Organization Active NPI

J M Pearson, MD, Inc

  • Facial Plastic Surgery Physician
  • Hermosa Beach, CA
National Provider Identifier
1902199292
Registry record updated Jan 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Facial Plastic Surgery PhysicianTaxonomy code 207YS0123X
License
A108195 Issued in CA
Legal business name
J M PEARSON, MD, INC
Practice address
2401 PCH Hwy
Suite 105
Hermosa Beach, CA 90254-2736
Phone
(310) 494-6430
NPI assigned
May 19, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2012

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

Authorized official

Name
Dr. James Pearson, MD
Title
Owner
Phone
(310) 494-6430

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207Y00000X A108195 CA
Facial Plastic Surgery PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207YS0123X A108195 CA Primary

Addresses

Primary practice location

2401 PCH Hwy
Suite 105
Hermosa Beach, CA 90254-2736

Mailing address

2401 PCH Hwy
Suite 105
Hermosa Beach, CA 90254-2736
Phone (310) 494-6430

National Provider Directory

National Provider Directory

Locations

2401 Pacific Coast Hwy
Ste 105
Hermosa Beach, CA 90254
Phone (310) 494-6430

NPI Registry JSON

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

{
    "created_epoch": "1305763200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326240000000",
    "number": "1902199292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2401 PCH HWY",
            "address_2": "SUITE 105",
            "city": "HERMOSA BEACH",
            "state": "CA",
            "postal_code": "902542736",
            "telephone_number": "310-494-6430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 PCH HWY",
            "address_2": "SUITE 105",
            "city": "HERMOSA BEACH",
            "state": "CA",
            "postal_code": "902542736",
            "telephone_number": "310-494-6430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J M PEARSON, MD, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-19",
        "last_updated": "2012-01-11",
        "status": "A",
        "authorized_official_last_name": "PEARSON",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-494-6430",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Otolaryngology",
            "state": "CA",
            "license": "A108195",
            "primary": false
        },
        {
            "code": "207YS0123X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Otolaryngology, Facial Plastic Surgery",
            "state": "CA",
            "license": "A108195",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hermosa Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 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.