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FOOTHILL PULMONARY & CRITICAL CARE CONSULTANTS MEDICAL GROUP INC. NPI 1205862489


NPI Information

NPI: 1205862489
Provider Name: FOOTHILL PULMONARY & CRITICAL CARE CONSULTANTS MEDICAL GROUP INC.
Classification: Internal Medicine - 207RS0012X
Entity Type: Organization

Specialization: Sleep Medicine

CLIA Number: 05D1014884

Address:
959 E WALNUT ST
SUITE 120
PASADENA, CA
ZIP 91106
Phone: (626) 795-5118
Get Directions

FOOTHILL PULMONARY & CRITICAL CARE CONSULTANTS MEDICAL GROUP INC. is a sleep medicine internal medicine in Pasadena, CA. The provider is an Internist who practices Sleep Medicine is certified in the subspecialty of sleep medicine and specializes in the clinical assessment, physiologic testing, diagnosis, management and prevention of sleep and circadian rhythm disorders. Sleep specialists treat patients of any age and use multidisciplinary approaches. Disorders managed by sleep specialists include, but are not limited to, sleep related breathing disorders, insomnia, hypersomnias, circadian rhythm sleep disorders, parasomnias and sleep related movement disorders. FOOTHILL PULMONARY & CRITICAL CARE CONSULTANTS MEDICAL GROUP INC. NPI is 1205862489. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

959 E WALNUT ST
SUITE 120
PASADENA, CA
ZIP 91106-451
Phone: (626) 795-5118
Fax: (626) 795-2716

The provider's authorized official is Tania A Kure .
The authorized official title is Administrator and has the following contact phone number (626) 795-5118.

The CLIA number assigned to this NPI record is 05D1014884 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/23/2006 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RS0012XInternal MedicineSleep MedicineYes
2207RC0200XInternal MedicineCritical Care MedicineX
3207R00000XInternal MedicineX
4207RP1001XInternal MedicinePulmonary DiseaseX

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1ZZZ72449ZMEDICAIDCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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