Individual provider Active NPI

Haley O'Neel Cutting, PA-C

  • Physician Assistant
  • Los Angeles, CA
National Provider Identifier
1861920258
Registry record updated Oct 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
11611 San Vicente Blvd
Los Angeles, CA 90049-5106
Phone
(310) 820-0013
NPI assigned
May 30, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

11611 San Vicente Blvd
Los Angeles, CA 90049-5106

Mailing address

1441 Butler Ave Apt 10
Los Angeles, CA 90025-2485
Phone (650) 465-8922

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171115003149 CA Practitioner - Physician Assistant 6800152331 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Skinpeccable Inc. Current Accepting new patients
Brentview Medical Inc. CurrentSince Sep 16, 2017 Accepting new patients
BVM Therapy Inc. Past Accepting new patients

Locations

11611 San Vicente Blvd
Ste GF1
Los Angeles, CA 90049
Phone (310) 820-0013

11611 San Vicente Blvd
Los Angeles, CA 90049
Phone (310) 447-6060

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1496102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571184000000",
    "number": "1861920258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1441 BUTLER AVE APT 10",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900252485",
            "telephone_number": "650-465-8922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11611 SAN VICENTE BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900495106",
            "telephone_number": "310-820-0013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUTTING",
        "first_name": "HALEY",
        "middle_name": "O'NEEL",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-30",
        "last_updated": "2019-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.