Individual provider Active NPI

Richard Elden Hostutler III, LVN

  • Licensed Vocational Nurse
  • San Diego, CA
National Provider Identifier
1023930260
Registry record updated Jul 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Vocational NurseTaxonomy code 164X00000X
License
267004 Issued in CA
Practice address
892 27TH St
San Diego, CA 92154-1444
Phone
(619) 575-4687
NPI assigned
Jul 29, 2026
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 29, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Vocational Nurse 164X00000X 267004 CA Primary

Addresses

Primary practice location

892 27TH St
San Diego, CA 92154-1444

Mailing address

358 E San Ysidro Blvd Ste 181
San Diego, CA 92173-2722
Phone (619) 882-9550

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1785283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785283200000",
    "number": "1023930260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "358 E SAN YSIDRO BLVD STE 181",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921732722",
            "telephone_number": "619-882-9550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "892 27TH ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921541444",
            "telephone_number": "619-575-4687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOSTUTLER",
        "first_name": "RICHARD",
        "middle_name": "ELDEN",
        "name_prefix": "Mr.",
        "name_suffix": "III",
        "credential": "LVN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2026-07-29",
        "last_updated": "2026-07-29",
        "certification_date": "2026-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "CA",
            "license": "267004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.