Individual provider Active NPI

Michael Hart, N.P.

  • Family Nurse Practitioner
  • San Jose, CA
National Provider Identifier
1457545147
Registry record updated Dec 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
430931 Issued in CA
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

Updated by the provider on Dec 14, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140701000929 CA Practitioner - Nurse Practitioner 2466677729 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
12166CAMDAcupuncturist
430931CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
School Health Clinics of Santa Clara County CurrentSince Apr 19, 2024 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.