Active NPI
Abdishukur Nuuh
- Driver
- San Diego, CA
National Provider Identifier
1497312607
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Driver
- License
- F23977959
- Practice address
- 4041 Oakcrest Dr Unit 202
San Diego, CA 92105-2148 - Phone
- (619) 600-9657
- NPI assigned
- May 22, 2019
- 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 |
|---|---|---|---|---|
| Driver | 172A00000X | F23977959 | CA | Primary |
Addresses
Primary practice location
4041 Oakcrest Dr Unit 202
San Diego, CA 92105-2148
Mailing address
4041 Oakcrest Dr Unit 202
San Diego, CA 92105-2148
Phone (619) 600-9657
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 |
|---|---|---|---|
| F23977959 | CA | MD | Driver |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Legit LLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Non-emergency Medical Transport (VAN)
- San Diego, CA
- NPI 1144881038
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1558483200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1558483200000",
"number": "1497312607",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4041 OAKCREST DR UNIT 202",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921052148",
"telephone_number": "619-600-9657"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4041 OAKCREST DR UNIT 202",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921052148",
"telephone_number": "619-600-9657"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NUUH",
"first_name": "ABDISHUKUR",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-05-22",
"last_updated": "2019-05-22",
"status": "A"
},
"taxonomies": [
{
"code": "172A00000X",
"taxonomy_group": "",
"desc": "Driver",
"state": "CA",
"license": "F23977959",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 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.