Clarence Pearson, HEALTH CARE, CNA

Primary specialty

Patient Transport Certified Respiratory TherapistTaxonomy code 2278P4000X

Practice address

3328 Grass Creek CT
Antelope, CA 95843-4942

Phone

(916) 821-7165

Fax

(916) 745-4172

NPI assigned

Aug 15, 2022

Last updated

Aug 15, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1660521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660521600000",
    "number": "1598483745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3328 GRASS CREEK CT",
            "city": "ANTELOPE",
            "state": "CA",
            "postal_code": "958434942",
            "telephone_number": "916-821-7165",
            "fax_number": "916-745-4172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3328 GRASS CREEK CT",
            "city": "ANTELOPE",
            "state": "CA",
            "postal_code": "958434942",
            "telephone_number": "916-821-7165",
            "fax_number": "916-745-4172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEARSON",
        "first_name": "CLARENCE",
        "name_prefix": "Mr.",
        "credential": "HEALTH CARE, CNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-08-15",
        "last_updated": "2022-08-15",
        "certification_date": "2022-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2278P4000X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Certified, Patient Transport",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Certified Respiratory Therapist in Antelope, CA
• Providers in Antelope, CA by specialty
• Certified Respiratory Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2022; 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.