Active NPI
Nathaniel Hemedes
- Nursing Home Administrator
- Burbank, CA
National Provider Identifier
1376961102
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nursing Home Administrator
- License
- 6005654740
- Practice address
- 831 Delaware Rd
Burbank, CA 91504-3022 - Phone
- (818) 232-4818
- Fax
- (818) 237-5473
- NPI assigned
- Mar 29, 2014
- Last updated
- Mar 29, 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 |
|---|---|---|---|---|
| Nursing Home Administrator | 376G00000X | 6005654740 | CA | Primary |
Addresses
Primary practice location
831 Delaware Rd
Burbank, CA 91504-3022
Mailing address
831 Delaware Rd
Burbank, CA 91504-3022
Phone (818) 232-4818
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 |
|---|---|---|---|
| 6005654740 | CA | MD | Nursing Home Administrator |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1396051200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1396051200000",
"number": "1376961102",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "831 DELAWARE RD",
"city": "BURBANK",
"state": "CA",
"postal_code": "915043022",
"telephone_number": "818-232-4818",
"fax_number": "818-237-5473"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "831 DELAWARE RD",
"city": "BURBANK",
"state": "CA",
"postal_code": "915043022",
"telephone_number": "818-232-4818",
"fax_number": "818-237-5473"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEMEDES",
"first_name": "NATHANIEL",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-03-29",
"last_updated": "2014-03-29",
"status": "A"
},
"taxonomies": [
{
"code": "376G00000X",
"taxonomy_group": "",
"desc": "Nursing Home Administrator",
"state": "CA",
"license": "6005654740",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Burbank, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.