Organization Active NPI

Hair Extension Connection

  • Prosthetic/Orthotic Supplier
  • San Diego, CA
National Provider Identifier
1033537964
Registry record updated Jan 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
License
KK410893 Issued in CA
Legal business name
HAIR EXTENSION CONNECTION
Practice address
3975 Goldfinch St Ste 1
San Diego, CA 92103-2994
Phone
(858) 483-4247
Fax
(858) 724-3015
NPI assigned
Mar 28, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2019

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

Authorized official

Name
Ms. Tammy Gay WatsonNPI 1255685509
Title
Owner
Phone
(858) 483-4247

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X
Prosthetic/Orthotic Supplier 335E00000X KK410893 CA Primary

Addresses

Primary practice location

3975 Goldfinch St Ste 1
San Diego, CA 92103-2994

Mailing address

3975 Goldfinch St Ste 1
San Diego, CA 92103-2994
Phone (858) 483-4247

National Provider Directory

National Provider Directory

Locations

3975 Goldfinch St
Ste 1
San Diego, CA 92103
Phone (858) 483-4247

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1395964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1547683200000",
    "number": "1033537964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3975 GOLDFINCH ST STE 1",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921032994",
            "telephone_number": "858-483-4247",
            "fax_number": "858-724-3015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3975 GOLDFINCH ST STE 1",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921032994",
            "telephone_number": "858-483-4247",
            "fax_number": "858-724-3015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAIR EXTENSION CONNECTION",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-28",
        "last_updated": "2019-01-17",
        "status": "A",
        "authorized_official_last_name": "WATSON",
        "authorized_official_first_name": "TAMMY",
        "authorized_official_middle_name": "GAY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "858-483-4247",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "CA",
            "license": "KK410893",
            "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 Jan 17, 2019; 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.