Active NPI
Brian D. Patterson, M.D.
- Pediatrics Physician
- Atascadero, CA
National Provider Identifier
1700880135
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- G35558
- Practice address
- 7700 Morro Rd
Atascadero, CA 93422-4435 - Phone
- (805) 466-6622
- Fax
- (805) 461-0361
- NPI assigned
- Jun 13, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | G35558 | CA | Primary |
Addresses
Primary practice location
7700 Morro Rd
Atascadero, CA 93422-4435
Mailing address
PO Box 2279
Atascadero, CA 93422-2279
Phone (805) 466-6622
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4935280014 | Other | CIGNA PIN | |
| 00G355580 | Other | CA | BLUE SHIELD OF CA PIN |
| 00G355580 | Medicaid | CA | |
| 4301791 | Other | AETNA PIN | |
| G35558 | Other | CA | MEDICAL LICENSE # |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G35558 | CA | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118620800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1700880135",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2279",
"city": "ATASCADERO",
"state": "CA",
"postal_code": "934222279",
"telephone_number": "805-466-6622",
"fax_number": "805-461-0361"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7700 MORRO RD",
"city": "ATASCADERO",
"state": "CA",
"postal_code": "934224435",
"telephone_number": "805-466-6622",
"fax_number": "805-461-0361"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATTERSON",
"first_name": "BRIAN",
"middle_name": "D.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-13",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CA",
"license": "G35558",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA PIN",
"identifier": "4935280014",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD OF CA PIN",
"identifier": "00G355580",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G355580",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA PIN",
"identifier": "4301791",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL LICENSE #",
"identifier": "G35558",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Atascadero, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.