Individual provider Active NPI

Christopher Muff, SURFACE IDC

  • Independent Duty Corpsman
  • Saugus, CA
National Provider Identifier
1285181909
Registry record updated Sep 10, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Independent Duty CorpsmanTaxonomy code 1710I1002X
Practice address
28002 Ellis CT
Saugus, CA 91350-1955
Phone
(818) 317-6982
NPI assigned
Sep 10, 2016
Last updated
Sep 10, 2016By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 10, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Independent Duty Corpsman 1710I1002X Primary

Addresses

Primary practice location

28002 Ellis CT
Saugus, CA 91350-1955

Mailing address

28002 Ellis CT
Saugus, CA 91350-1955

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": "1473465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473465600000",
    "number": "1285181909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28002 ELLIS CT",
            "city": "SAUGUS",
            "state": "CA",
            "postal_code": "913501955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28002 ELLIS CT",
            "city": "SAUGUS",
            "state": "CA",
            "postal_code": "913501955",
            "telephone_number": "818-317-6982"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUFF",
        "first_name": "CHRISTOPHER",
        "credential": "SURFACE IDC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-09-10",
        "last_updated": "2016-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1710I1002X",
            "taxonomy_group": "",
            "desc": "Military Health Care Provider, Independent Duty Corpsman",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saugus, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2016; 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.