Organization Active NPI

California Ear Institute, Inc.

  • Specialist
  • East Palo Alto, CA
National Provider Identifier
1073611406
Registry record updated Aug 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
A53869 Issued in CA
Legal business name
CALIFORNIA EAR INSTITUTE, INC.
Practice address
1900 University Ave
Suite 101
East Palo Alto, CA 94303-2213
Phone
(650) 494-1000
Fax
(650) 322-8228
NPI assigned
Sep 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2011

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

Authorized official

Name
Joseph Baxter Roberson Jr., MD
Title
Ceo
Phone
(650) 462-3149

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X C24575 CA
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X A53869 CA Primary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X G65997 CA

Addresses

Primary practice location

1900 University Ave
Suite 101
East Palo Alto, CA 94303-2213

Mailing address

1900 University Ave
Suite 101
East Palo Alto, CA 94303-2213
Phone (650) 494-1000

Other names 1

  • California Ear Institute, Inc. Doing business as

National Provider Directory

National Provider Directory
Tax ID family
California Ear Institute Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1900 University Ave
Ste 101
East Palo Alto, CA 94303
Phone (650) 494-1000

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1313366400000",
    "number": "1073611406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 UNIVERSITY AVE",
            "address_2": "SUITE 101",
            "city": "EAST PALO ALTO",
            "state": "CA",
            "postal_code": "943032213",
            "telephone_number": "650-494-1000",
            "fax_number": "650-322-8228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 UNIVERSITY AVE",
            "address_2": "SUITE 101",
            "city": "EAST PALO ALTO",
            "state": "CA",
            "postal_code": "943032213",
            "telephone_number": "650-494-1000",
            "fax_number": "650-322-8228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALIFORNIA EAR INSTITUTE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2011-08-15",
        "status": "A",
        "authorized_official_last_name": "ROBERSON",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "BAXTER",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "650-462-3149",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "C24575",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "A53869",
            "primary": true
        },
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "G65997",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "California Ear Institute, Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in East Palo Alto, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2011; 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.