Gary M Tearston MD a Medical Corp

Primary specialty

SpecialistTaxonomy code 174400000X

License

G15838 Issued in CA

Legal business name

GARY M TEARSTON MD A MEDICAL CORP

Practice address

2122 Century Park LN
Unit 207
Los Angeles, CA 90067-3304

Phone

(310) 659-5502

Fax

(310) 659-7639

NPI assigned

Mar 21, 2007

Last updated

Mar 11, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Gary M Tearston, M.D.NPI 1225269442

Title

President

Phone

(310) 659-5502

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Gary M Tearston, M.D.

  • Specialist
  • Beverly Hills, CA
  • NPI 1225269442
  NPD (past) Authorized official

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

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236729600000",
    "number": "1457477523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 18587",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902094587",
            "telephone_number": "310-659-5502",
            "fax_number": "310-659-7639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2122 CENTURY PARK LN",
            "address_2": "UNIT 207",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900673304",
            "telephone_number": "310-659-5502",
            "fax_number": "310-659-7639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARY M TEARSTON MD A MEDICAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-21",
        "last_updated": "2009-03-11",
        "status": "A",
        "authorized_official_last_name": "TEARSTON",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-659-5502",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "G15838",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Specialist in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 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.