Individual provider Active NPI

David Joseph Hutto, MD

  • Student in an Organized Health Care Education/Training Program
  • West Hollywood, CA
National Provider Identifier
1366145575
Registry record updated Aug 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
Practice address
127 S San Vicente Blvd
West Hollywood, CA 90048-3311
Phone
(310) 204-2327
Fax
(310) 204-2327
NPI assigned
Mar 24, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X Primary

Addresses

Primary practice location

127 S San Vicente Blvd
West Hollywood, CA 90048-3311

Mailing address

127 S San Vicente Blvd
Pavilion Building, Suite A3100
West Hollywood, CA 90048-3311
Phone (310) 204-2327

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20230616002589 MD Order and Referring Only - Internal MedicinePractitioner - Internal Medicine 9638537079

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1679616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785974400000",
    "number": "1366145575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "127 S SAN VICENTE BLVD",
            "address_2": "PAVILION BUILDING, SUITE A3100",
            "city": "WEST HOLLYWOOD",
            "state": "CA",
            "postal_code": "900483311",
            "telephone_number": "310-204-2327",
            "fax_number": "310-204-2327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127 S SAN VICENTE BLVD",
            "city": "WEST HOLLYWOOD",
            "state": "CA",
            "postal_code": "900483311",
            "telephone_number": "310-204-2327",
            "fax_number": "310-204-2327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUTTO",
        "first_name": "DAVID",
        "middle_name": "JOSEPH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-03-24",
        "last_updated": "2026-08-06",
        "certification_date": "2026-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Hollywood, CA

Sources for this page

Verify at the official NPI Registry.