Active NPI
Michael Huddleson
- Student in an Organized Health Care Education/Training Program
- Pittsburg, CA
National Provider Identifier
1194241398
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 555 School St
Pittsburg, CA 94565-3937 - Phone
- (925) 432-4118
- NPI assigned
- Aug 18, 2017
- 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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Primary |
Addresses
Primary practice location
555 School St
Pittsburg, CA 94565-3937
Mailing address
1962 Upshur St NW
Washington, DC 20011-5354
Phone (650) 814-7793
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Y9163605 | Other | CA | DRIVERS LICENSE |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1503014400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1506556800000",
"number": "1194241398",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1962 UPSHUR ST NW",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200115354",
"telephone_number": "650-814-7793"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "555 SCHOOL ST",
"city": "PITTSBURG",
"state": "CA",
"postal_code": "945653937",
"telephone_number": "925-432-4118"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUDDLESON",
"first_name": "MICHAEL",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-08-18",
"last_updated": "2017-09-28",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DRIVERS LICENSE",
"identifier": "Y9163605",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Pittsburg, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.