Active NPI
Jason Fine
- General Care Registered Respiratory Therapist
- Woodland Hills, CA
National Provider Identifier
1649758087
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Care Registered Respiratory Therapist
- License
- 31318
- Practice address
- 5601 De Soto Ave
Woodland Hills, CA 91367-6701 - Phone
- (818) 719-2000
- NPI assigned
- Jul 28, 2018
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Respiratory Therapist | 227900000X | 31318 | CA | |
| General Care Registered Respiratory Therapist | 2279G1100X | 31318 | CA | Primary |
Addresses
Primary practice location
5601 De Soto Ave
Woodland Hills, CA 91367-6701
Mailing address
5601 De Soto Ave
Woodland Hills, CA 91367-6701
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
| License | State | Type | Specialty |
|---|---|---|---|
| 31318 | CA | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1532736000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1532736000000",
"number": "1649758087",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5601 DE SOTO AVE",
"city": "WOODLAND HILLS",
"state": "CA",
"postal_code": "913676701"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5601 DE SOTO AVE",
"city": "WOODLAND HILLS",
"state": "CA",
"postal_code": "913676701",
"telephone_number": "818-719-2000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FINE",
"first_name": "JASON",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-07-28",
"last_updated": "2018-07-28",
"status": "A"
},
"taxonomies": [
{
"code": "227900000X",
"taxonomy_group": "",
"desc": "Respiratory Therapist, Registered",
"state": "CA",
"license": "31318",
"primary": false
},
{
"code": "2279G1100X",
"taxonomy_group": "",
"desc": "Respiratory Therapist, Registered, General Care",
"state": "CA",
"license": "31318",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Woodland Hills, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.