Individual provider Active NPI

Julian Halton, PHC L2, PN1

  • Health & Wellness Coach
  • San Diego, CA
National Provider Identifier
1619637220
Registry record updated Dec 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health & Wellness CoachTaxonomy code 171400000X
License
A-334-9847 Issued in CA
Practice address
4451 Haines St Apt 2
San Diego, CA 92109-4313
Phone
(857) 320-1578
NPI assigned
Dec 22, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 22, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health & Wellness Coach 171400000X A-334-9847 CA Primary

Addresses

Primary practice location

4451 Haines St Apt 2
San Diego, CA 92109-4313

Mailing address

4451 Haines St Apt 2
San Diego, CA 92109-4313
Phone (857) 320-1578

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

LicenseStateTypeSpecialty
A-334-9847CAMDHealth & Wellness Coach

NPI Registry JSON

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

{
    "created_epoch": "1640131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640131200000",
    "number": "1619637220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4451 HAINES ST APT 2",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921094313",
            "telephone_number": "857-320-1578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4451 HAINES ST APT 2",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921094313",
            "telephone_number": "857-320-1578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALTON",
        "first_name": "JULIAN",
        "credential": "PHC L2, PN1",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-12-22",
        "last_updated": "2021-12-22",
        "certification_date": "2021-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171400000X",
            "taxonomy_group": "",
            "desc": "Health & Wellness Coach",
            "state": "CA",
            "license": "A-334-9847",
            "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 Dec 22, 2021; 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.