Individual provider Active NPI

James Wiley McFetridge, SRNA

  • General Acute Care Hospital
  • Carlsbad, CA
National Provider Identifier
1164611091
Registry record updated Oct 16, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
Practice address
2839 Cebu PL
Carlsbad, CA 92009-5905
Phone
(619) 742-9887
NPI assigned
Oct 16, 2007
Last updated
Oct 16, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 16, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X Primary

Addresses

Primary practice location

2839 Cebu PL
Carlsbad, CA 92009-5905

Mailing address

2839 Cebu PL
Carlsbad, CA 92009-5905
Phone (619) 742-9887

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)
Enrolled
Credentials
Certified Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1192492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192492800000",
    "number": "1164611091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2839 CEBU PL",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920095905",
            "telephone_number": "619-742-9887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2839 CEBU PL",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920095905",
            "telephone_number": "619-742-9887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCFETRIDGE",
        "first_name": "JAMES",
        "middle_name": "WILEY",
        "name_prefix": "Mr.",
        "credential": "SRNA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-10-16",
        "last_updated": "2007-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carlsbad, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2007; 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.