Organization Active NPI

Pierre G. Labrecque, MD

  • Dermatology Physician
  • Santa Maria, CA
National Provider Identifier
1518215524
Registry record updated Aug 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
Legal business name
PIERRE G. LABRECQUE, MD
Doing business as
DermaSpaMED
Practice address
120 N Miller St
Building C
Santa Maria, CA 93454-4557
Phone
(805) 739-0033
Fax
(805) 739-1712
NPI assigned
Aug 22, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2012

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

Authorized official

Name
Pierre Georges Labrecque, M.D.
Title
Owner
Phone
(805) 739-0033

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207N00000X Primary

Addresses

Primary practice location

120 N Miller St
Building C
Santa Maria, CA 93454-4557

Mailing address

120 N Miller St
Building C
Santa Maria, CA 93454-4557
Phone (805) 739-0033

Other names 1

  • DermaSpaMED Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1345593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1345680000000",
    "number": "1518215524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 N MILLER ST",
            "address_2": "BUILDING C",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934544557",
            "telephone_number": "805-739-0033",
            "fax_number": "805-739-1712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 N MILLER ST",
            "address_2": "BUILDING C",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934544557",
            "telephone_number": "805-739-0033",
            "fax_number": "805-739-1712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIERRE G. LABRECQUE, MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-22",
        "last_updated": "2012-08-23",
        "status": "A",
        "authorized_official_last_name": "LABRECQUE",
        "authorized_official_first_name": "PIERRE",
        "authorized_official_middle_name": "GEORGES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "805-739-0033",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DermaSpaMED",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Santa Maria, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 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.