Active NPI
Walter Spears MD Inc
- Family Medicine Physician
- Pasadena, CA
National Provider Identifier
1558391359
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- G34441
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 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
National Provider Directory
National Provider DirectoryLocations
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.