Active NPI
Reese Prescott Isaacson
- Internal Medicine Physician
- San Pedro, CA
National Provider Identifier
1154765998
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- A134430
- Practice address
- 593 W 6TH St
San Pedro, CA 90731-2521 - Phone
- (310) 547-0202
- NPI assigned
- Apr 23, 2013
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | A134430 | CA | Primary |
| Hospitalist Physician | 208M00000X | 56916 | CT |
Addresses
Primary practice location
593 W 6TH St
San Pedro, CA 90731-2521
Mailing address
593 W 6TH St
San Pedro, CA 90731-2521
Phone (310) 547-0202
Other practice location 1
64 Robbins St
Waterbury, CT 06708-2613
Phone (203) 573-6232
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| RI3232267556 | Other | USC |
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)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1366675200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782950400000",
"number": "1154765998",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "593 W 6TH ST",
"city": "SAN PEDRO",
"state": "CA",
"postal_code": "907312521",
"telephone_number": "310-547-0202"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "593 W 6TH ST",
"city": "SAN PEDRO",
"state": "CA",
"postal_code": "907312521",
"telephone_number": "310-547-0202"
}
],
"practiceLocations": [
{
"address_1": "64 Robbins St",
"address_purpose": "LOCATION",
"city": "Waterbury",
"state": "CT",
"postal_code": "067082613",
"country_code": "US",
"telephone_number": "203-573-6232",
"fax_number": "203-573-6030",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ISAACSON",
"first_name": "REESE",
"middle_name": "PRESCOTT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-04-23",
"last_updated": "2026-07-02",
"certification_date": "2026-07-02",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "A134430",
"primary": true
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "CT",
"license": "56916",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "USC",
"identifier": "RI3232267556",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in San Pedro, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.