Brent R Larson, M.D., Inc.

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

A63652 Issued in CA

Legal business name

BRENT R LARSON, M.D., INC.

Practice address

1393 Santa Rita Rd Ste F
Pleasanton, CA 94566-5667

Phone

(925) 462-2334

NPI assigned

Apr 9, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Brent Raymond Larson, M.D.

Title

President

Phone

(800) 883-7243

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1176076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1226880000000",
    "number": "1164545737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 N TUSTIN AVE",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927053807",
            "telephone_number": "714-347-1012",
            "fax_number": "714-647-1245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1393 SANTA RITA RD STE F",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945665667",
            "telephone_number": "925-462-2334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRENT R LARSON, M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-09",
        "last_updated": "2008-11-17",
        "status": "A",
        "authorized_official_last_name": "LARSON",
        "authorized_official_first_name": "BRENT",
        "authorized_official_middle_name": "RAYMOND",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "800-883-7243",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "A63652",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Braden Partners LP
• Robert Branco, NCBTMB
• William A Braun, CP
• Jesse Brennan-Cooke, M.A.
• Rebecca Nancy Brenner, P.T.
• Lisa M Breuner, DPM
• Natalie Brewton, M.A.
• Khalil Brice, RN
• Destany Mari Briggs, GED
• Christine Joy Peralta Briones, SLPA LICENSE

• Anesthesiology Physician in Pleasanton, CA
• Providers in Pleasanton, CA by specialty
• Anesthesiology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2008; 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.