Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Nicholas Namwon Back, MD

Individual provider Anesthesiology Physician · NPI 1548467962

Dr. Nicholas Namwon Back, MD is an Anesthesiology in Pasadena, California. Qualified in 2007, 19 years ago. Practices with Buena Vista Anesthesia Medical Group, a 54-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
19
Licensed in
CA
In the registry since
2007
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

225 S Lake Ave Ste 535
Pasadena, CA 91101-3005
Phone: (626) 639-6214
Fax: (626) 240-4990
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X · Licence A105946 (CA)

Record details

NPI number1548467962
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 29, 2007
Last updated in NPPESJanuary 7, 2016
Mailing address225 S Lake Ave, Suite 535, Pasadena, CA 91101-3005

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyANESTHESIOLOGY
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Group practice Buena Vista Anesthesia Medical Group — 54 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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