Active NPI
Nathan Horner
- Durable Medical Equipment & Medical Supplies
- Hollywood, CA
National Provider Identifier
1104411701
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- 0002029859-0001-1
- Practice address
- 6720 Franklin PL Apt 307
Hollywood, CA 90028-4514 - Phone
- (323) 240-0702
- NPI assigned
- Mar 4, 2021
- Last updated
- Mar 4, 2021
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | 0002029859-0001-1 | CA | Primary |
Addresses
Primary practice location
6720 Franklin PL Apt 307
Hollywood, CA 90028-4514
Mailing address
6720 Franklin PL Apt 307
Hollywood, CA 90028-4514
Phone (323) 240-0702
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0002029859-0001-1 | CA | MD | Durable Medical Equipment & Medical Supplies |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1614816000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1614816000000",
"number": "1104411701",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6720 FRANKLIN PL APT 307",
"city": "HOLLYWOOD",
"state": "CA",
"postal_code": "900284514",
"telephone_number": "323-240-0702"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6720 FRANKLIN PL APT 307",
"city": "HOLLYWOOD",
"state": "CA",
"postal_code": "900284514",
"telephone_number": "323-240-0702"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HORNER",
"first_name": "NATHAN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-03-04",
"last_updated": "2021-03-04",
"certification_date": "2021-02-25",
"status": "A"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "CA",
"license": "0002029859-0001-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hollywood, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 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.