Active NPI
Michael Jefferey Hollis, N.D.
- Naturopath
- Santa Monica, CA
National Provider Identifier
1184929408
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Naturopath
- License
- ND-198
- Practice address
- 933 4TH St
4
Santa Monica, CA 90403-2640 - Phone
- (310) 728-6785
- NPI assigned
- Jan 18, 2011
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Naturopath | 175F00000X | ND-198 | CA | Primary |
Addresses
Primary practice location
933 4TH St
4
Santa Monica, CA 90403-2640
Mailing address
933 4TH St
4
Santa Monica, CA 90403-2640
Phone (310) 728-6785
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 |
|---|---|---|---|
| ND-198 | CA | MD | Naturopath |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1295308800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1295308800000",
"number": "1184929408",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "933 4TH ST",
"address_2": "4",
"city": "SANTA MONICA",
"state": "CA",
"postal_code": "904032640",
"telephone_number": "310-728-6785"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "933 4TH ST",
"address_2": "4",
"city": "SANTA MONICA",
"state": "CA",
"postal_code": "904032640",
"telephone_number": "310-728-6785"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLLIS",
"first_name": "MICHAEL",
"middle_name": "JEFFEREY",
"name_prefix": "Dr.",
"credential": "N.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-01-18",
"last_updated": "2011-01-18",
"status": "A"
},
"taxonomies": [
{
"code": "175F00000X",
"taxonomy_group": "",
"desc": "Naturopath",
"state": "CA",
"license": "ND-198",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Santa Monica, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.