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NPI 1104419407, an individual provider in GRANITE BAY, CA 95746.

NPI
1104419407
Entity type
Individual (type 1)
Status
Active
Practice location
GRANITE BAY, CA 95746
Enumerated
2021-02-17
Last updated
2021-02-17
Request
curl https://api.healthcare.dev/v1/providers/1104419407 \
  -H "Authorization: Bearer $HDEV_API_KEY"

NPPES

Taxonomy codes

  • 106S00000X Primary

Codes from the Health Care Provider Taxonomy code set; their names belong to the NUCC and aren't shown here.

Official record

The CMS NPI Registry is the official source for this NPI: NPI 1104419407 in the NPI Registry.

Use it

Look up 1104419407 from code or an agent

curl
curl https://api.healthcare.dev/v1/providers/1104419407 \
  -H "Authorization: Bearer $HDEV_API_KEY"
MCP prompt
Using the healthcare.dev MCP server, look up NPI 1104419407. Tell me the provider's name, whether it is an individual or an organization, whether the NPI is active, its taxonomy codes and its practice city and state.

Source: CMS NPPES file, release 2026-11. Public (FOIA-disclosable). Registry data as CMS publishes it, not a verification of credentials, licensure or enrollment.