Individual provider Active NPI

Chris Pinkston, CPT-1, EMT-B

  • Phlebology Physician
  • Garden Grove, CA
National Provider Identifier
1073275863
Registry record updated Oct 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Phlebology PhysicianTaxonomy code 202K00000X
License
CPT-02132043 Issued in CA
Practice address
9721 Imperial Ave
Garden Grove, CA 92844-2413
Phone
(818) 823-7701
NPI assigned
Oct 8, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 8, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Basic Emergency Medical Technician 146N00000X E140235 CA
Phlebology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 202K00000X CPT-02132043 CA Primary

Addresses

Primary practice location

9721 Imperial Ave
Garden Grove, CA 92844-2413

Mailing address

9721 Imperial Ave
Garden Grove, CA 92844-2413
Phone (818) 823-7701

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
E140235CAMDBasic Emergency Medical Technician
CPT-02132043CAMDPhlebology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Paramed-X LLC Multi-Specialty CurrentSince Oct 9, 2022 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1633651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633651200000",
    "number": "1073275863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9721 IMPERIAL AVE",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928442413",
            "telephone_number": "818-823-7701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9721 IMPERIAL AVE",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928442413",
            "telephone_number": "818-823-7701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PINKSTON",
        "first_name": "CHRIS",
        "credential": "CPT-1, EMT-B",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-10-08",
        "last_updated": "2021-10-08",
        "certification_date": "2021-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "146N00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medical Technician, Basic",
            "state": "CA",
            "license": "E140235",
            "primary": false
        },
        {
            "code": "202K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Phlebology",
            "state": "CA",
            "license": "CPT-02132043",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garden Grove, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.