Active NPI
Pierre Houbein, PA-C
- Physician Assistant
- Los Angeles, CA
National Provider Identifier
1417298753
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA22617
- Practice address
- 311 Winston St.
Los Angeles, CA 90013 - Phone
- (213) 893-1960
- NPI assigned
- Mar 12, 2013
- Last updated
- Mar 12, 2013
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA22617 | CA | Primary |
Addresses
Primary practice location
311 Winston St.
Los Angeles, CA 90013
Mailing address
990 Del Rey Ave
Pasadena, CA 91107-1806
Phone (626) 437-8755
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NONE | Other | NONE |
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
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA22617 | CA | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1363046400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1363046400000",
"number": "1417298753",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "990 DEL REY AVE",
"city": "PASADENA",
"state": "CA",
"postal_code": "911071806",
"telephone_number": "626-437-8755"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "311 WINSTON ST.",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "90013",
"telephone_number": "213-893-1960"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOUBEIN",
"first_name": "PIERRE",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-03-12",
"last_updated": "2013-03-12",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "PA22617",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NONE",
"identifier": "NONE",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.