Active NPI
Chris Pinkston, CPT-1, EMT-B
- Phlebology Physician
- Garden Grove, CA
National Provider Identifier
1073275863
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Phlebology Physician
- License
- CPT-02132043
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Basic Emergency Medical Technician | 146N00000X | E140235 | CA | |
| Phlebology Physician | 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
| License | State | Type | Specialty |
|---|---|---|---|
| E140235 | CA | MD | Basic Emergency Medical Technician |
| CPT-02132043 | CA | MD | Phlebology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Paramed-X LLC | Multi-Specialty | Current | 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.