Individual provider Active NPI

Gary M Tearston, M.D.

  • Specialist
  • Beverly Hills, CA
National Provider Identifier
1225269442
Registry record updated Aug 5, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
G15838 Issued in CA
Practice address
201 S Lasky Dr
Beverly Hills, CA 90212-3647
Phone
(310) 659-5502
Fax
(310) 282-0667
NPI assigned
Aug 5, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 5, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X G15838 CA Primary

Addresses

Primary practice location

201 S Lasky Dr
Beverly Hills, CA 90212-3647

Mailing address

PO Box 18587
Beverly Hills, CA 90209-4587
Phone (310) 659-5502

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

State licenses

LicenseStateTypeSpecialty
G15838CAMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Gary M Tearston MD a Medical Corp Specialist Past Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1249430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1249430400000",
    "number": "1225269442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 18587",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902094587",
            "telephone_number": "310-659-5502",
            "fax_number": "310-282-0667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 S LASKY DR",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902123647",
            "telephone_number": "310-659-5502",
            "fax_number": "310-282-0667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEARSTON",
        "first_name": "GARY",
        "middle_name": "M",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-08-05",
        "last_updated": "2009-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "G15838",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beverly Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2009; 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.