John M Edison, M.D.

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

License

C27589 Issued in CA

Practice address

3003 Loma Vista Rd
Ste. a
Ventura, CA 93003-2935

Phone

(805) 648-3081

Fax

(805) 648-2659

NPI assigned

Sep 29, 2005

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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

• Brian D. Brantner, M.D. a Professional Corporation

  • Medical Specialty Clinic/Center
  • Ventura, CA
  • NPI 1780861443
  NPD (past)
• Ventura Ear Nose & Throat Med Group Inc

  • Otolaryngology Physician
  • Ventura, CA
  • NPI 1336141175
  NPD (past)

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

{
    "created_epoch": "1127952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1134116643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3003 LOMA VISTA RD",
            "address_2": "STE. A",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930032935",
            "telephone_number": "805-648-3081",
            "fax_number": "805-648-2659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3003 LOMA VISTA RD",
            "address_2": "STE. A",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930032935",
            "telephone_number": "805-648-3081",
            "fax_number": "805-648-2659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDISON",
        "first_name": "JOHN",
        "middle_name": "M",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "CA",
            "license": "C27589",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00C275890",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ALL OTHER INSURANCES",
            "identifier": "C27589",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD OF CALIFORNIA",
            "identifier": "00C275890",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Paul L. Eddy, P.T.
• Anyssa Eden
• Michael Eden, D.O
• Savannah Eden, LMFT
• Kaile Edenhofer
• David Scott Edwards, P.T.
• Katherine Claire Edwards, M.D.
• Marie Edwards
• Stephen Blaine Edwards, PT
• Klara Efner, DDS

• Otolaryngology Physician in Ventura, CA
• Providers in Ventura, CA by specialty
• Otolaryngology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.