Individual provider Active NPI

Morgan Irene Gilfillan, STUDENT

  • Other Specialist/Technologist
  • San Diego, CA
National Provider Identifier
1033659388
Registry record updated Mar 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Other Specialist/TechnologistTaxonomy code 246Z00000X
Practice address
1420 Hornblend St
Apt. 1
San Diego, CA 92109-4329
Phone
(925) 784-5781
NPI assigned
Mar 6, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 6, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Other Specialist/Technologist 246Z00000X Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

1420 Hornblend St
Apt. 1
San Diego, CA 92109-4329

Mailing address

1420 Hornblend St
Apt. 1
San Diego, CA 92109-4329
Phone (925) 784-5781

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": "1488758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488758400000",
    "number": "1033659388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1420 HORNBLEND ST",
            "address_2": "APT. 1",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921094329",
            "telephone_number": "925-784-5781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1420 HORNBLEND ST",
            "address_2": "APT. 1",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921094329",
            "telephone_number": "925-784-5781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILFILLAN",
        "first_name": "MORGAN",
        "middle_name": "IRENE",
        "credential": "STUDENT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-03-06",
        "last_updated": "2017-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246Z00000X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "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 Mar 6, 2017; 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.