120 Pasadena CA 91106-1451 | |
| (626) 795-5118 | |
| (626) 795-2716 |
| Full Name | Foothill Pulmonary & Critical Care Consultants Medical Group Inc. |
|---|---|
| Speciality | Internal Medicine |
| Location | 959 E Walnut St, Pasadena, California |
| Authorized Official Name and Position | Tania A Kure (ADMINISTRATOR) |
| Authorized Official Contact | 6267955118 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Foothill Pulmonary & Critical Care Consultants Medical Group Inc. 959 E Walnut St Suite 120 Pasadena CA 91106-1451 Ph: (626) 795-5118 | Foothill Pulmonary & Critical Care Consultants Medical Group Inc. 959 E Walnut St Suite 120 Pasadena CA 91106-1451 Ph: (626) 795-5118 |
| NPI Number | 1205862489 |
|---|---|
| Provider Enumeration Date | 06/23/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 9234172891 |
|---|---|
| Medicare Enrollment ID | O20050603001043 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205862489 | NPI | - | NPPES |
| ZZZ72449Z | Medicaid | CA |
| Provider Name | Donald M Kroe |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1811963762 PECOS PAC ID: 7618879149 Enrollment ID: I20040123000870 |
| Provider Name | Manmohan S Biring |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1770650335 PECOS PAC ID: 2466347042 Enrollment ID: I20040220001149 |
| Provider Name | Chitra Ramakrishnan |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1134194186 PECOS PAC ID: 2365417417 Enrollment ID: I20040831001611 |
| Provider Name | Elton Sadao Katagihara |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1275509135 PECOS PAC ID: 7719949676 Enrollment ID: I20041102000907 |
| Provider Name | Gary K Kong |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740388891 PECOS PAC ID: 4688630171 Enrollment ID: I20041207000237 |
| Provider Name | Charles Allen Anderson |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1225004120 PECOS PAC ID: 8527009083 Enrollment ID: I20050603001039 |
| Provider Name | Stanley S Tu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215011879 PECOS PAC ID: 6507867579 Enrollment ID: I20070118000492 |
| Provider Name | Earl S Young |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1639151830 PECOS PAC ID: 1759393812 Enrollment ID: I20070206000173 |
| Provider Name | John Vandyke |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1225005192 PECOS PAC ID: 6406814334 Enrollment ID: I20070214000416 |
| Provider Name | Peter M Browne |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1730156670 PECOS PAC ID: 5698877827 Enrollment ID: I20070219000610 |
| Provider Name | Linda Y Shen |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1700852696 PECOS PAC ID: 1951403195 Enrollment ID: I20070219000639 |
| Provider Name | Luis Dimen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609843564 PECOS PAC ID: 0244332492 Enrollment ID: I20070219000824 |
| Provider Name | Farhad Mazdisnian |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1750469201 PECOS PAC ID: 5496846313 Enrollment ID: I20080108000222 |
| Provider Name | Thomas W Waddington |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1891744470 PECOS PAC ID: 7113920422 Enrollment ID: I20080730000356 |
| Provider Name | Pratap Saraf |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1356317242 PECOS PAC ID: 2860538618 Enrollment ID: I20091022000269 |
| Provider Name | Carlos Garcia Makabali |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1104893072 PECOS PAC ID: 5991840381 Enrollment ID: I20100311000508 |
| Provider Name | Leo M Shum |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1609061191 PECOS PAC ID: 2668540642 Enrollment ID: I20120712000776 |
| Provider Name | Rajiv T Philip |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1063601045 PECOS PAC ID: 4082859830 Enrollment ID: I20130326000499 |
| Provider Name | Benjamin Tabibian |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1609192426 PECOS PAC ID: 8325287485 Enrollment ID: I20130620000574 |
| Provider Name | Bahman Saatian |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508050865 PECOS PAC ID: 8224103973 Enrollment ID: I20131206000388 |
| Provider Name | Vimal J Ponnezhan |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1366653354 PECOS PAC ID: 0941348254 Enrollment ID: I20140806002731 |
| Provider Name | Leejoe K Pallickal |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1346402054 PECOS PAC ID: 2365598810 Enrollment ID: I20141114001444 |
| Provider Name | Hugh Cole Davis |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1174850622 PECOS PAC ID: 1557675725 Enrollment ID: I20150731015454 |
| Provider Name | Jihane Zaza Dit Yafawi |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1689980096 PECOS PAC ID: 6608093752 Enrollment ID: I20151006000851 |
| Provider Name | Neema Oroomchi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447694872 PECOS PAC ID: 4981900099 Enrollment ID: I20160315001804 |
| Provider Name | Pang-chieh J Eu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962586875 PECOS PAC ID: 8729116512 Enrollment ID: I20160427000977 |
| Provider Name | Parisa Azizad-pinto |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1538486352 PECOS PAC ID: 5193048585 Enrollment ID: I20160512001585 |
| Provider Name | Jaffna Sheen Dayag |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669820254 PECOS PAC ID: 4385923622 Enrollment ID: I20161109001948 |
| Provider Name | Marcus Ottochian |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1952614307 PECOS PAC ID: 5193002574 Enrollment ID: I20170512001128 |
| Provider Name | Julian Jung Hee Choi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730506395 PECOS PAC ID: 3476822925 Enrollment ID: I20170627001781 |
| Provider Name | Deon We-jin Lau |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1295178002 PECOS PAC ID: 8729382296 Enrollment ID: I20180613002074 |
| Provider Name | Ying Zhang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982174504 PECOS PAC ID: 8325470578 Enrollment ID: I20191108002989 |
| Provider Name | Robert Wayne Baker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689225427 PECOS PAC ID: 9931534906 Enrollment ID: I20200121002493 |
| Provider Name | Albert J Shin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558909705 PECOS PAC ID: 1153757273 Enrollment ID: I20200210001922 |
| Provider Name | Subaila Zia |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1649479866 PECOS PAC ID: 3173795531 Enrollment ID: I20210928000599 |
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