Individual provider Active NPI

Christopher Dillon Martin Hall, M.A.

  • Community Health Worker
  • Culver City, CA
National Provider Identifier
1396083127
Registry record updated Jan 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health WorkerTaxonomy code 172V00000X
Practice address
5350 Machado LN
Culver City, CA 90230-8800
Phone
(310) 737-9393
Fax
(310) 881-0069
NPI assigned
Jan 29, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Worker 172V00000X Primary

Addresses

Primary practice location

5350 Machado LN
Culver City, CA 90230-8800

Mailing address

10981 Rose Ave Apt 4
Los Angeles, CA 90034-5340
Phone (909) 578-6126

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
Credentials
Master of Arts

NPI Registry JSON

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

{
    "created_epoch": "1359417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1359417600000",
    "number": "1396083127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10981 ROSE AVE APT 4",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900345340",
            "telephone_number": "909-578-6126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5350 MACHADO LN",
            "city": "CULVER CITY",
            "state": "CA",
            "postal_code": "902308800",
            "telephone_number": "310-737-9393",
            "fax_number": "310-881-0069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN HALL",
        "first_name": "CHRISTOPHER",
        "middle_name": "DILLON",
        "name_prefix": "Mr.",
        "credential": "M.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-01-29",
        "last_updated": "2013-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Culver City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2013; 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.