Individual provider Active NPI

Jose Huitron, RN

  • Psychiatric/Mental Health Registered Nurse
  • Concord, CA
National Provider Identifier
1306276555
Registry record updated Nov 24, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0808X
License
718041 Issued in CA
Practice address
3354 Woodhaven LN
Concord, CA 94519-2020
Phone
(925) 521-4979
NPI assigned
Nov 24, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 24, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Registered Nurse 163WP0808X 718041 CA Primary

Addresses

Primary practice location

3354 Woodhaven LN
Concord, CA 94519-2020

Mailing address

3354 Woodhaven LN
Concord, CA 94519-2020

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
718041CAMDPsychiatric/Mental Health Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1385251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1385251200000",
    "number": "1306276555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3354 WOODHAVEN LN",
            "city": "CONCORD",
            "state": "CA",
            "postal_code": "945192020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3354 WOODHAVEN LN",
            "city": "CONCORD",
            "state": "CA",
            "postal_code": "945192020",
            "telephone_number": "925-521-4979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUITRON",
        "first_name": "JOSE",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-11-24",
        "last_updated": "2013-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "CA",
            "license": "718041",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Concord, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2013; 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.