Jeffery Hall

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

License

H1106211834 Issued in CA

Practice address

133 N F St
Lompoc, CA 93436-6033

Phone

(805) 735-7525

Fax

(805) 737-0524

NPI assigned

Mar 21, 2014

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Coast Valley Worship Center

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Lompoc, CA
  • NPI 1548383110
  NPD (past)

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

{
    "created_epoch": "1395360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395360000000",
    "number": "1649697178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "133 N F ST",
            "city": "LOMPOC",
            "state": "CA",
            "postal_code": "934366033",
            "telephone_number": "805-735-7525",
            "fax_number": "805-737-0524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "133 N F ST",
            "city": "LOMPOC",
            "state": "CA",
            "postal_code": "934366033",
            "telephone_number": "805-735-7525",
            "fax_number": "805-737-0524"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALL",
        "first_name": "JEFFERY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-03-21",
        "last_updated": "2014-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "CA",
            "license": "H1106211834",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OUT PATIENT DRUGFREE",
            "identifier": "1548383110",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carina D Gutierrez, PPS
• Deborah Gutierrez
• Linda Gutierrez
• Diane M. Halderman, REGISTERED NURSE
• James Michael Hall II, D.C.
• Lisa Nesbeth Ham, AMFT
• Gyve Laurent Hamidi, DMD
• Laura Britton Hamilton, MPT
• Susan Hammerich, O.T.
• Ryan James Hamson

• Case Manager/Care Coordinator in Lompoc, CA
• Providers in Lompoc, CA by specialty
• Case Manager/Care Coordinator in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2014; 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.