Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. TODD B DIETRICK, M.D.
Deactivated Sole ProprietorDR. TODD B DIETRICK, M.D. is a Sports Medicine (Orthopaedic) healthcare provider located in PASADENA, California. NPI 1619963444 is deactivated in the NPPES registry. Verify at CMS.
Sports Medicine (Orthopaedic) · PASADENA, CA
This NPI has been deactivated.
The record was deactivated on March 24, 2006.
Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated.
Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.
Registration Details
- NPI Number
- 1619963444
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 27, 2005 (0.48767123287671 yrs)
- Last Updated
- Jun 27, 2024
- Deactivated
- Mar 24, 2006
- Licenses
-
A70565 (CA)A70565 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
800 S RAYMOND AVEPASADENA, CA, 911053229Browse CA providers · Browse ZIP 91105
- Phone
- 6267958051
- Fax
- 6267950356
- Primary Specialty
-
Sports Medicine (Orthopaedic)
207XS0114X
- Additional Specialty
- Sports Medicine (Orthopaedic)
Other Sports Medicine (Orthopaedic) Providers in PASADENA, CA
| Name | Credential | NPI |
|---|---|---|
| JAMES ANDREW O'DOWD | M.D. | 1093126336 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.