MS. MARY ENG HUNTSINGER , NPI 1285674960 — LOS ANGELES (CA)

NPI 1285674960

13+ Years Experience Individual

MS. MARY ENG HUNTSINGER

06.08.2006
PROVIDER ENUMERATION DATE
01/30/2018
LAST UPDATE DATE
1285674960
NPI NUMBER

About MS. MARY ENG HUNTSINGER

Sole proprietor? No, Entity Type 1 Provider (Individual) is not a Sole Proprietor.

MS. MARY ENG HUNTSINGER is a provider established in LOS ANGELES, CA. The NPI number of MS. MARY ENG HUNTSINGER is 1285674960 and was assigned on 06.08.2006. The practitioners primary taxonomy code is: 363LA2100X with license number: RN397221 CA .

Mailing address

  • City: LOS ANGELES
  • State: CA
  • Postal code: 900310309
  • Phone: 3234425100
  • Address: PO BOX 31309

Primary Practice Address

  • Region : LOS ANGELES, CA
  • NPI : 1285674960
  • Phone : 3234425100
  • Postalcode : 900335310
  • Address : 1520 SAN PABLO ST SUITE 1000

Additional identifiers

  • Identifier: W18762
  • Code / Type : 1 - other
  • Identifier state : CA
  • Identifier issuer: GROUP MEDICARE

Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Additional identifiers # 2

  • Identifier: GR0100430
  • Code / Type : 1 - other
  • Identifier state : CA
  • Identifier issuer : GROUP MEDI-CAL

Provider taxonomy - Nurse Practitioner

  • Taxonomy code: 363LA2100X
  • License number: RN397221
  • License state: CA

The taxonomy is not the primary taxonomy.

Healthcare provider taxonomy #2 - Nurse Practitioner

  • Taxonomy code: 363LA2100X
  • License number: NP 8429
  • License state: CA

The taxonomy is the primary taxonomy (there can be only one per NPI record).

Contacts:

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  • MS. MARY ENG HUNTSINGER
  • Address : 1520 SAN PABLO ST SUITE 1000
  • Region : LOS ANGELES, CA
  • NPI : 1285674960
  • Phone : 3234425100
  • Postalcode : 900335310

Reference NPI Information. Full replica of the CMS (NPPES) NPI record

Field Name Value
Provider First Line Business Practice Location Address1520 SAN PABLO ST
The first line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Second Line Business Practice Location AddressSUITE 1000
The second line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Business Practice Location Address City NameLOS ANGELES
The city name in the location address of the provider being identified.
Provider Business Practice Location Address State NameCA
The State or Province name in the location address of the provider being identified.
Provider Business Practice Location Address Postal Code900335310
The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.
Provider Business Practice Location Address Telephone Number3234425100
The telephone number associated with the location address of the provider being identified.
NPI1285674960
10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider.
Healthcare Provider Taxonomy 1363LA2100X
Provider Enumeration Date06.08.2006
The date the provider was assigned a unique identifier (assigned an NPI).
Last Updated01/30/2018
The date that a record was last updated or changed.
Entity TypeIndividual
Code describing the type of health care provider that is being assigned an NPI. Codes are:
  • 1 = (Person): individual human being who furnishes health care;
  • 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
Provider Organization Name (Legal Business Name)MS. MARY ENG HUNTSINGER
Provide organization name (legal business name used to file tax returns with the IRS). The Organization Name field allows the following special characters: ampersand, apostrophe, "at" sign, colon, comma, forward slash, hyphen, left and right parentheses, period, pound sign, quotation mark, and semi-colon. A field cannot contain all special characters.
Provider First Line Business Mailing AddressPO BOX 31309
The first line mailing address of the provider being identified. This data element may contain the same information as "Provider first line location address".
Provider Business Mailing Address City NameLOS ANGELES
The City name in the mailing address of the provider being identified. This data element may contain the same information as "Provider location address City name".
Provider Business Mailing Address State NameCA
The State or Province name in the mailing address of the provider being identified. This data element may contain the same information as "Provider location address State name".
Provider Business Mailing Address Postal Code900310309
The postal ZIP or zone code in the mailing address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available. This data element may contain the same information as "Provider location address postal code".
Provider Business Mailing Address Telephone Number3234425100
The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as "Provider location address telephone number".
Healthcare Provider Taxonomy Code #1363LA2100X
The Health Care Provider Taxonomy code is a unique alphanumeric code, ten characters in length. The code set is structured into three distinct "Levels" including Provider Type, Classification, and Area of Specialization.
Healthcare Provider Taxonomy 1Nurse Practitioner
Provider License Number 1RN397221
Certain taxonomy selections will require you to enter your license number and the state where the license was issued. Select Foreign Country in the state drop down box if the license was issued outside of United States. The License Number field allows the following special characters: ampersand, apostrophe, colon, comma, forward slash, hyphen, left and right parentheses, period, pound sign, quotation mark, and semi-colon. A field cannot contain all special characters. DO NOT report the Social Security Number (SSN), IRS Individual Taxpayer Identification Number (ITIN) in this section.
Provider License Number State Code 1CA
Healthcare Provider Primary Taxonomy Switch 1N
Primary Taxonomy:
  • X - The primary taxonomy switch is Not Answered;
  • Y - The taxonomy is the primary taxonomy (there can be only one per NPI record);
  • N - The taxonomy is not the primary taxonomy.
Healthcare Provider Taxonomy Code 2363LA2100X
Healthcare Provider Taxonomy 2Nurse Practitioner
Provider License Number 2NP 8429
Certain taxonomy selections will require you to enter your license number and the state where the license was issued. Select Foreign Country in the state drop down box if the license was issued outside of United States. The License Number field allows the following special characters: ampersand, apostrophe, colon, comma, forward slash, hyphen, left and right parentheses, period, pound sign, quotation mark, and semi-colon. A field cannot contain all special characters. DO NOT report the Social Security Number (SSN), IRS Individual Taxpayer Identification Number (ITIN) in this section.
Provider License Number State Code 2CA
Healthcare Provider Primary Taxonomy Switch 2Y
Primary Taxonomy:
  • X - The primary taxonomy switch is Not Answered;
  • Y - The taxonomy is the primary taxonomy (there can be only one per NPI record);
  • N - The taxonomy is not the primary taxonomy.
Other Provider Identifier 1W18762
Other Provider Identifier #1
Other Provider Identifier Type 11
  • 1 - Other
  • 5 - MEDICAID
Other Provider Identifier State 1CA
Other Provider Identifier State #1
Other Provider Identifier Issuer 1GROUP MEDICARE
Other Provider Identifier Issuer #1
Other Provider Identifier 2GR0100430
Other Provider Identifier #2
Other Provider Identifier Type 21
  • 1 - Other
  • 5 - MEDICAID
Other Provider Identifier State 2CA
Other Provider Identifier State #2
Other Provider Identifier Issuer 2GROUP MEDI-CAL
Other Provider Identifier Issuer #2
Provider Gender CodeF
  • M - male
  • F - female
Is sole proprietorN
  • X - Not Answered
  • Y - Yes, Entity Type 1 Provider (Individual) is a Sole Proprietor
  • N - No, Entity Type 1 Provider (Individual) is not a Sole Proprietor
X

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