Active NPI
Michael Hart, N.P.
- Family Nurse Practitioner
- San Jose, CA
National Provider Identifier
1457545147
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 430931
- Practice address
- 100 Oak St
San Jose, CA 95110-2817 - Phone
- (408) 295-0980
- Fax
- (408) 993-9833
- NPI assigned
- Sep 5, 2007
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 430931 | CA | Primary |
Addresses
Primary practice location
100 Oak St
San Jose, CA 95110-2817
Mailing address
5671 Santa Teresa Blvd Ste 105
San Jose, CA 95123-6512
Phone (408) 284-2281
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12166 | CA | MD | Acupuncturist |
| 430931 | CA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| School Health Clinics of Santa Clara County | Current | Accepting new patients |
Locations
645 Wool Creek Dr
San Jose, CA 95112
Phone (408) 283-6051
6840 Via del Oro
Ste 210
San Jose, CA 95119
Phone (408) 284-2280
Interoperability endpoints
- mhart574679@direct.ochin.org
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)
- San Jose, CA
- NPI 1851431647
-
- Federally Qualified Health Center (FQHC)
- San Jose, CA
- NPI 1376683151
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1188950400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1355443200000",
"number": "1457545147",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5671 SANTA TERESA BLVD STE 105",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951236512",
"telephone_number": "408-284-2281",
"fax_number": "408-754-0450"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 OAK ST",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951102817",
"telephone_number": "408-295-0980",
"fax_number": "408-993-9833"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HART",
"first_name": "MICHAEL",
"credential": "N.P.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-09-05",
"last_updated": "2012-12-14",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "430931",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Jose, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.