Jeffrey K Pearson a Professional Medical Corporation

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

20A5534 Issued in CA

Legal business name

JEFFREY K PEARSON A PROFESSIONAL MEDICAL CORPORATION

Practice address

120 Craven Rd
Suite 101
San Marcos, CA 92078-4235

Phone

(760) 591-0955

Fax

(760) 591-3680

NPI assigned

Jun 19, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Jeffrey K Pearson, D.O.

Title

President/Owner

Phone

(760) 591-0955

Specialties & licenses 2

Addresses

Other identifiers 2

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

{
    "created_epoch": "1245369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1342569600000",
    "number": "1497982193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 CRAVEN RD",
            "address_2": "SUITE 101",
            "city": "SAN MARCOS",
            "state": "CA",
            "postal_code": "920784235",
            "telephone_number": "760-591-0955",
            "fax_number": "760-591-3680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 CRAVEN RD",
            "address_2": "SUITE 101",
            "city": "SAN MARCOS",
            "state": "CA",
            "postal_code": "920784235",
            "telephone_number": "760-591-0955",
            "fax_number": "760-591-3680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFREY K PEARSON A PROFESSIONAL MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-19",
        "last_updated": "2012-07-18",
        "status": "A",
        "authorized_official_last_name": "PEARSON",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "760-591-0955",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "20A5534",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A45444",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "20A5534",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "BY503Y",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nyree Jarvis
• Benjamin Antig Javier Jr.
• Sarah T Jayyousi, LCSW
• Karly Matalasi Jean
• Lauren Jefferis, MD
• Jeffrey Pearson, D.O
• Ronald Lee Jeffrey, D.D.S.
• Katie Lynn Jenkins
• Brian Matthew Jensen, LICENSEDPSYCHOLOGIST
• Kim Hoang Jensen, D.A.C.M., LA.C

• Family Medicine Physician in San Marcos, CA
• Providers in San Marcos, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2012; 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.