Individual provider Active NPI

James Patrick Hall, D.O.

  • Psychiatry Physician
  • Cypress, CA
National Provider Identifier
1760490643
Registry record updated Mar 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
20A7886 Issued in CA
Practice address
5816 Corporate Ave Ste 170
Cypress, CA 90630-4736
Phone
(714) 527-7886
Fax
(714) 593-9408
NPI assigned
Aug 4, 2006
Last updated
Mar 21, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 20A7886 CA Primary

Addresses

Primary practice location

5816 Corporate Ave Ste 170
Cypress, CA 90630-4736

Mailing address

18432 Santa Isadora St
Fountain Valley, CA 92708-5525
Phone (714) 527-7886

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160331000419 CA Practitioner - Psychiatry 4385941616 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Arizona College of Osteopathic Medicine Mid Western University, 2000
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

5816 Corporate Ave
Suite 170
Cypress, CA 90630-4736
Phone (714) 527-7886

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
20A7886CAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
James P. Hall D.O. a Medical Corp Psychiatry CurrentSince Jan 16, 2016 Accepting new patients

Locations

5816 Corporate Ave
Ste 170
Cypress, CA 90630
Phone (714) 269-2053

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1154649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679356800000",
    "number": "1760490643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18432 SANTA ISADORA ST",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927085525",
            "telephone_number": "714-527-7886",
            "fax_number": "714-593-9408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5816 CORPORATE AVE STE 170",
            "city": "CYPRESS",
            "state": "CA",
            "postal_code": "906304736",
            "telephone_number": "714-527-7886",
            "fax_number": "714-593-9408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALL",
        "first_name": "JAMES",
        "middle_name": "PATRICK",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-04",
        "last_updated": "2023-03-21",
        "certification_date": "2023-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "20A7886",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cypress, CA

Sources for this page

Verify at the official NPI Registry.