Michael David Eynon

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

Practice address

680 Wilson Ave
Novato, CA 94947-3825

Phone

(415) 892-1643

NPI assigned

Aug 3, 2013

Last updated

Aug 3, 2013By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• North Marin Community Services

  • Community/Behavioral Health Agency
  • Novato, CA
  • NPI 1861556573

  Mental Health

  NPD (past)

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

{
    "created_epoch": "1375488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375488000000",
    "number": "1558793380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7291 CIRCLE DR",
            "city": "ROHNERT PARK",
            "state": "CA",
            "postal_code": "949283462",
            "telephone_number": "707-495-5336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "680 WILSON AVE",
            "city": "NOVATO",
            "state": "CA",
            "postal_code": "949473825",
            "telephone_number": "415-892-1643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EYNON",
        "first_name": "MICHAEL",
        "middle_name": "DAVID",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-08-03",
        "last_updated": "2013-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "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": []
}

• Patrice Marie Espinosa, DDS
• Monica Esteban, DNP, APRN, FNP-C, RN
• Lawson Eric Evans, DDS
• Amy J. Ewing, MD
• Eye Connection Incorporated (Site for Sore Eyes)
• Ogo Ezeokeke, NP
• Chelsea Fairbanks
• Family Service Agency of Marin
• Shawna Fariba, D.D.S
• Alexandra Farrand

• Student in an Organized Health Care Education/Training Program in Novato, CA
• Providers in Novato, CA by specialty
• Student in an Organized Health Care Education/Training Program in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2013; 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.