Active NPI
Peter Himber
- Neurology with Special Qualifications in Child Neurology Physician
- Santa Ana, CA
National Provider Identifier
1396043006
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology with Special Qualifications in Child Neurology Physician
- License
- G64751
- Practice address
- 1525 North Tustin Avenue
Santa Ana, CA 92705 - Phone
- (714) 796-5271
- Fax
- (714) 541-3709
- NPI assigned
- Mar 3, 2011
- 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 |
|---|---|---|---|---|
| Neurology with Special Qualifications in Child Neurology Physician | 2084N0402X | G64751 | CA | Primary |
Addresses
Primary practice location
1525 North Tustin Avenue
Santa Ana, CA 92705
Mailing address
1525 North Tustin Ave
Santa Ana, CA 92705
Phone (714) 796-5271
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 |
|---|---|---|---|
| G64751 | CA | MD | Neurology with Special Qualifications in Child Neurology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1299110400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1299110400000",
"number": "1396043006",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1525 NORTH TUSTIN AVE",
"city": "SANTA ANA",
"state": "CA",
"postal_code": "92705",
"telephone_number": "714-796-5271",
"fax_number": "714-541-3709"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1525 NORTH TUSTIN AVENUE",
"city": "SANTA ANA",
"state": "CA",
"postal_code": "92705",
"telephone_number": "714-796-5271",
"fax_number": "714-541-3709"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HIMBER",
"first_name": "PETER",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-03-03",
"last_updated": "2011-03-03",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0402X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
"state": "CA",
"license": "G64751",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Santa Ana, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.