William James Prentice, PHYSICIAN ASSISTANT

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

PA 15229 Issued in CA

Practice address

1119 E Elizabeth St
Pasadena, CA 91104-2415

Phone

(213) 422-4162

NPI assigned

Oct 5, 2009

Last updated

Oct 5, 2009By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1254700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1254700800000",
    "number": "1285969543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1119 E ELIZABETH ST",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911042415",
            "telephone_number": "213-422-4162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1119 E ELIZABETH ST",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911042415",
            "telephone_number": "213-422-4162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRENTICE",
        "first_name": "WILLIAM",
        "middle_name": "JAMES",
        "name_prefix": "Mr.",
        "credential": "PHYSICIAN ASSISTANT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-10-05",
        "last_updated": "2009-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "CA",
            "license": "PA 15229",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Premier Gastroenterology Associates, Inc
• Premier Healthcare Services, LLC
• Premier Screening LLC
• Premiere Plastic Surgery Inc
• Premiere Surgical Specialists, a Professional Corporation
• Prescott Sanchez, Inc (Home Instead)
• Alexandra Kathryn Prescott
• Kalia Prescott
• Presidio Home Care LLC
• Amanda Jolan Press, PSYD

• Surgical Physician Assistant in Pasadena, CA
• Providers in Pasadena, CA by specialty
• Surgical Physician Assistant in California

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