Active NPI
Kyle Cramer Hewitt, SFIDC
- Independent Duty Corpsman
- Oceanside, CA
National Provider Identifier
1780056218
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Independent Duty Corpsman
- Practice address
- 1005 Fandango CT
Oceanside, CA 92058-6757 - Phone
- (360) 536-7179
- NPI assigned
- Oct 23, 2015
- Last updated
- Oct 23, 2015
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Independent Duty Corpsman | 1710I1002X | Primary |
Addresses
Primary practice location
1005 Fandango CT
Oceanside, CA 92058-6757
Mailing address
1005 Fandango CT
Oceanside, CA 92058-6757
Phone (360) 536-7179
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1445558400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1445558400000",
"number": "1780056218",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1005 FANDANGO CT",
"city": "OCEANSIDE",
"state": "CA",
"postal_code": "920586757",
"telephone_number": "360-536-7179"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1005 FANDANGO CT",
"city": "OCEANSIDE",
"state": "CA",
"postal_code": "920586757",
"telephone_number": "360-536-7179"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEWITT",
"first_name": "KYLE",
"middle_name": "CRAMER",
"name_prefix": "Mr.",
"credential": "SFIDC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-10-23",
"last_updated": "2015-10-23",
"status": "A"
},
"taxonomies": [
{
"code": "1710I1002X",
"taxonomy_group": "",
"desc": "Military Health Care Provider, Independent Duty Corpsman",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oceanside, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.