Richard Martin Pearcey

Primary specialty

DriverTaxonomy code 172A00000X

License

N8178999 Issued in CA

Practice address

2480 Maciel LN
Crescent City, CA 95531-8633

Phone

(707) 218-7961

Fax

(707) 464-6316

NPI assigned

Oct 30, 2018

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1540857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540857600000",
    "number": "1104393990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2480 MACIEL LN",
            "city": "CRESCENT CITY",
            "state": "CA",
            "postal_code": "955318633",
            "telephone_number": "707-218-7961",
            "fax_number": "707-464-6316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2480 MACIEL LN",
            "city": "CRESCENT CITY",
            "state": "CA",
            "postal_code": "955318633",
            "telephone_number": "707-218-7961",
            "fax_number": "707-464-6316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEARCEY",
        "first_name": "RICHARD",
        "middle_name": "MARTIN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-10-30",
        "last_updated": "2018-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172A00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Driver",
            "state": "CA",
            "license": "N8178999",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janet Parker
• Cecilia Marie Patton, D.C.
• Darren Travis Patton, AMFT
• Heather J Payne, RN
• Catherine Elizabeth Peacock
• Clint Troy Pearson, MD
• Kayla Jean Penner
• Sandy Gail Penner, RDH
• Luana Pennington, BSN, RN
• Celia Perez, ACSW

• Driver in Crescent City, CA
• Providers in Crescent City, CA by specialty
• Driver in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2018; 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.