Organization Active NPI

Pacific Ear Nose and Throat Associates Inc

  • Otolaryngology Physician
  • San Francisco, CA
National Provider Identifier
1295893345
Registry record updated Mar 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
Legal business name
PACIFIC EAR NOSE AND THROAT ASSOCIATES INC
Practice address
929 Clay St
Suite 501
San Francisco, CA 94108
Phone
(415) 433-7945
Fax
(415) 433-1231
NPI assigned
Dec 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2015

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

Authorized official

Name
Dr. Dexter Louie, MDNPI 1962501700
Title
President
Phone
(415) 433-7945

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Y00000X Primary

Addresses

Primary practice location

929 Clay St
Suite 501
San Francisco, CA 94108

Mailing address

929 Clay St
Suite 501
San Francisco, CA 94108
Phone (415) 433-7945

Other names 1

  • Dexter Louie, MD INC Former legal business name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070103000253 CA Part B Supplier - Clinic/Group Practice 5496755118 Receives reassigned benefits from 2 practitioners
Practice locations: San Francisco, CA

National Provider Directory

National Provider Directory

Locations

929 Clay St
Ste 501
San Francisco, CA 94108
Phone (415) 433-7945

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1425513600000",
    "number": "1295893345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "929 CLAY ST",
            "address_2": "SUITE 501",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "94108",
            "telephone_number": "415-433-7945",
            "fax_number": "415-433-1231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "929 CLAY ST",
            "address_2": "SUITE 501",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "94108",
            "telephone_number": "415-433-7945",
            "fax_number": "415-433-1231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC EAR NOSE AND THROAT ASSOCIATES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-04",
        "last_updated": "2015-03-05",
        "status": "A",
        "authorized_official_last_name": "LOUIE",
        "authorized_official_first_name": "DEXTER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "415-433-7945",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dexter Louie, MD INC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in San Francisco, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.