Humboldt Medical Specialists, Inc

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

Legal business name

HUMBOLDT MEDICAL SPECIALISTS, INC

Practice address

2700 Dolbeer St
Eureka, CA 95501-4736

Phone

(707) 445-8121

NPI assigned

Sep 20, 2011

Last updated

Oct 12, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mark Pardoe, MD

Title

Physician

Phone

(714) 937-6280

Specialties & licenses 1

Addresses

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Robin Faith Fraser, PA-C

  • Physician Assistant
  • Eureka, CA
  • NPI 1760892285
  NPD (past)
• Michael David Fratkin, MD

  • Specialist
  • Eureka, CA
  • NPI 1508892738
  NPD (past)
• John Angel Sotelo, M.D.

  • Internal Medicine Physician
  • Eureka, CA
  • NPI 1164447504
  NPD (past)

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

{
    "created_epoch": "1316476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318377600000",
    "number": "1821371576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "DEPT LA 21793",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911851793",
            "telephone_number": "503-372-2740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 DOLBEER ST",
            "city": "EUREKA",
            "state": "CA",
            "postal_code": "955014736",
            "telephone_number": "707-445-8121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUMBOLDT MEDICAL SPECIALISTS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-20",
        "last_updated": "2011-10-12",
        "status": "A",
        "authorized_official_last_name": "PARDOE",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "714-937-6280",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Humboldt Foot & Ankle PC (Humboldt Foot and Ankle)
• Humboldt Hand and Foot Therapy
• Humboldt Medical and Neurological Rehabilitation, Inc.
• Humboldt Medical Eye Associates
• Humboldt Medical Eye Associates
• Humboldt Mobile Massage, Inc (Mendocino Coast Doulas)
• Humboldt Neurological Medical Group Inc
• Humboldt Orthopaedic Medical Associates, Inc.
• Humboldt Orthopaedic Medical Associates, Inc.
• Humboldt Physicians Surgery and Laser Center LLC

• Anesthesiology Physician in Eureka, CA
• Providers in Eureka, CA by specialty
• Anesthesiology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2011; 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.