Active NPI
Hipolito Murillo, LEP
- School Psychologist
- Anaheim, CA
National Provider Identifier
1124504170
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- License
- 2896
- Practice address
- 1330 S Knott Ave
Anaheim, CA 92804-4798 - Phone
- (714) 236-3812
- Fax
- (714) 828-5325
- NPI assigned
- Jul 12, 2018
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | 2896 | CA | Primary |
Addresses
Primary practice location
1330 S Knott Ave
Anaheim, CA 92804-4798
Mailing address
1330 S Knott Ave
Anaheim, CA 92804-4798
Phone (714) 236-3812
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 |
|---|---|---|---|
| 2896 | CA | MD | School Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Savanna Elementary School District | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Local Education Agency (LEA)
- Anaheim, CA
- NPI 1922142603
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1531353600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1531353600000",
"number": "1124504170",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1330 S KNOTT AVE",
"city": "ANAHEIM",
"state": "CA",
"postal_code": "928044798",
"telephone_number": "714-236-3812",
"fax_number": "714-828-5325"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1330 S KNOTT AVE",
"city": "ANAHEIM",
"state": "CA",
"postal_code": "928044798",
"telephone_number": "714-236-3812",
"fax_number": "714-828-5325"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MURILLO",
"first_name": "HIPOLITO",
"credential": "LEP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-07-12",
"last_updated": "2018-07-12",
"status": "A"
},
"taxonomies": [
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "CA",
"license": "2896",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Anaheim, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.