Active NPI
Fred Soules
- Other Technician
- Soulsbyville, CA
National Provider Identifier
1922331610
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Other Technician
- Practice address
- 17108 S Mono Vista Rd
Soulsbyville, CA 95372-9750 - Phone
- (209) 532-2694
- Fax
- (209) 532-2694
- NPI assigned
- Sep 11, 2009
- 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 |
|---|---|---|---|---|
| Other Technician | 247200000X | Primary |
Addresses
Primary practice location
17108 S Mono Vista Rd
Soulsbyville, CA 95372-9750
Mailing address
17108 S Mono Vista Rd
Soulsbyville, CA 95372-9750
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": "1252627200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1252627200000",
"number": "1922331610",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17108 S MONO VISTA RD",
"city": "SOULSBYVILLE",
"state": "CA",
"postal_code": "953729750"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17108 S MONO VISTA RD",
"city": "SOULSBYVILLE",
"state": "CA",
"postal_code": "953729750",
"telephone_number": "209-532-2694",
"fax_number": "209-532-2694"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOULES",
"first_name": "FRED",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-09-11",
"last_updated": "2009-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "247200000X",
"taxonomy_group": "",
"desc": "Technician, Other",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Soulsbyville, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.