Active NPI
Humberto Gonzales Caballero
- Driver
- Tallmadge, OH
National Provider Identifier
1215158308
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128a(1) exclusion effective May 19, 2016.
Key facts
NPPES NPI Registry- Primary specialty
- Driver
- License
- RS070964
- Practice address
- 919 Sunset View Blvd
Tallmadge, OH 44278 - Phone
- (330) 784-1932
- Fax
- (330) 784-1932
- NPI assigned
- May 2, 2007
- Last updated
- Jul 8, 2007
- 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 |
|---|---|---|---|---|
| Driver | 172A00000X | RS070964 | OH | Primary |
Addresses
Primary practice location
919 Sunset View Blvd
Tallmadge, OH 44278
Mailing address
PO Box 981
Cuyahoga Falls, OH 44223
Phone (330) 784-1932
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
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RS070964 | OH | MD | Driver |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178064000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1215158308",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 981",
"city": "CUYAHOGA FALLS",
"state": "OH",
"postal_code": "44223",
"telephone_number": "330-784-1932",
"fax_number": "330-784-1932"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "919 SUNSET VIEW BLVD",
"city": "TALLMADGE",
"state": "OH",
"postal_code": "44278",
"telephone_number": "330-784-1932",
"fax_number": "330-784-1932"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CABALLERO",
"first_name": "HUMBERTO",
"middle_name": "GONZALES",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-02",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "172A00000X",
"taxonomy_group": "",
"desc": "Driver",
"state": "OH",
"license": "RS070964",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tallmadge, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.