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JACK FARO VANDER STOEP HUNT
NPI 1174106843
Student in an Organized Health Care Education/Training Program in San Diego, CA

Active since April 30, 2021PECOS Enrolled
200 DICKINSON ST., MC# 8218, SAN DIEGO, CA 92103(619) 471-0283(619) 543-2092 Get Directions Write a Review

NPPES record last updated: April 30, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jack Faro Vander Stoep Hunt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACK FARO VANDER STOEP HUNT (NPI 1174106843) is an individual student in an organized health care education/training program in San Diego, California and active in the NPI registry since April 2021. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1174106843
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameJACK FARO VANDER STOEP HUNT
Location Address200 DICKINSON ST., MC# 8218San Diego, CA 92103
Mailing Address200 Dickinson St., Mc# 8218San Diego, CA 92103 · (619) 471-0283 · Fax (619) 543-2092
Phone(619) 471-0283
Fax(619) 543-2092
Sole ProprietorNo
Enumeration DateApril 30, 2021
NPPES CertifiedApril 5, 2021
✔ NPI 1174106843 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
200 DICKINSON ST., San Diego, CA 92103
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jack Faro Vander Stoep Hunt is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jack Hunt's NPI number?

The NPI number for Jack Hunt is 1174106843. It was assigned to this individual provider in the NPPES registry on April 30, 2021.

Where is Jack Hunt located?

Jack Hunt practices at 200 Dickinson St. Mc# 8218, San Diego, CA 92103. The listed phone number is (619) 471-0283.

What is Jack Hunt's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Jack Hunt enrolled in Medicare?

Yes. Jack Hunt is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jack Hunt was last updated on April 30, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.