Carlos Humberto Murcia I

Primary specialty

Dietary ManagerTaxonomy code 132700000X

License

339359

Practice address

1701 Slater St
Santa Rosa, CA 95404-2816

Phone

(707) 321-4809

NPI assigned

Jun 13, 2021

Last updated

Jun 13, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1623542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623542400000",
    "number": "1073181491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 SLATER ST",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954042816",
            "telephone_number": "707-321-4809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 SLATER ST",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954042816",
            "telephone_number": "707-321-4809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MURCIA",
        "first_name": "CARLOS",
        "middle_name": "HUMBERTO",
        "name_suffix": "I",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-06-13",
        "last_updated": "2021-06-13",
        "certification_date": "2021-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "132700000X",
            "taxonomy_group": "",
            "desc": "Dietary Manager",
            "state": null,
            "license": "339359",
            "primary": true
        },
        {
            "code": "136A00000X",
            "taxonomy_group": "",
            "desc": "Dietetic Technician, Registered",
            "state": null,
            "license": "86291705",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kassandra Munoz
• Douglas A Munro, M.D.
• Corey Munroe
• Leela Munton
• Peter Hajime Muraki, MD
• Jinney Murdes, FNP
• Christina Murguia
• Karmina Murillo
• Diane Lynn Murphy
• Hayley Murphy, PA-C

• Dietary Manager in Santa Rosa, CA
• Providers in Santa Rosa, CA by specialty
• Dietary Manager in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2021; 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.