CEDAR NORTHWEST DIAGNOSTIC MEDICAL GROUP
NPI 1225047723
Specialist in Pasadena, CA

Active since August 05, 2006
1403 N FAIR OAKS AVE, STE 2, PASADENA, CA 91103(626) 791-0953 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Cedar Northwest Diagnostic Medical Group NPPES

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

CEDAR NORTHWEST DIAGNOSTIC MEDICAL GROUP (NPI 1225047723) is a healthcare organization registered as a specialist in Pasadena, California and active in the NPI registry since August 2006. The organization lists Jason Boutros, President, as its authorized official.

NPPES Registry Identity

NPI1225047723
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameCEDARS NORTHWEST MEDICAL GROUP, INC.
Location Address1403 N FAIR OAKS AVE, STE 2Pasadena, CA 91103-1858
Mailing Address1403 N Fair Oaks Ave, Ste 2Pasadena, CA 91103-1858 · (626) 791-0953
Organization SubpartNo
Authorized OfficialJason BoutrosPresident · (626) 791-0953
Enumeration DateAugust 5, 2006
Last NPPES UpdateAugust 22, 2020
NPI 1225047723 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

1403 N FAIR OAKS AVE, Pasadena, CA 91103

Other Names 1

Doing Business AsCedar Northwest Diagnostic Medical Group

Other Identifiers 1

OtherC2775917CA · Corporation Number

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE 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.

General Practice
1403 N FAIR OAKS AVE, SUITE 2
PASADENA, CA 91103
Family Medicine
1403 N FAIR OAKS AVE, SUITE 3
PASADENA, CA 91103
Family Medicine
1403 N FAIR OAKS AVE, SUITE 3
PASADENA, CA 91103
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
1403 N FAIR OAKS AVE
PASADENA, CA 91103

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1225047723, enumerated as an "organization" on August 05, 2006.

The provider is located at 1403 N FAIR OAKS AVE STE 2 PASADENA, CA 91103 and the phone number is (626) 791-0953.

Specialist with taxonomy code 174400000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.