MEDICARE: CARL ANTHONY BURROUGHS RADTI

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YA0400X	Addiction (Substance Use Disorder) Counselor	R1553480324	CA

General Provider Information

NPI Number	:	1205688934
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CARL ANTHONY BURROUGHS RADTI

Provider Business Mailing Address
First Line	:	750 E ORANGE GROVE BLVD
Second Line	:
City	:	PASADENA
State	:	CA
Zip	:	91104-4453
Country	:	US
Telephone Number	:	626-398-3897
Fax Number	:	626-345-5440

Provider Business Practice Location Address
First Line	:	750 E ORANGE GROVE BLVD
Second Line	:
City	:	PASADENA
State	:	CA
Zip	:	91104-4453
Country	:	US
Telephone Number	:	626-398-3897
Fax Number	:	626-345-5440

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/04/2024
Last Update Date	:	04/04/2024

Similar Medicare Providers

1932033297 — DR. AKIRA FUNAHASHI OTR/L, OTD
Practice Location Address:

746 E ORANGE GROVE BLVD
PASADENA, CA
91104-4453

Practice Phone: 626-862-7757
Practice Fax:

1619802097 — JESSICA MCCLAIN
Practice Location Address:

1450 N LAKE AVE STE 150
PASADENA, CA
91104-2388

Practice Phone: 626-794-1161
Practice Fax:

1528990496 — TOMA PUIG
Practice Location Address:

746 N GARFIELD AVE APT 4
PASADENA, CA
91104-4263

Practice Phone: 951-269-1903
Practice Fax: 951-269-1903

1689507410 — SANDRA MARIA LONSDALE-CAMPO MS OTR/L
Practice Location Address:

515 E ASHTABULA ST
PASADENA, CA
91104-4399

Practice Phone: 626-396-5780
Practice Fax:

1780127118 — IRINA FRANGULYAN LAC
Practice Location Address:

1028 N LAKE AVE STE 205
PASADENA, CA
91104-4570

Practice Phone: 626-486-6037
Practice Fax:

1366449514 — DR. TIMOTHY N. CHRISNEY PHARMD
Practice Location Address:

2523 E WASHINGTON BLVD
PASADENA, CA
91104-2044

Practice Phone: 626-791-7600
Practice Fax: 626-791-9165

Directions to “ CARL ANTHONY BURROUGHS RADTI” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.