Active NPI
Andrea Hall
- Technician
- Northridge, CA
National Provider Identifier
1457072951
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Technician
- License
- L9619
- Practice address
- 19631 Parthenia St
Northridge, CA 91324-3408 - Phone
- (323) 473-2226
- NPI assigned
- Sep 5, 2022
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Technician | 374700000X | L9619 | CA | Primary |
Addresses
Primary practice location
19631 Parthenia St
Northridge, CA 91324-3408
Mailing address
11123 Lemoli Ave
Inglewood, CA 90303-2320
Phone (323) 473-2226
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 |
|---|---|---|---|
| L9619 | CA | MD | Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1662336000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1662336000000",
"number": "1457072951",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11123 LEMOLI AVE",
"city": "INGLEWOOD",
"state": "CA",
"postal_code": "903032320",
"telephone_number": "323-473-2226"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19631 PARTHENIA ST",
"city": "NORTHRIDGE",
"state": "CA",
"postal_code": "913243408",
"telephone_number": "323-473-2226"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HALL",
"first_name": "ANDREA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-09-05",
"last_updated": "2022-09-05",
"certification_date": "2022-09-03",
"status": "A"
},
"taxonomies": [
{
"code": "374700000X",
"taxonomy_group": "",
"desc": "Technician",
"state": "CA",
"license": "L9619",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Northridge, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.