Active NPI
Gregory Allan Hall
- Durable Medical Equipment & Medical Supplies
- Orange, CA
National Provider Identifier
1376815225
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- 21761
- Practice address
- 1669 N Odonnell Way
Orange, CA 92867-3634 - Phone
- (714) 921-3919
- Fax
- (714) 704-9197
- NPI assigned
- Feb 7, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | 21761 | CA | Primary |
Addresses
Primary practice location
1669 N Odonnell Way
Orange, CA 92867-3634
Mailing address
1669 N Odonnell Way
Orange, CA 92867-3634
Phone (714) 921-3919
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 72717 | Other | CA | STATE OF CALIFORNIA DEPARTMENT OF PUBLIC HEALTH |
| 159914 | Other | CA | CITY OF ORANGE BUSINESS LICENSE CERTIFICATE |
Other names 1
- Halls Medical Services
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21761 | CA | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1328572800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1690848000000",
"number": "1376815225",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1669 N ODONNELL WAY",
"city": "ORANGE",
"state": "CA",
"postal_code": "928673634",
"telephone_number": "714-921-3919",
"fax_number": "714-704-9197"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1669 N ODONNELL WAY",
"city": "ORANGE",
"state": "CA",
"postal_code": "928673634",
"telephone_number": "714-921-3919",
"fax_number": "714-704-9197"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HALL",
"first_name": "GREGORY",
"middle_name": "ALLAN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-02-07",
"last_updated": "2023-08-01",
"certification_date": "2023-08-01",
"status": "A"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "CA",
"license": "21761",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE OF CALIFORNIA DEPARTMENT OF PUBLIC HEALTH",
"identifier": "72717",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CITY OF ORANGE BUSINESS LICENSE CERTIFICATE",
"identifier": "159914",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "HALLS",
"last_name": "SERVICES",
"middle_name": "MEDICAL",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Orange, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.