Active NPI
Daryl K Houston
- Specialist
- Culver City, CA
National Provider Identifier
1497966568
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- G036313
- Legal business name
- DARYL K HOUSTON
- Practice address
- 3831 Hughes Ave
707
Culver City, CA 90232-2751 - Phone
- (310) 838-7381
- NPI assigned
- May 24, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Daryk Keith Houston
- Title
- Owner
- Phone
- (310) 838-7381
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | G036313 | CA | Primary |
Addresses
Primary practice location
3831 Hughes Ave
707
Culver City, CA 90232-2751
Mailing address
3831 Hughes Ave
707
Culver City, CA 90232-2751
Phone (310) 838-7381
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G363130 | Medicaid | CA |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179964800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1497966568",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3831 HUGHES AVE",
"address_2": "707",
"city": "CULVER CITY",
"state": "CA",
"postal_code": "902322751",
"telephone_number": "310-838-7381"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3831 HUGHES AVE",
"address_2": "707",
"city": "CULVER CITY",
"state": "CA",
"postal_code": "902322751",
"telephone_number": "310-838-7381"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DARYL K HOUSTON",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-24",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "HOUSTON",
"authorized_official_first_name": "DARYK",
"authorized_official_middle_name": "KEITH",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "310-838-7381"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": "CA",
"license": "G036313",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G363130",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Culver City, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.