NPI Code Detail JSON Logo

1003934571 NPI number — YOLANDA CAROLINA NOVELO

NPI Number: 1003934571
Health Care Provider/Practitioner: YOLANDA CAROLINA NOVELO

Information about “1003934571” NPI (YOLANDA CAROLINA NOVELO) exists in 1003934571 in HTML format HTML  |  1003934571 in plain Text format TXT  |  1003934571 in PDF (Portable Document Format) PDF  |  1003934571 in an XML format XML  formats.

NPI Number : 1003934571 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1003934571",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "NOVELO",
    "FirstName": "YOLANDA",
    "MiddleName": "CAROLINA",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "1510 FASHION ISLAND BLVD STE 310",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "SAN MATEO",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "94404-1587",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "628-777-6226",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "225 CABRILLO HWY S",
    "SecondLinePracticeLocationAddress": "SUITE 200A",
    "PracticeLocationAddressCityName": "HALF MOON BAY",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "94019-8200",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "650-372-3238",
    "PracticeLocationAddressFaxNumber": "650-786-4963",
    "EnumerationDate": "03/26/2007",
    "LastUpdateDate": "11/16/2021",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "101Y00000X",
        "TaxonomyName": "Counselor",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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