Active NPI
John E Legault, MD
- Pediatrics Physician
- Pasadena, CA
National Provider Identifier
1184697690
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- G58507
- Practice address
- 55 E California Blvd
Suite 200
Pasadena, CA 91105-3954 - Phone
- (626) 449-7350
- Fax
- (626) 449-1321
- NPI assigned
- Feb 7, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | G58507 | CA | Primary |
Addresses
Primary practice location
55 E California Blvd
Suite 200
Pasadena, CA 91105-3954
Mailing address
133 N Altadena Dr
2ND Floor
Pasadena, CA 91107-7325
Phone (626) 397-8300
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G58507 | CA | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139270400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1405382400000",
"number": "1184697690",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "133 N ALTADENA DR",
"address_2": "2ND FLOOR",
"city": "PASADENA",
"state": "CA",
"postal_code": "911077325",
"telephone_number": "626-397-8300",
"fax_number": "626-397-8337"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "55 E CALIFORNIA BLVD",
"address_2": "SUITE 200",
"city": "PASADENA",
"state": "CA",
"postal_code": "911053954",
"telephone_number": "626-449-7350",
"fax_number": "626-449-1321"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEGAULT",
"first_name": "JOHN",
"middle_name": "E",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-07",
"last_updated": "2014-07-15",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CA",
"license": "G58507",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pasadena, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.