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SOUTH LAKE MEDICAL CENTER INC.
NPI 1619193653
Chiropractor - Sports Physician in Pasadena, CA

Active since April 18, 2007
213 S. EUCLID AVE., PASADENA, CA 91101(626) 449-8314 Get Directions Write a Review

NPPES record last updated: March 31, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About South Lake Medical Center Inc. NPPES

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

SOUTH LAKE MEDICAL CENTER INC. (NPI 1619193653) is a healthcare organization registered as a sports physician in Pasadena, California and active in the NPI registry since April 2007. The organization lists Everett Wayne Collins, Owner/president, as its authorized official.

NPPES Registry Identity

NPI1619193653
Entity TypeOrganization
Primary Taxonomy111NS0005X
Legal Business NameSOUTH LAKE MEDICAL CENTER INC.
Location Address213 S. EUCLID AVE.Pasadena, CA 91101-2717
Mailing Address213 S. Euclid Ave.Pasadena, CA 91101-2717 · (626) 449-8314
Phone(626) 449-8314
Organization SubpartNo
Authorized OfficialEverett Wayne CollinsOwner/president · (626) 449-6915
Enumeration DateApril 18, 2007
Last NPPES UpdateMarch 31, 2017
✔ NPI 1619193653 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractor · Sports PhysicianChiropractic Providers
Taxonomy Code111NS0005X
Definition
A sports chiropractor is uniquely trained to provide care and treatment of injuries or illness resulting from sports and physical fitness activities. Doctors of Chiropractic with the Diplomate American Chiropractic Board of Sports Physicians (DACBSP) or the Certified Chiropractic Sports Physician (CCSP), sport specialty certifications from the American Chiropractic Board of Sports Physicians, have advanced training in the assessment, management and rehabilitation of sports related injuries. Extremity care, rehabilitation and soft tissue procedures are common skills utilized by these doctors. The specialty training covers a broad spectrum from the pediatric athlete to professional and Olympic athletes, and everything in between, using a variety of techniques and modalities.
213 S. EUCLID AVE., Pasadena, CA 91101
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Other Identifiers 1

Medicare NSC7583180001

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

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 South Lake Medical Center Inc.'s NPI number?

The NPI number for South Lake Medical Center Inc. is 1619193653. It was assigned to this organization in the NPPES registry on April 18, 2007.

Where is South Lake Medical Center Inc. located?

South Lake Medical Center Inc. is located at 213 S. Euclid Ave., Pasadena, CA 91101. The listed phone number is (626) 449-8314.

What is South Lake Medical Center Inc.'s specialty?

The primary specialty registered for this NPI is Chiropractor, specializing in Sports Physician, with taxonomy code 111NS0005X.

When was this NPI record last updated?

The NPPES record for South Lake Medical Center Inc. was last updated on March 31, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.