Individual
JOHN D PEARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
2111 AIRPARK DR, REDDING, CA 96001-2433
(530) 247-3733
(530) 246-0644
Mailing address
1425 MONTGOMERY RD, RED BLUFF, CA 96080-4605
(530) 528-8600
(530) 246-0644
Taxonomy
Speciality
Code
Description
License number
State
207QA0401X
Addiction Medicine (Family Medicine) Physician
NP10506
CA
207QA0401X
Addiction Medicine (Family Medicine) Physician
PA14973
CA
208VP0000X
Pain Medicine Physician
NP10506
CA
208VP0000X
Pain Medicine Physician
Primary
PA14973
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OPA149730
TRICARE
CA
01
—
OPA149733
MEDICARE
CA
Enumeration date
09/01/2006
Last updated
11/21/2023
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