Individual provider Active NPI

James Pearson, M.D.

  • Facial Plastic Surgery Physician
  • Hermosa Beach, CA
National Provider Identifier
1922158526
Registry record updated Jun 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Facial Plastic Surgery PhysicianTaxonomy code 207YS0123X
License
A108195 Issued in CA
Practice address
2629 Manhattan Ave
PMB 265
Hermosa Beach, CA 90254-2447
Phone
(310) 494-6430
NPI assigned
Jan 12, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2016

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 239098 NY
Otolaryngology Physician 207Y00000X A108195 CA
Facial Plastic Surgery Physician 207YS0123X A108195 CA Primary

Addresses

Primary practice location

2629 Manhattan Ave
PMB 265
Hermosa Beach, CA 90254-2447

Mailing address

2401 Pacific Coast Hwy
Ste 105
Hermosa Beach, CA 90254-2734
Phone (310) 494-6430

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110623000234 CA Practitioner - OtolaryngologyPractitioner - Plastic and Reconstructive Surgery 6507945474

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
108195CAMDMarriage & Family Therapist
239098NYMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Vito C. Quatela, MD PLLC Facial Plastic Surgery PastSince Jul 1, 1999 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1168560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466985600000",
    "number": "1922158526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2401 PACIFIC COAST HWY",
            "address_2": "STE 105",
            "city": "HERMOSA BEACH",
            "state": "CA",
            "postal_code": "902542734",
            "telephone_number": "310-494-6430",
            "fax_number": "424-247-5072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2629 MANHATTAN AVE",
            "address_2": "PMB 265",
            "city": "HERMOSA BEACH",
            "state": "CA",
            "postal_code": "902542447",
            "telephone_number": "310-494-6430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEARSON",
        "first_name": "JAMES",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-12",
        "last_updated": "2016-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "NY",
            "license": "239098",
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "CA",
            "license": "A108195",
            "primary": false
        },
        {
            "code": "207YS0123X",
            "taxonomy_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

Verify at the official NPI Registry.