Justin Hampshire, RAD-T

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

R1436280721 Issued in CA

Practice address

1207 E Fruit St
Santa Ana, CA 92701-4296

Phone

(909) 953-9373

Fax

(714) 953-7573

NPI assigned

Jul 21, 2021

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1626825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626998400000",
    "number": "1649843137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7231 HIDALGO ST",
            "city": "BUENA PARK",
            "state": "CA",
            "postal_code": "906212709",
            "telephone_number": "714-818-4468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1207 E FRUIT ST",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927014296",
            "telephone_number": "909-953-9373",
            "fax_number": "714-953-7573"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMPSHIRE",
        "first_name": "JUSTIN",
        "name_prefix": "Mr.",
        "credential": "RAD-T",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-07-21",
        "last_updated": "2021-07-23",
        "certification_date": "2021-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "R1436280721",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "111",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "www",
            "address_1": "1207 E Fruit St",
            "city": "Santa Ana",
            "state": "CA",
            "country_code": "US",
            "postal_code": "927014296",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Amanda Hamm, L.C.S.W
• Brandie Hamm
• Clay Arron Hammett, PHARM. D.
• Pamela Marie Hammon
• Ian Hammond
• Susan Hampton-Ash
• Debra Lanae Hampton
• Ali Reza Hamzeh, M.D.
• Paul Y Han, DPM
• Erika Lynn Hanaumi, BS

• Addiction (Substance Use Disorder) Counselor in Santa Ana, CA
• Providers in Santa Ana, CA by specialty
• Addiction (Substance Use Disorder) Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 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.