Individual provider Active NPI

David Lane Norvell, BSL, JD

  • Health Educator
  • Temecula, CA
National Provider Identifier
1417580853
Registry record updated Feb 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health EducatorTaxonomy code 174H00000X
License
174H00000X Issued in CA
Practice address
27349 Jefferson Ave Ste 213
Temecula, CA 92590-5632
Phone
(619) 247-7653
NPI assigned
Feb 13, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 13, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Educator 174H00000X 174H00000X CA Primary

Addresses

Primary practice location

27349 Jefferson Ave Ste 213
Temecula, CA 92590-5632

Mailing address

27349 Jefferson Ave Ste 213
Temecula, CA 92590-5632
Phone (619) 247-7653

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
Bachelor of Science - Law, Juris Doctor

State licenses

LicenseStateTypeSpecialty
174H00000XCAMDHealth Educator

NPI Registry JSON

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

{
    "created_epoch": "1581552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581552000000",
    "number": "1417580853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27349 JEFFERSON AVE STE 213",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925905632",
            "telephone_number": "619-247-7653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27349 JEFFERSON AVE STE 213",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925905632",
            "telephone_number": "619-247-7653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NORVELL",
        "first_name": "DAVID",
        "middle_name": "LANE",
        "credential": "BSL, JD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-02-13",
        "last_updated": "2020-02-13",
        "certification_date": "2020-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174H00000X",
            "taxonomy_group": "",
            "desc": "Health Educator",
            "state": "CA",
            "license": "174H00000X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Temecula, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 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.