Active NPI
Jacob Hinkle
- Community Health Worker
- Laguna Hills, CA
National Provider Identifier
1598464786
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Worker
- Practice address
- 23161 Mill Creek Dr
Laguna Hills, CA 92653-7908 - Phone
- (657) 261-7140
- NPI assigned
- Feb 27, 2023
- 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 |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | CA | Primary |
Addresses
Primary practice location
23161 Mill Creek Dr
Laguna Hills, CA 92653-7908
Mailing address
23161 Mill Creek Dr
Laguna Hills, CA 92653-7908
Other practice location 1
12141 Brookhurst St
Garden Grove, CA 92840-2865
Phone (714) 296-1934
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": "1677456000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678665600000",
"number": "1598464786",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23161 MILL CREEK DR",
"city": "LAGUNA HILLS",
"state": "CA",
"postal_code": "926537908"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23161 MILL CREEK DR",
"city": "LAGUNA HILLS",
"state": "CA",
"postal_code": "926537908",
"telephone_number": "657-261-7140"
}
],
"practiceLocations": [
{
"address_1": "12141 Brookhurst St",
"address_purpose": "LOCATION",
"city": "Garden Grove",
"state": "CA",
"postal_code": "928402865",
"country_code": "US",
"telephone_number": "714-296-1934",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HINKLE",
"first_name": "JACOB",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-02-27",
"last_updated": "2023-03-13",
"certification_date": "2023-03-13",
"status": "A"
},
"taxonomies": [
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": "CA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Laguna Hills, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.