PASADENA PRIMARY CARE INC NPI 1679614648

NPI Information

  • NPI: 1679614648
  • Provider Name: PASADENA PRIMARY CARE INC
  • Classification: General Practice - 208D00000X
  • Entity Type: Organization
  • Address: 1403 N FAIR OAKS AVE
    SUITE 2
    PASADENA, CA
    ZIP 91103
  • Phone: (626) 797-4477

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NPI Details

PASADENA PRIMARY CARE INC is a general practice in Pasadena, CA. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee PASADENA PRIMARY CARE INC NPI is 1679614648. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1403 N FAIR OAKS AVE
SUITE 2
PASADENA, CA
ZIP 91103-858
Phone: (626) 797-4477
Fax: (626) 797-4471

The provider's authorized official is Muhammad R Nasir .
The authorized official title is Director and has the following contact phone number (626) 797-4477.

The enumeration date for this NPI number is 2/10/2007 and was last updated on 9/24/2007.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208D00000XGeneral PracticeA44253CALIFORNIAYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
100A442532MEDICAIDCALIFORNIA
2E42999MEDICARE UPINCALIFORNIA
3A44253MEDICARE ID-TYPE UNSPECIFIEDCALIFORNIAFAIR OAKS LOCATION
400A442530OTHERCALIFORNIABLUE CROSS BLUE SHIELD
5W20688MEDICARE PINCALIFORNIA

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: 11/21/2025

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