James P. Hall D.O. a Medical Corp

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

20A7886 Issued in CA

Legal business name

JAMES P. HALL D.O. A MEDICAL CORP

Practice address

5816 Corporate Ave
Suite 170
Cypress, CA 90630-4731

Phone

(714) 527-7886

NPI assigned

Mar 14, 2016

Last updated

Mar 21, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

James P Hallo, DO

Title

Ceo

Phone

(714) 527-7886

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• James Patrick Hall, D.O.

  • Psychiatry Physician
  • Cypress, CA
  • NPI 1760490643
  Medicare reassignment NPD

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

{
    "created_epoch": "1457913600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679356800000",
    "number": "1871954164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5816 CORPORATE AVE",
            "address_2": "SUITE 170",
            "city": "CYPRESS",
            "state": "CA",
            "postal_code": "906304731",
            "telephone_number": "714-527-7886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5816 CORPORATE AVE",
            "address_2": "SUITE 170",
            "city": "CYPRESS",
            "state": "CA",
            "postal_code": "906304731",
            "telephone_number": "714-527-7886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES P. HALL D.O. A MEDICAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-14",
        "last_updated": "2023-03-21",
        "certification_date": "2023-03-21",
        "status": "A",
        "authorized_official_last_name": "HALLO",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "714-527-7886",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "20A7886",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "20A7886",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Psychiatry Physician in Cypress, CA
• Providers in Cypress, CA by specialty
• Psychiatry Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.