Individual provider Active NPI

Mark Abraham Muskatblit

  • Community Health Worker
  • Watsonville, CA
National Provider Identifier
1922889583
Registry record updated Oct 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health WorkerTaxonomy code 172V00000X
Practice address
102 Wheelock Rd
Watsonville, CA 95076-9719
Phone
(831) 768-0941
NPI assigned
Oct 10, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 10, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Worker 172V00000X Primary

Addresses

Primary practice location

102 Wheelock Rd
Watsonville, CA 95076-9719

Mailing address

107 Roache Rd
Freedom, CA 95019-2817
Phone (415) 314-5765

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": "1696896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696896000000",
    "number": "1922889583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 ROACHE RD",
            "city": "FREEDOM",
            "state": "CA",
            "postal_code": "950192817",
            "telephone_number": "415-314-5765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 WHEELOCK RD",
            "city": "WATSONVILLE",
            "state": "CA",
            "postal_code": "950769719",
            "telephone_number": "831-768-0941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUSKATBLIT",
        "first_name": "MARK",
        "middle_name": "ABRAHAM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-10-10",
        "last_updated": "2023-10-10",
        "certification_date": "2023-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Watsonville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.