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CROWN CITY MEDICAL GROUP, INC.
NPI 1073512836
Family Medicine in Pasadena, CA

Active since July 14, 2005
2661 E WASHINGTON BLVD, PASADENA, CA 91107(626) 798-4952(626) 296-1403 Get Directions Write a Review

NPPES record last updated: July 28, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Crown City Medical Group, Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CROWN CITY MEDICAL GROUP, INC. (NPI 1073512836) is a healthcare organization registered as a family medicine in Pasadena, California and active in the NPI registry since July 2005. The organization lists Kevin B. Tyson, Midical Director, as its authorized official.

NPPES Registry Identity

NPI1073512836
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameCROWN CITY MEDICAL GROUP, INC.
Location Address2661 E WASHINGTON BLVDPasadena, CA 91107-1412
Mailing Address2661 E Washington BlvdPasadena, CA 91107-1412 · (626) 798-8792 · Fax (626) 296-1403
Phone(626) 798-4952
Fax(626) 296-1403
Organization SubpartNo
Authorized OfficialKevin B. TysonMidical Director · (626) 798-8792
Enumeration DateJuly 14, 2005
Last NPPES UpdateJuly 28, 2014
✔ NPI 1073512836 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
2661 E WASHINGTON BLVD, Pasadena, CA 91107
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Other Identifiers 1

Medicare ID-Type UnspecifiedW12163CA

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KEVIN BERTRAND TYSON MD
Internal Medicine
2661 E WASHINGTON BLVD
PASADENA, CA 91107
Los Angeles County (626) 798-4952
DR. ELIZABETH ADAOBI AZINGE M.D.
Pediatrics
2661 E WASHINGTON BLVD
PASADENA, CA 91107
Los Angeles County (626) 798-4952
MARIA TERESA SANCHEZ
Family Medicine
2661 E WASHINGTON BLVD
PASADENA, CA 91107
Los Angeles County (626) 798-4952
MICHELLE ASANTEWA TYSON MD
Family Medicine
2661 E WASHINGTON BLVD
PASADENA, CA 91107
Los Angeles County (626) 798-4952

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Crown City Medical Group, Inc.'s NPI number?

The NPI number for Crown City Medical Group, Inc. is 1073512836. It was assigned to this organization in the NPPES registry on July 14, 2005.

Where is Crown City Medical Group, Inc. located?

Crown City Medical Group, Inc. is located at 2661 E Washington Blvd, Pasadena, CA 91107. The listed phone number is (626) 798-4952.

What is Crown City Medical Group, Inc.'s specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Crown City Medical Group, Inc. was last updated on July 28, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.