Individual provider Active NPI

Joseph Emanuel Pierson III, M.D.

  • Adult Medicine Physician
  • Inglewood, CA
National Provider Identifier
1457376790
Registry record updated Jul 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Medicine PhysicianTaxonomy code 207QA0505X
License
G53815 Issued in CA
Practice address
301 N Prairie Ave Ste 230
Inglewood, CA 90301-4509
Phone
(323) 944-0949
Fax
(323) 782-0388
NPI assigned
Jul 13, 2006
Last updated
Jul 17, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 17, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Medicine Physician 207QA0505X G53815 CA Primary

Addresses

Primary practice location

301 N Prairie Ave Ste 230
Inglewood, CA 90301-4509

Mailing address

301 N Prairie Ave Ste 230
Inglewood, CA 90301-4509
Phone (323) 944-0949

Other identifiers 2

IdentifierTypeStateIssuer
GR0063270MedicaidCA
GR0063272MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120326000393 CA Practitioner - General PracticePractitioner - Family PracticePractitioner - Internal Medicine 9234147992 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General PracticeAlso: Family Practice, Internal Medicine
Education
University of California, Geffen School of Medicine, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

301 N Prairie Ave
Suite 230
Inglewood, CA 90301-4509
Phone (303) 944-0949

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G53815CAMDAdult Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Allied Health Solutions Medical Group a Professional Corporation CurrentSince Dec 5, 2011 Accepting new patients
Allied Health Solutions Ipa, Inc CurrentSince Jul 1, 2022 Accepting new patients
Medipro Inc. Specialist PastSince Mar 22, 2006 Accepting new patients
Southern California Healthcare System, Inc Past Accepting new patients
Brotman Medical Center, Inc. Past Accepting new patients

Locations

3756 Santa Rosalia Dr
Ste 423
Los Angeles, CA 90008
Phone (323) 294-7662

6333 Wilshire Blvd
Ste 411
Los Angeles, CA 90048
Phone (323) 944-0949

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689552000000",
    "number": "1457376790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 N PRAIRIE AVE STE 230",
            "city": "INGLEWOOD",
            "state": "CA",
            "postal_code": "903014509",
            "telephone_number": "323-944-0949",
            "fax_number": "323-782-0388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 N PRAIRIE AVE STE 230",
            "city": "INGLEWOOD",
            "state": "CA",
            "postal_code": "903014509",
            "telephone_number": "323-944-0949",
            "fax_number": "323-782-0388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIERSON",
        "first_name": "JOSEPH",
        "middle_name": "EMANUEL",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-13",
        "last_updated": "2023-07-17",
        "certification_date": "2023-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "CA",
            "license": "G53815",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0063270",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0063272",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Inglewood, CA

Sources for this page

Verify at the official NPI Registry.