Organization Active NPI

Walter Spears MD Inc

  • Family Medicine Physician
  • Pasadena, CA
National Provider Identifier
1558391359
Registry record updated Dec 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
G34441 Issued in CA
Legal business name
WALTER SPEARS MD INC
Practice address
2595 E Washington Blvd
Suite 107
Pasadena, CA 91107-1409
Phone
(626) 791-1168
Fax
(626) 791-4737
NPI assigned
Jul 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2008

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

Authorized official

Name
Ms. Jean Spears
Title
Office Manager
Phone
(626) 791-1168

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X G34441 CA Primary

Addresses

Primary practice location

2595 E Washington Blvd
Suite 107
Pasadena, CA 91107-1409

Mailing address

2595 E Washington Blvd
Suite 107
Pasadena, CA 91107-1409
Phone (626) 791-1168

Other names 1

  • WALTER SPEARS MD Other name

National Provider Directory

National Provider Directory

Locations

2595 E Washington Blvd
Ste 107
Pasadena, CA 91107
Phone (626) 791-1168

NPI Registry JSON

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

{
    "created_epoch": "1151971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1230595200000",
    "number": "1558391359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2595 E WASHINGTON BLVD",
            "address_2": "SUITE 107",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911071409",
            "telephone_number": "626-791-1168",
            "fax_number": "626-791-4737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2595 E WASHINGTON BLVD",
            "address_2": "SUITE 107",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911071409",
            "telephone_number": "626-791-1168",
            "fax_number": "626-791-4737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALTER SPEARS MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-04",
        "last_updated": "2008-12-30",
        "status": "A",
        "authorized_official_last_name": "SPEARS",
        "authorized_official_first_name": "JEAN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "626-791-1168",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "G34441",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WALTER SPEARS MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Pasadena, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2008; 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.