Myrt Hawkins, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

20A5827 Issued in CA

Legal business name

MYRT HAWKINS, DO

Practice address

31 Winham St
Salinas, CA 93901-3314

Phone

(831) 771-0244

Fax

(831) 771-0243

NPI assigned

Sep 28, 2007

Organization subpart

No

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

Authorized official

Name

Barbara Deaton

Title

Billing Agent

Phone

(831) 630-1302

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1190937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190937600000",
    "number": "1255528782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2495",
            "city": "SALINAS",
            "state": "CA",
            "postal_code": "939022495",
            "telephone_number": "831-771-0244",
            "fax_number": "831-771-0243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 WINHAM ST",
            "city": "SALINAS",
            "state": "CA",
            "postal_code": "939013314",
            "telephone_number": "831-771-0244",
            "fax_number": "831-771-0243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MYRT HAWKINS, DO",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-28",
        "last_updated": "2007-09-28",
        "status": "A",
        "authorized_official_last_name": "DEATON",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_title_or_position": "BILLING AGENT",
        "authorized_official_telephone_number": "831-630-1302"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "20A5827",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00AX58271",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Family Medicine Physician in Salinas, CA
• Providers in Salinas, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 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.