Organization Active NPI

Christopher W.T. Pearson, M.D., a Medical Corp.

  • Specialist
  • Burbank, CA
National Provider Identifier
1700151024
Registry record updated Jun 29, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
A32552 Issued in CA
Legal business name
CHRISTOPHER W.T. PEARSON, M.D., A MEDICAL CORP.
Practice address
1411 W Olive Ave
Suite D
Burbank, CA 91506-2427
Phone
(818) 843-1884
Fax
(818) 843-4622
NPI assigned
Mar 20, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2012

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

Authorized official

Name
Mr. William Haselden
Title
Office Manager
Phone
(818) 843-1884

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X A32552 CA Primary

Addresses

Primary practice location

1411 W Olive Ave
Suite D
Burbank, CA 91506-2427

Mailing address

1411 W Olive Ave
Suite D
Burbank, CA 91506-2427
Phone (818) 843-1884

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1332201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340928000000",
    "number": "1700151024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1411 W OLIVE AVE",
            "address_2": "SUITE D",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915062427",
            "telephone_number": "818-843-1884",
            "fax_number": "818-843-4622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1411 W OLIVE AVE",
            "address_2": "SUITE D",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915062427",
            "telephone_number": "818-843-1884",
            "fax_number": "818-843-4622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTOPHER W.T. PEARSON, M.D., A MEDICAL CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-20",
        "last_updated": "2012-06-29",
        "status": "A",
        "authorized_official_last_name": "HASELDEN",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "818-843-1884",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "A32552",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burbank, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 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.