Individual provider Active NPI

Kente Wiggins

  • Student in an Organized Health Care Education/Training Program
  • Hayward, CA
National Provider Identifier
1457801821
Registry record updated Jan 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
Practice address
26081 Mocine Ave
Hayward, CA 94544
Phone
(510) 881-5921
Fax
(510) 881-5925
NPI assigned
Oct 10, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X
Student in an Organized Health Care Education/Training Program 390200000X CA Primary

Addresses

Primary practice location

26081 Mocine Ave
Hayward, CA 94544

Mailing address

26081 Mocine Ave
Hayward, CA 94544-2923
Phone (510) 881-5921

Other practice location 1

3400 Richmond Pkwy
Apt 3811
Richmond, CA 94806-5207
Phone (215) 688-3107

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

NPI Registry JSON

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

{
    "created_epoch": "1476057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547683200000",
    "number": "1457801821",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26081 MOCINE AVE",
            "city": "HAYWARD",
            "state": "CA",
            "postal_code": "945442923",
            "telephone_number": "510-881-5921",
            "fax_number": "510-881-5925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26081 MOCINE AVE",
            "city": "HAYWARD",
            "state": "CA",
            "postal_code": "94544",
            "telephone_number": "510-881-5921",
            "fax_number": "510-881-5925"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3400 Richmond Pkwy",
            "address_2": "Apt 3811",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "CA",
            "postal_code": "948065207",
            "country_code": "US",
            "telephone_number": "215-688-3107",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WIGGINS",
        "first_name": "KENTE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-10-10",
        "last_updated": "2019-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hayward, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 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.

Verify at the official NPI Registry.