Unknown Individual – Sports Medicine (Neuromusculoskeletal Medicine) Physician, NPI 1811099179
Sports Medicine (Neuromusculoskeletal Medicine) Physician
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NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
Congress Street, Pasadena, Los Angeles County, California, 91105, United States
SUITE 103
PASADENA, CA 911053045
Phone: (626) 795-0282
Fax: (626) 792-0682
Mailing address matches the actual address.
NPPES updates history
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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Medicare Utilization (FFS)
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Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 22224 | Incision or removal of lower spine bone segment and removal of disc | 16 | 16 | $0 |
| 22226 | Incision or removal of spine bone segment and removal of disc, each additional segment | 16 | 11 | $0 |
| 27447 | Replacement of knee joint, both sides of knee | 15 | 15 | $0 |
| 22558 | Fusion of lower spine bone through abdomen with partial removal of disc | 14 | 14 | $0 |
| 22612 | Fusion of spine in lower back | 12 | 12 | $0 |
Insurance plans in this area (ZIP 91105)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| Physical Therapist In Private Practice | CA | |
| Orthopedic Surgery | CA | |
| Plastic And Reconstructive Surgery, Hand Surgery | CA | |
| Occupational Therapist In Private Practice | CA | |
| Orthopedic Surgery | CA | |
| Orthopedic Surgery | CA | |
| Orthopedic Surgery | CA | |
| Physical Therapist In Private Practice | CA | |
| Physician Assistant | CA | |
| Physician Assistant | NY |
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