Active NPI
Hornbuckle, Inc.
- Specialist
- Venice, CA
National Provider Identifier
1104867803
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- G30731
- Legal business name
- HORNBUCKLE, INC.
- Practice address
- 1009 Abbot Kinney Blvd
2ND Floor
Venice, CA 90291-3372 - Phone
- (310) 558-1530
- Fax
- (310) 526-7775
- NPI assigned
- Jun 10, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. John Scott Hornbuckle I
- Title
- President, Ceo
- Phone
- (310) 558-1530
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | G30731 | CA | Primary |
Addresses
Primary practice location
1009 Abbot Kinney Blvd
2ND Floor
Venice, CA 90291-3372
Mailing address
1009 Abbot Kinney Blvd
2ND Floor
Venice, CA 90291-3372
Phone (310) 558-1530
Other names 1
- California Community Diagnostic Imaging
National Provider Directory
National Provider DirectoryLocations
1009 Abbot Kinney Blvd
#2
Venice, CA 90291
Phone (310) 558-1530
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149897600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1104867803",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1009 ABBOT KINNEY BLVD",
"address_2": "2ND FLOOR",
"city": "VENICE",
"state": "CA",
"postal_code": "902913372",
"telephone_number": "310-558-1530",
"fax_number": "310-526-7775"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1009 ABBOT KINNEY BLVD",
"address_2": "2ND FLOOR",
"city": "VENICE",
"state": "CA",
"postal_code": "902913372",
"telephone_number": "310-558-1530",
"fax_number": "310-526-7775"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HORNBUCKLE, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-10",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "HORNBUCKLE",
"authorized_official_first_name": "JOHN",
"authorized_official_middle_name": "SCOTT",
"authorized_official_title_or_position": "PRESIDENT, CEO",
"authorized_official_telephone_number": "310-558-1530",
"authorized_official_name_prefix": "Mr.",
"authorized_official_name_suffix": "I"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": "CA",
"license": "G30731",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "California Community Diagnostic Imaging",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Venice, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.