Individual provider Active NPI

Jeffrey Kakar Butron

  • Addiction (Substance Use Disorder) Counselor
  • Morgan Hill, CA
National Provider Identifier
1306114517
Registry record updated Dec 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
Practice address
16264 Church St
Suite 103
Morgan Hill, CA 95037-7130
Phone
(408) 779-2113
Fax
(408) 778-9672
NPI assigned
Dec 2, 2011
Last updated
Dec 2, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 2, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X NU Primary

Addresses

Primary practice location

16264 Church St
Suite 103
Morgan Hill, CA 95037-7130

Mailing address

16264 Church St
Suite 103
Morgan Hill, CA 95037-7130
Phone (408) 779-2113

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": "1322784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1322784000000",
    "number": "1306114517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16264 CHURCH ST",
            "address_2": "SUITE 103",
            "city": "MORGAN HILL",
            "state": "CA",
            "postal_code": "950377130",
            "telephone_number": "408-779-2113",
            "fax_number": "408-778-9672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16264 CHURCH ST",
            "address_2": "SUITE 103",
            "city": "MORGAN HILL",
            "state": "CA",
            "postal_code": "950377130",
            "telephone_number": "408-779-2113",
            "fax_number": "408-778-9672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUTRON",
        "first_name": "JEFFREY",
        "middle_name": "KAKAR",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-12-02",
        "last_updated": "2011-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morgan Hill, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2011; 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.