Timothy James Hutson, MCA

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

H0906261427 Issued in CA

Practice address

624 W 9TH St
Suite 103
San Pedro, CA 90731-3158

Phone

(310) 938-4575

NPI assigned

Nov 4, 2014

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1415059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1415059200000",
    "number": "1396140265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1409 WHITE OAK CIR",
            "city": "OJAI",
            "state": "CA",
            "postal_code": "930231931",
            "telephone_number": "310-940-0017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "624 W 9TH ST",
            "address_2": "SUITE 103",
            "city": "SAN PEDRO",
            "state": "CA",
            "postal_code": "907313158",
            "telephone_number": "310-938-4575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUTSON",
        "first_name": "TIMOTHY",
        "middle_name": "JAMES",
        "credential": "MCA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-11-04",
        "last_updated": "2014-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "H0906261427",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marlena Hunter
• Micheal Huonder
• Huong-Anh Ngo Long, M.D., Inc.
• Andrew Hutcherson
• Tiffany Marie Hutcherson
• Thomas Hyatt
• Tobi Taofik Ibraheem, DPT
• Uduak Regina Iluore, MD
• Marc Steven Imai, D.D.S.
• Integration Corporation

• Addiction (Substance Use Disorder) Counselor in San Pedro, CA
• Providers in San Pedro, CA by specialty
• Addiction (Substance Use Disorder) Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 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.

Verify at the official NPI Registry.