Individual provider Active NPI

Larry Lee Hite

  • Basic Emergency Medical Technician
  • Livingston, CA
National Provider Identifier
1164164034
Registry record updated Apr 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Basic Emergency Medical TechnicianTaxonomy code 146N00000X
License
E152207 Issued in CA
Practice address
843 Davis St
Livingston, CA 95334-1525
Phone
(209) 398-6700
Fax
(209) 398-5292
NPI assigned
Apr 11, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Basic Emergency Medical Technician 146N00000X E152207 CA Primary

Addresses

Primary practice location

843 Davis St
Livingston, CA 95334-1525

Mailing address

843 Davis St
Livingston, CA 95334-1525
Phone (209) 398-6700

Other identifiers 1

IdentifierTypeStateIssuer
E152207OtherCAEMT

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

LicenseStateTypeSpecialty
E152207CAMDBasic Emergency Medical Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Occupational Health Centers of California, a Medical Corporation CurrentSince Apr 17, 2022 Accepting new patients

Locations

843 Davis St
Livingston, CA 95334
Phone (209) 394-6700

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.

NPI Registry JSON

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

{
    "created_epoch": "1649635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649635200000",
    "number": "1164164034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "843 DAVIS ST",
            "city": "LIVINGSTON",
            "state": "CA",
            "postal_code": "953341525",
            "telephone_number": "209-398-6700",
            "fax_number": "209-398-5292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "843 DAVIS ST",
            "city": "LIVINGSTON",
            "state": "CA",
            "postal_code": "953341525",
            "telephone_number": "209-398-6700",
            "fax_number": "209-398-5292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HITE",
        "first_name": "LARRY",
        "middle_name": "LEE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-04-11",
        "last_updated": "2022-04-11",
        "certification_date": "2022-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "146N00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medical Technician, Basic",
            "state": "CA",
            "license": "E152207",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMT",
            "identifier": "E152207",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Livingston, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2022; 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.