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Ethan Pearson

NPI 1356272454 · on the registry since 2026

Practice

Address
12057 Highway 9
Boulder Creek, CA 95006
Phone
(408) 663-6652

Additional practice sites

  • 9755 Lincoln Village Dr, Sacramento, CA

Registry record

Primary taxonomy
103K00000X
103K00000X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2026-05-27

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California