| Dr Todd B Dietrick, MD | |
|
800 S Raymond Ave, Pasadena, CA 91105-3229 | |
| (626) 795-8051 | |
| (626) 795-0356 |
| Full Name | Dr Todd B Dietrick |
|---|---|
| Gender | Male |
| Speciality | Orthopedic Surgery |
| Experience | 28 Years |
| Location | 800 S Raymond Ave, Pasadena, California |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619963444 | NPI | - | NPPES |
| P00205814 | Other | CA | RAIL ROAD MEDICARE |
| A70565 | Other | CA | MEDICARE INDIVIDULA ID # |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207X00000X | Orthopaedic Surgery | A70565 (California) | Secondary |
| 207XS0114X | Orthopaedic Surgery - Adult Reconstructive Orthopaedic Surgery | A70565 (California) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Pegasus Home Health Care, Inc | Glendale, CA | Home health agency |
| Huntington Memorial Hospital | Pasadena, CA | Hospital |
| Glendale Adventist Medical Center | Glendale, CA | Hospital |
| Usc Verdugo Hills Hospital | Glendale, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Cedars-sinai Medical Care Foundation | 0941106645 | 1451 |
| Entity Name | Cedars-sinai Medical Care Foundation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1316984388 PECOS PAC ID: 0941106645 Enrollment ID: O20040202000464 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Todd B Dietrick, MD Po Box 90730, Pasadena, CA 91109-0730 Ph: (626) 795-8051 | Dr Todd B Dietrick, MD 800 S Raymond Ave, Pasadena, CA 91105-3229 Ph: (626) 795-8051 |
James Andrew O'dowd, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 800 S Raymond Ave, Pasadena, CA 91105 Phone: 626-795-8051 | |
Michael J Fraipont, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 800 S Raymond Ave, Pasadena, CA 91105 Phone: 626-795-8051 Fax: 626-795-0356 | |
John M. Itamura, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 301 N Lake Ave Ste 201, Pasadena, CA 91101 Phone: 626-568-9030 | |
Dr. Selina Poon, MD Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 909 S Fair Oaks Ave, Pasadena, CA 91105 Phone: 626-389-9300 Fax: 626-389-9336 | |
John Ekstrom Lusche, M.D. Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 100 W California Blvd, Pasadena, CA 91105 Phone: 626-397-5000 Fax: 626-397-2912 | |
Timothy J Jackson, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 800 S Raymond Ave, Pasadena, CA 91105 Phone: 626-795-8051 Fax: 626-795-0356 | |
Joseph Durso, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 800 S Raymond Ave, Pasadena, CA 91105 Phone: 310-665-7200 |