Experience Health Care Services

Primary specialty

ContractorTaxonomy code 171W00000X

License

AT2995 Issued in CA

Legal business name

EXPERIENCE HEALTH CARE SERVICES

Practice address

2644 M St
Suite F
Merced, CA 95340-2826

Phone

(925) 305-4996

NPI assigned

Apr 30, 2015

Organization subpart

No

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

Authorized official

Name

James T Halter

Title

Partner

Phone

(925) 596-8824

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1430352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430352000000",
    "number": "1093192973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2644 M ST",
            "address_2": "SUITE F",
            "city": "MERCED",
            "state": "CA",
            "postal_code": "953402826",
            "telephone_number": "925-350-4996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2644 M ST",
            "address_2": "SUITE F",
            "city": "MERCED",
            "state": "CA",
            "postal_code": "953402826",
            "telephone_number": "925-305-4996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXPERIENCE HEALTH CARE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-30",
        "last_updated": "2015-04-30",
        "status": "A",
        "authorized_official_last_name": "HALTER",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "925-596-8824"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Contractor",
            "state": "CA",
            "license": "AT2995",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD OF MEDICAL QUALITY ASSURANCE PHYSICAL THERAPY",
            "identifier": "AT2995",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Contractor in Merced, CA
• Providers in Merced, CA by specialty
• Contractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2015; 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.