Monterey Med Ink LLC

Primary specialty

Other Specialist/TechnologistTaxonomy code 246Z00000X

Legal business name

MONTEREY MED INK LLC

Practice address

1011 Cass St Ste 102E
Monterey, CA 93940-4531

Phone

(831) 601-0930

NPI assigned

Sep 11, 2023

Organization subpart

No

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

Authorized official

Name

Ashley Debbie HernandezNPI 1225850829

Title

Owner

Phone

(831) 601-0930

Specialties & licenses 1

Addresses

Other names 1

• Unique Shade Ink LLC Former legal business name

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ashley Debbie Hernandez

  • Other Specialist/Technologist
  • Monterey, CA
  • NPI 1225850829

  Specialist/Technologist, Other

  NPD Authorized official

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

{
    "created_epoch": "1694390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725840000000",
    "number": "1114704616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3012 SUNRISE AVE",
            "city": "MARINA",
            "state": "CA",
            "postal_code": "939334017",
            "telephone_number": "831-601-0930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1011 CASS ST STE 102E",
            "city": "MONTEREY",
            "state": "CA",
            "postal_code": "939404531",
            "telephone_number": "831-601-0930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONTEREY MED INK LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-11",
        "last_updated": "2024-09-09",
        "certification_date": "2024-09-09",
        "status": "A",
        "authorized_official_last_name": "HERNANDEZ",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_middle_name": "DEBBIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "831-601-0930"
    },
    "taxonomies": [
        {
            "code": "246Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist/Technologist, Other",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Unique Shade Ink LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Other Specialist/Technologist in Monterey, CA
• Providers in Monterey, CA by specialty
• Other Specialist/Technologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2024; 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.