Active NPI
Michael Ryan Huffman, D.C.
- Chiropractor
- Moorpark, CA
National Provider Identifier
1447365770
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC15246
- Practice address
- 4279 Tierra Rejada Rd
Moorpark, CA 93021-3775 - Phone
- (805) 222-2323
- Fax
- (805) 222-2333
- NPI assigned
- Aug 19, 2006
- 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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC15246 | CA | Primary |
Addresses
Primary practice location
4279 Tierra Rejada Rd
Moorpark, CA 93021-3775
Mailing address
1040 Flynn Rd
Camarillo, CA 93012-5092
Phone (805) 673-3930
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC15246 | CA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Clinicas del Camino Real Inc | Past | Accepting new patients | |
| Clinicas del Camino Real Inc | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Federally Qualified Health Center (FQHC)
- Camarillo, CA
- NPI 1295297190
-
- Federally Qualified Health Center (FQHC)
- Oxnard, CA
- NPI 1942789359
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155945600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1562716800000",
"number": "1447365770",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1040 FLYNN RD",
"city": "CAMARILLO",
"state": "CA",
"postal_code": "930125092",
"telephone_number": "805-673-3930",
"fax_number": "805-659-3217"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4279 TIERRA REJADA RD",
"city": "MOORPARK",
"state": "CA",
"postal_code": "930213775",
"telephone_number": "805-222-2323",
"fax_number": "805-222-2333"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUFFMAN",
"first_name": "MICHAEL",
"middle_name": "RYAN",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-19",
"last_updated": "2019-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "DC15246",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Moorpark, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.