Individual provider Active NPI

Peter Nabile Awad

  • Driver
  • Huntington Beach, CA
National Provider Identifier
1952740698
Registry record updated Jun 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
DriverTaxonomy code 172A00000X
License
D6124591 Issued in CA
Practice address
16038 Springdale St Apt D7
Huntington Beach, CA 92649-1770
Phone
(562) 303-6653
NPI assigned
Jun 16, 2013
Last updated
Jun 16, 2013By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 16, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Driver 172A00000X D6124591 CA Primary

Addresses

Primary practice location

16038 Springdale St Apt D7
Huntington Beach, CA 92649-1770

Mailing address

16038 Springdale St Apt D7
Huntington Beach, CA 92649-1770
Phone (562) 303-6653

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

State licenses

LicenseStateTypeSpecialty
D6124591CAMDDriver

Practice roles

OrganizationSpecialtyStatusNew patients
Country Guide & Care Past Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1371340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1371340800000",
    "number": "1952740698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16038 SPRINGDALE ST APT D7",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926491770",
            "telephone_number": "562-303-6653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16038 SPRINGDALE ST APT D7",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926491770",
            "telephone_number": "562-303-6653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AWAD",
        "first_name": "PETER",
        "middle_name": "NABILE",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-06-16",
        "last_updated": "2013-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172A00000X",
            "taxonomy_group": "",
            "desc": "Driver",
            "state": "CA",
            "license": "D6124591",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2013; 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.