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NPI Code Detail

MEDICARE: DR. RAYMOND SOARES PIERSON M.D.

MEDICARE: DR. RAYMOND SOARES PIERSON M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208100000XPhysical Medicine & Rehabilitation PhysicianG56298CA

General Provider Information

NPI Number : 1801852611
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. RAYMOND SOARES PIERSON M.D.
Provider Business Mailing Address
First Line : 1203 FLYNN RD UNIT 160
Second Line :
City : CAMARILLO
State : CA
Zip : 93012-6203
Country : US
Telephone Number : 805-804-4168
Fax Number : 805-830-1177
Provider Business Practice Location Address
First Line : 2221 WANKEL WAY
Second Line :
City : OXNARD
State : CA
Zip : 93030-0192
Country : US
Telephone Number : 805-278-0212
Fax Number : 805-988-1454
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/21/2006
Last Update Date : 07/14/2025

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