Individual provider Active NPI

Michael Pearson

  • Certified Registered Nurse Anesthetist
  • San Luis Obispo, CA
National Provider Identifier
1245782853
Registry record updated Oct 30, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
95000595 Issued in CA
Practice address
1796 Tonini Dr
59
San Luis Obispo, CA 93405-7458
Phone
(218) 590-4599
NPI assigned
Oct 30, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 30, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 95000595 CA Primary

Addresses

Primary practice location

1796 Tonini Dr
59
San Luis Obispo, CA 93405-7458

Mailing address

1796 Tonini Dr
59
San Luis Obispo, CA 93405-7458
Phone (218) 590-4599

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161222000822 CA Practitioner - Certified Registered Nurse Anesthetist (Crna) 9436430816 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pain Management Specialists Medical GroupGroup PAC ID 2860448685, 13 clinicians

Practice addresses (Care Compare)

10 Santa Rosa St
Suite 201
San Luis Obispo, CA 93405-5826
Phone (805) 544-7246

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
95000595CAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Anesthesia Specialists a Medical Corporation Current Accepting new patients
Hullander and Mozingo LP CurrentSince Aug 20, 2022 Accepting new patients
Coastal Pacific Anesthesia Nurse Anesthetist, Certified Registered CurrentSince Dec 1, 2023 Accepting new patients
Pain Management Specialists Medical Group CurrentSince Nov 1, 2016 Accepting new patients
Pain Management Specialists Medical Group CurrentSince Nov 1, 2016 Accepting new patients
Hullander and Mozingo LP CurrentSince Aug 20, 2022 Accepting new patients
Advanced Anesthesia Specialists a Medical Corporation CurrentSince Jun 24, 2023 Accepting new patients
RC Nursing Anesthesia Inc Nurse Anesthetist, Certified Registered CurrentSince Nov 5, 2023 Accepting new patients

Locations

5000 San Palo Rd
Ste 101
Atascadero, CA 93422
Phone (805) 470-1700

2901 Sillect Ave
Ste 200
Bakersfield, CA 93308
Phone (661) 326-1100

4500 Trade Center Dr
#B
Bakersfield, CA 93311
Phone (818) 348-7253

222 W Pueblo St
Santa Barbara, CA 93105
Phone (626) 720-3588

816 E Enos Dr
Ste B
Santa Maria, CA 93454
Phone (805) 347-7813

426 Barcellus Ave
Ste 101
Santa Maria, CA 93454
Phone (805) 925-8767

4472 Broad St
Ste 150
Sn Luis Obisp, CA 93401
Phone (805) 364-8450

10 Santa Rosa St
Ste 201
Sn Luis Obisp, CA 93405
Phone (805) 544-7246

7230 Medical Center Dr
Ste 405
West Hills, CA 91307

Organizations & group practices 9

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": "1477785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477785600000",
    "number": "1245782853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1796 TONINI DR",
            "address_2": "59",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934057458",
            "telephone_number": "218-590-4599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1796 TONINI DR",
            "address_2": "59",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934057458",
            "telephone_number": "218-590-4599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEARSON",
        "first_name": "MICHAEL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-10-30",
        "last_updated": "2016-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "CA",
            "license": "95000595",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Luis Obispo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.