Active NPI
Samuel D'Autruche, Inc
- Adult Care Home Facility
- Pleasant Hill, CA
National Provider Identifier
1144764614
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Care Home Facility
- Legal business name
- SAMUEL D'AUTRUCHE, INC
- Practice address
- 1612 N Marta Dr
Pleasant Hill, CA 94523-3023 - Phone
- (925) 471-0671
- NPI assigned
- Dec 18, 2016
- 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. Obed D'Autruche
- Title
- President
- Phone
- (925) 471-0671
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Care Home Facility | 311ZA0620X | Primary |
Addresses
Primary practice location
1612 N Marta Dr
Pleasant Hill, CA 94523-3023
Mailing address
1612 N Marta Dr
Pleasant Hill, CA 94523-3023
Phone (925) 471-0671
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Oakland, CA
- NPI 1760217798
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1482019200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1482019200000",
"number": "1144764614",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1612 N MARTA DR",
"city": "PLEASANT HILL",
"state": "CA",
"postal_code": "945233023",
"telephone_number": "925-471-0671"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1612 N MARTA DR",
"city": "PLEASANT HILL",
"state": "CA",
"postal_code": "945233023",
"telephone_number": "925-471-0671"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SAMUEL D'AUTRUCHE, INC",
"organizational_subpart": "NO",
"enumeration_date": "2016-12-18",
"last_updated": "2016-12-18",
"status": "A",
"authorized_official_last_name": "D'AUTRUCHE",
"authorized_official_first_name": "OBED",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "925-471-0671",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "311ZA0620X",
"taxonomy_group": "",
"desc": "Custodial Care Facility, Adult Care Home",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pleasant Hill, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.