Active NPI
Jason Adam Hull, DO
- Family Medicine Physician
- Morro Bay, CA
National Provider Identifier
1740774082
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 20A19181
- Practice address
- 685 Morro Ave Ste C
Morro Bay, CA 93442-2233 - Phone
- (805) 772-7313
- Fax
- (805) 772-0395
- NPI assigned
- Jun 20, 2018
- Last updated
- Nov 16, 2021
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Family Medicine Physician | 207Q00000X | OT018785 | PA | |
| Family Medicine Physician | 207Q00000X | 20A19181 | CA | Primary |
Addresses
Primary practice location
685 Morro Ave Ste C
Morro Bay, CA 93442-2233
Mailing address
1414 E Main St Ste 201
Santa Maria, CA 93454-4890
Other practice location 1
1000 E Mountain Blvd
Wilkes Barre, PA 18711
Phone (870) 808-5569
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)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20A19181 | CA | MD | Family Medicine Physician |
| OT018785 | PA | MD | Family Medicine Physician |
| 19181 | CA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1529452800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1637020800000",
"number": "1740774082",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1414 E MAIN ST STE 201",
"city": "SANTA MARIA",
"state": "CA",
"postal_code": "934544890"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "685 MORRO AVE STE C",
"city": "MORRO BAY",
"state": "CA",
"postal_code": "934422233",
"telephone_number": "805-772-7313",
"fax_number": "805-772-0395"
}
],
"practiceLocations": [
{
"address_1": "1000 E Mountain Blvd",
"address_purpose": "LOCATION",
"city": "Wilkes Barre",
"state": "PA",
"postal_code": "18711",
"country_code": "US",
"telephone_number": "870-808-5569",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HULL",
"first_name": "JASON",
"middle_name": "ADAM",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-06-20",
"last_updated": "2021-11-16",
"certification_date": "2021-11-16",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "PA",
"license": "OT018785",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "20A19181",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Morro Bay, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 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.