Organization Active NPI

Larry Nestor MD Inc

  • Pediatric Cardiology Physician
  • West Covina, CA
National Provider Identifier
1982697694
Registry record updated Mar 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Cardiology PhysicianTaxonomy code 2080P0202X
License
G26496 Issued in CA
Legal business name
LARRY NESTOR MD INC
Practice address
1750 W Cameron Ave
Ste 100
West Covina, CA 91790-2723
Phone
(626) 960-3061
NPI assigned
Aug 27, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2013

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

Authorized official

Name
Larry Nestor, MD
Title
President
Phone
(562) 426-7935

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Cardiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2080P0202X G26496 CA Primary

Addresses

Primary practice location

1750 W Cameron Ave
Ste 100
West Covina, CA 91790-2723

Mailing address

1750 W Cameron Ave
Ste 100
West Covina, CA 91790-2723
Phone (626) 960-3061

National Provider Directory

National Provider Directory

Locations

1750 W Cameron Ave
Ste 100
West Covina, CA 91790
Phone (626) 960-3061

NPI Registry JSON

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

{
    "created_epoch": "1125100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1364256000000",
    "number": "1982697694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1750 W CAMERON AVE",
            "address_2": "STE 100",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917902723",
            "telephone_number": "626-960-3061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1750 W CAMERON AVE",
            "address_2": "STE 100",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917902723",
            "telephone_number": "626-960-3061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LARRY NESTOR MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-27",
        "last_updated": "2013-03-26",
        "status": "A",
        "authorized_official_last_name": "NESTOR",
        "authorized_official_first_name": "LARRY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "562-426-7935",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2080P0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics, Pediatric Cardiology",
            "state": "CA",
            "license": "G26496",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Covina, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2013; 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.