Provider Demographics
NPI:1982750287
Name:PASI, ASHEESH (MD)
Entity Type:Individual
Prefix:DR
First Name:ASHEESH
Middle Name:
Last Name:PASI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:625 FAIR OAKS AVE STE 270
Mailing Address - Street 2:
Mailing Address - City:SOUTH PASADENA
Mailing Address - State:CA
Mailing Address - Zip Code:91030-5801
Mailing Address - Country:US
Mailing Address - Phone:626-346-2455
Mailing Address - Fax:626-639-3005
Practice Address - Street 1:887 E 2ND ST
Practice Address - Street 2:
Practice Address - City:POMONA
Practice Address - State:CA
Practice Address - Zip Code:91766-2009
Practice Address - Country:US
Practice Address - Phone:909-467-0797
Practice Address - Fax:877-778-6944
Is Sole Proprietor?:No
Enumeration Date:2007-01-27
Last Update Date:2018-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA93810207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAP01272657/DU4032OtherRAILROAD MEDICARE
CAP01365658OtherRAILROAD MEDICARE-DU4034
CAAPPROVEDOtherMEDI-CAL
CAFK001YMedicare PIN
CAAPPROVEDOtherMEDI-CAL
CAFK001ZMedicare PIN