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PASADENA OUTPATIENT
NPI 1174040208
Clinic/Center - Rehabilitation, Substance Use Disorder in Pasadena, CA

Active since August 29, 2017
1 W MOUNTAIN ST UNIT 10, PASADENA, CA 91103(800) 521-1766 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 21, 2022, Aug 31, 2017 (2 updates tracked since 2017).

About Pasadena Outpatient NPPES

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

PASADENA OUTPATIENT (NPI 1174040208) is a healthcare organization registered as a rehabilitation, substance use disorder in Pasadena, California and active in the NPI registry since August 2017. The organization lists Michael Bloom, Ceo, as its authorized official.

NPPES Registry Identity

NPI1174040208
Entity TypeOrganization
Primary Taxonomy261QR0405X
Legal Business NamePASADENA OUTPATIENT
Location Address1 W MOUNTAIN ST UNIT 10Pasadena, CA 91103-3070
Mailing Address1 W Mountain St Unit 10Pasadena, CA 91103-3070 · (800) 521-1766
Phone(800) 521-1766
Organization SubpartNo
Authorized OfficialMichael BloomCeo · (818) 207-2088
Enumeration DateAugust 29, 2017
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
✔ NPI 1174040208 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rehabilitation, Substance Use DisorderAmbulatory Health Care Facilities
Taxonomy Code261QR0405X
License✔ Licensed in CA · 11299
1 W MOUNTAIN ST UNIT 10, Pasadena, CA 91103
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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 Pasadena Outpatient's NPI number?

The NPI number for Pasadena Outpatient is 1174040208. It was assigned to this organization in the NPPES registry on August 29, 2017.

Where is Pasadena Outpatient located?

Pasadena Outpatient is located at 1 W Mountain St Unit 10, Pasadena, CA 91103. The listed phone number is (800) 521-1766.

What is Pasadena Outpatient's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rehabilitation, Substance Use Disorder, with taxonomy code 261QR0405X.

When was this NPI record last updated?

The NPPES record for Pasadena Outpatient was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.