Active NPI
Abdikarim Aden Hussein
- Basic Emergency Medical Technician
- La Mesa, CA
National Provider Identifier
1376960013
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Basic Emergency Medical Technician
- Practice address
- 7484 University Ave Ste 330
La Mesa, CA 91942 - Phone
- (619) 303-5936
- Fax
- (619) 741-8801
- NPI assigned
- Mar 19, 2014
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Basic Emergency Medical Technician | 146N00000X | Primary |
Addresses
Primary practice location
7484 University Ave Ste 330
La Mesa, CA 91942
Mailing address
7484 University Ave Ste 330
La Mesa, CA 91942-6065
Phone (619) 602-5915
Other practice location 1
1652 Bayview Heights Dr Apt 8
Apt #8
San Diego, CA 92105-5845
Phone (619) 602-5915
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Serenity Care Group | Current | Accepting new patients |
Locations
7484 University Ave
Ste 330
La Mesa, CA 91942
Phone (619) 252-3713
Organizations & group practices 1
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.
-
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Lemon Grove, CA
- NPI 1578428199
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1395187200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1662940800000",
"number": "1376960013",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7484 UNIVERSITY AVE STE 330",
"city": "LA MESA",
"state": "CA",
"postal_code": "919426065",
"telephone_number": "619-602-5915"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7484 UNIVERSITY AVE STE 330",
"city": "LA MESA",
"state": "CA",
"postal_code": "91942",
"telephone_number": "619-303-5936",
"fax_number": "619-741-8801"
}
],
"practiceLocations": [
{
"address_1": "1652 Bayview Heights Dr Apt 8",
"address_2": "Apt #8",
"address_purpose": "LOCATION",
"city": "San Diego",
"state": "CA",
"postal_code": "921055845",
"country_code": "US",
"telephone_number": "619-602-5915",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HUSSEIN",
"first_name": "ABDIKARIM",
"middle_name": "ADEN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-03-19",
"last_updated": "2022-09-12",
"certification_date": "2022-09-12",
"status": "A"
},
"taxonomies": [
{
"code": "146N00000X",
"taxonomy_group": "",
"desc": "Emergency Medical Technician, Basic",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in La Mesa, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.