David Archie Pearson, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA00133 Issued in TX

Practice address

4435 Dezavala Rd
San Antonio, TX 78249-2040

Phone

(210) 694-4081

Fax

(210) 696-8053

NPI assigned

Feb 6, 2009

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

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Apsley Medical Group, P.a.

  • Family Medicine Physician
  • San Antonio, TX
  • NPI 1487971867
  Medicare reassignment

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

{
    "created_epoch": "1233878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1309564800000",
    "number": "1811136385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4435 DEZAVALA RD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782492040",
            "telephone_number": "210-694-4081",
            "fax_number": "210-696-8053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4435 DEZAVALA RD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782492040",
            "telephone_number": "210-694-4081",
            "fax_number": "210-696-8053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEARSON",
        "first_name": "DAVID",
        "middle_name": "ARCHIE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-02-06",
        "last_updated": "2011-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA00133",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pearle Vision Inc
• Pearle Vision Inc
• David Pearose, MD
• Nahim M. Pearose, M.D.
• Anabel Pearson, PA-C
• Jordan Pearson
• Laura Pearl Pearson
• Mary Pearson, MS, LPC-S
• Nadia Mary Pearson, D.O.
• Rachel M Pearson, M.D./PHD

• Physician Assistant in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.