Active NPI
California Ear Institute, Inc.
- Specialist
- East Palo Alto, CA
National Provider Identifier
1073611406
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- A53869
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | C24575 | CA | |
| Specialist | 174400000X | A53869 | CA | Primary |
| Specialist | 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.
National Provider Directory
National Provider Directory- Tax ID family
- California Ear Institute Inc
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Specialist
- Santa Rosa, CA
- NPI 1578657730
-
- Ambulatory Surgical Clinic/Center
- E Palo Alto, CA
- NPI 1326285073
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.