Clifton A Mayberry in Pasadena - Specialist
Clifton A Mayberry - NPI 1063543056
Clifton A Mayberry is a Specialist in Pasadena, California. Clifton A Mayberry practices all healthcare services and medical treatments related to Specialist. The NPI Number for Clifton A Mayberry is 1063543056. The last update date is 2007-07-09.
Clifton A Mayberry's current location address is 2750 E Washington Blvd, Pasadena, California. You can contact this provider via phone number 6267979883 and fax number 6267979853. The mailing address for Clifton A Mayberry is 2750 E Washington Blvd, Pasadena, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Clifton A Mayberry |
|---|---|
| Address | 2750 E Washington Blvd, Pasadena, California |
| Phone Number | 6267979883 |
| Fax Number | 6267979853 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1063543056 |
|---|---|
| Provider Enumeration Date | 2007-03-08 |
| Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
| Address | 2750 E Washington Blvd |
|---|---|
| City | Pasadena |
| State | California (CA) |
| Post Code | 911071448 |
| Phone Number | 6267979883 |
| Fax Number | 6267979853 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | G43796 |
|
Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| GR0029750 | CA | -- | |
| 100002889 | CA | RAILROAD MEDICARE |
Post Comment/ Review Below
What is the unique identifier code issued to Clifton A Mayberry by the Centers for Medicare & Medicaid Services?
The Clifton A Mayberry has been assigned the NPI (National Provider Identifier) 1063543056. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Where is the Clifton A Mayberry located?
The Clifton A Mayberry is located at 2750 E Washington Blvd, Pasadena, CA 911071448.
What is the Clifton A Mayberry's area of specialization and corresponding taxonomy classification?
The Clifton A Mayberry's specialty field is Specialist, and it falls under the taxonomy code 174400000X, which categorizes healthcare providers based on their specialties.
On what date was the 1063543056 assigned to Clifton A Mayberry?
The Clifton A Mayberry was issued its 1063543056 on 2007-03-08, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the Clifton A Mayberry's information last updated?
The Clifton A Mayberry's information was last updated on 2007-07-09.
NPI Number: 1902809924
Address: 2400 W Main St, Rock Hill, SC