Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1710177845 Individual Practitioner Male Practitioner

Dr. Andre Panossian , MD

Plastic Surgery • Pasadena, CA

Professional Overview & Biography Verified Profile Summary

Dr. Andre Panossian, MD is a registered healthcare professional specializing in Plastic Surgery in Pasadena, CA. Practice services are available at 39 CONGRESS ST STE 402 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

39 Congress St Ste 402

Pasadena, CA 911053024

Telephone 8009583778
Fax 8009583778
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Plastic Surgery in Pasadena, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 27.6 Yrs
State Avg: 26.9 Yrs
Regional Practice Density
18 Specialists

Practicing in Pasadena, CA (941 Statewide)

Telehealth Adoption Rate
5.6% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Plastic Surgery Primary Specialty

NUCC Taxonomy Code: 208200000X

State License CA A76052

A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
1710177845 (CA)
Commercial Insurance / Payer ID Blue Shield #
00A760520 (CA)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Natalie Wong , PA-C

Physician Assistant

NPI 1265164016

Physician Assistant (Certified)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

10 Historical Events
📍
Updated Practice Location September 15, 2019

Registered at 39 CONGRESS ST STE 402, PASADENA, CA 911053024 (Tel: 8009583778)

📍
Updated Business Mailing Address September 15, 2019

Registered at 39 CONGRESS ST STE 402, PASADENA, CA 911053024 (Tel: 8009583778)

📍
Updated Practice Location March 02, 2019

Registered at 837 S FAIR OAKS AVE STE 100, PASADENA, CA 911052644 (Tel: 6268179828)

📍
Updated Business Mailing Address March 02, 2019

Registered at PO BOX 345, LA CANADA FLINTRIDGE, CA 910120345 (Tel: 6268179828)

NPI Profile Active October 09, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location October 09, 2015

Registered at 9033 WILSHIRE BLVD., SUITE 200, BEVERLY HILLS, CA 902111836 (Tel: 3102755086)

📍
Updated Business Mailing Address October 09, 2015

Registered at P.O. BOX 345, LA CANADA FLINTRIDGE, CA 910120345 (Tel: 3102755086)

👤
Provider Name / Credentials Updated October 09, 2015

Recorded as ANDRE PANOSSIAN, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 09, 2015

Plastic Surgery (License #A76052 in CA)

🟢
Initial NPI Registration & Enumeration July 25, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1710177845
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 25, 2007
Last Update: September 15, 2019
Sole Proprietor: Yes

Mailing Address

39 Congress St Ste 402

Pasadena, CA 911053024

Phone: 8009583778

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.