Active NPI
Gregory J Withers MD Inc a Medical Corp
- Neurological Surgery Physician
- Arcadia, CA
National Provider Identifier
1619020484
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurological Surgery Physician
- License
- G27800
- Legal business name
- GREGORY J WITHERS MD INC A MEDICAL CORP
- Practice address
- 301 W Huntington Dr
Suite 407
Arcadia, CA 91007-3462 - Phone
- (626) 821-3440
- Fax
- (626) 821-0709
- NPI assigned
- Jan 18, 2007
- 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
- Gregory J. Withers, M.D.
- Title
- President
- Phone
- (626) 821-3440
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurological Surgery Physician | 207T00000X | G27800 | CA | Primary |
Addresses
Primary practice location
301 W Huntington Dr
Suite 407
Arcadia, CA 91007-3462
Mailing address
301 W Huntington Dr
Suite 407
Arcadia, CA 91007-3462
Phone (626) 821-3440
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G278000 | Medicaid | CA |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169078400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1291766400000",
"number": "1619020484",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "301 W HUNTINGTON DR",
"address_2": "SUITE 407",
"city": "ARCADIA",
"state": "CA",
"postal_code": "910073462",
"telephone_number": "626-821-3440",
"fax_number": "626-821-0709"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 W HUNTINGTON DR",
"address_2": "SUITE 407",
"city": "ARCADIA",
"state": "CA",
"postal_code": "910073462",
"telephone_number": "626-821-3440",
"fax_number": "626-821-0709"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GREGORY J WITHERS MD INC A MEDICAL CORP",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-18",
"last_updated": "2010-12-08",
"status": "A",
"authorized_official_last_name": "WITHERS",
"authorized_official_first_name": "GREGORY",
"authorized_official_middle_name": "J.",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "626-821-3440",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207T00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Neurological Surgery",
"state": "CA",
"license": "G27800",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G278000",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Arcadia, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.