Organization Active NPI

C Houston, Inc

  • Family Medicine Physician
  • San Diego, CA
National Provider Identifier
1386203073
Registry record updated Jul 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
C HOUSTON, INC
Practice address
4033 3Rd Ave Ste 400
San Diego, CA 92103-2140
Phone
(888) 883-8658
Fax
(888) 606-1317
NPI assigned
Jun 7, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2020

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

Authorized official

Name
Dr. Cole Jackson Houston, MD
Title
MD/President
Phone
(435) 229-8321

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

4033 3Rd Ave Ste 400
San Diego, CA 92103-2140

Mailing address

7459 Bookham CT
San Diego, CA 92111-6734
Phone (435) 229-8321

Other names 1

  • Evolve Doing business as

National Provider Directory

National Provider Directory

Locations

1440 University Ave
San Diego, CA 92103

NPI Registry JSON

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

{
    "created_epoch": "1559865600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1593648000000",
    "number": "1386203073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7459 BOOKHAM CT",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921116734",
            "telephone_number": "435-229-8321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4033 3RD AVE STE 400",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921032140",
            "telephone_number": "888-883-8658",
            "fax_number": "888-606-1317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "C HOUSTON, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-07",
        "last_updated": "2020-07-02",
        "certification_date": "2020-07-02",
        "status": "A",
        "authorized_official_last_name": "HOUSTON",
        "authorized_official_first_name": "COLE",
        "authorized_official_middle_name": "JACKSON",
        "authorized_official_title_or_position": "MD/PRESIDENT",
        "authorized_official_telephone_number": "435-229-8321",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Evolve",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Evolve",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2020; 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.