Individual provider Active NPI

Jose Martin Huizar I, M.A.

  • Marriage & Family Therapist
  • Lompoc, CA
National Provider Identifier
1013162080
Registry record updated Mar 20, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
53822 Issued in CA
Practice address
117 N B St
Lompoc, CA 93436-6901
Phone
(805) 737-6665
Fax
(805) 737-6601
NPI assigned
Nov 18, 2008
Last updated
Mar 20, 2014By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 20, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 52952 CA
Marriage & Family Therapist 106H00000X 53822 CA Primary

Addresses

Primary practice location

117 N B St
Lompoc, CA 93436-6901

Mailing address

117 N B St
Lompoc, CA 93436-6901
Phone (805) 737-6665

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
53822CAMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1226966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395273600000",
    "number": "1013162080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 N B ST",
            "city": "LOMPOC",
            "state": "CA",
            "postal_code": "934366901",
            "telephone_number": "805-737-6665",
            "fax_number": "805-737-6601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 N B ST",
            "city": "LOMPOC",
            "state": "CA",
            "postal_code": "934366901",
            "telephone_number": "805-737-6665",
            "fax_number": "805-737-6601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUIZAR",
        "first_name": "JOSE",
        "middle_name": "MARTIN",
        "name_prefix": "Mr.",
        "name_suffix": "I",
        "credential": "M.A.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-11-18",
        "last_updated": "2014-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "52952",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "53822",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lompoc, CA

Sources for this page

Verify at the official NPI Registry.