Active NPI
Bengt Florian Pehrsson, MD
- Surgery Physician
- Arcadia, CA
National Provider Identifier
1235215997
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- A34472
- Practice address
- 622 W Duarte Rd
#301
Arcadia, CA 91007-9277 - Phone
- (626) 445-0600
- Fax
- (626) 574-8654
- NPI assigned
- Oct 27, 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 |
|---|---|---|---|---|
| Surgery Physician | 208600000X | A34472 | CA | Primary |
Addresses
Primary practice location
622 W Duarte Rd
#301
Arcadia, CA 91007-9277
Mailing address
622 W Duarte Rd
#301
Arcadia, CA 91007-9277
Phone (626) 445-0600
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A344720 | Medicaid | CA |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 34472 | CA | MD | Chiropractor |
| A34472 | CA | MD | Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161907200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1323648000000",
"number": "1235215997",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "622 W DUARTE RD",
"address_2": "#301",
"city": "ARCADIA",
"state": "CA",
"postal_code": "910079277",
"telephone_number": "626-445-0600",
"fax_number": "626-574-8654"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "622 W DUARTE RD",
"address_2": "#301",
"city": "ARCADIA",
"state": "CA",
"postal_code": "910079277",
"telephone_number": "626-445-0600",
"fax_number": "626-574-8654"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEHRSSON",
"first_name": "BENGT",
"middle_name": "FLORIAN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-27",
"last_updated": "2011-12-12",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "CA",
"license": "A34472",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A344720",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Arcadia, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.