Individual provider Active NPI

Daryl K Houston, MD

  • Pulmonary Disease Physician
  • Culver City, CA
National Provider Identifier
1295861433
Registry record updated Aug 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
G036313 Issued in CA
Practice address
3831 Hughes Ave
707
Culver City, CA 90232-2751
Phone
(310) 838-7381
NPI assigned
Feb 24, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 21, 2014

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X G036313 CA
Internal Medicine Physician 207R00000X G036313 CA
Pulmonary Disease Physician 207RP1001X G036313 CA Primary

Addresses

Primary practice location

3831 Hughes Ave
707
Culver City, CA 90232-2751

Mailing address

3831 Hughes Ave
707
Culver City, CA 90232-2751
Phone (310) 838-7381

Other identifiers 1

IdentifierTypeStateIssuer
006363130MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101019000260 CA Practitioner - Internal MedicinePractitioner - Pulmonary Disease 1557554995 Practice locations: Culver City, CA

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Pulmonary Disease
Education
University of California, San Francisco School of Medicine, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

3831 Hughes Ave
Culver City, CA 90232-6841
Phone 31083873815

Hospital & facility affiliations

  • MVH Home Health, Inc Home health agency, Sherman Oaks, CA, CCN 059791
  • Southern California Hospital at Hollywood Hospital, Hollywood, CA, CCN 050135
  • Cedars-Sinai Medical Center Hospital, Los Angeles, CA, CCN 050625
  • Centinela Hospital Medical Center Hospital, Inglewood, CA, CCN 050739

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G036313CAMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Daryl K Houston Specialist CurrentSince Jun 1, 1988 Accepting new patients
Cedars-Sinai Marina Hospital Past Accepting new patients
Southern California Healthcare System, Inc Past Accepting new patients

Locations

3831 Hughes Ave
Ste 707
Culver City, CA 90232
Phone (310) 829-3353

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1172275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1408579200000",
    "number": "1295861433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3831 HUGHES AVE",
            "address_2": "707",
            "city": "CULVER CITY",
            "state": "CA",
            "postal_code": "902322751",
            "telephone_number": "310-838-7381",
            "fax_number": "310-838-7386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3831 HUGHES AVE",
            "address_2": "707",
            "city": "CULVER CITY",
            "state": "CA",
            "postal_code": "902322751",
            "telephone_number": "310-838-7381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOUSTON",
        "first_name": "DARYL",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-24",
        "last_updated": "2014-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "G036313",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G036313",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "CA",
            "license": "G036313",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "006363130",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Culver City, CA

Sources for this page

Verify at the official NPI Registry.