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1033018049 NPI number — SERGIO ARGUETA JR. SUDRC I #25501

NPI Number: 1033018049
Health Care Provider/Practitioner: SERGIO ARGUETA JR. SUDRC I #25501

Information about “1033018049” NPI (SERGIO ARGUETA JR. SUDRC I #25501) exists in 1033018049 in HTML format HTML  |  1033018049 in plain Text format TXT  |  1033018049 in PDF (Portable Document Format) PDF  |  1033018049 in an XML format XML  formats.

NPI Number : 1033018049 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1033018049",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "ARGUETA",
    "FirstName": "SERGIO",
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": "JR.",
    "Credential": "SUDRC I #25501",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "1701 S MILLS AVE APT 50",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "LODI",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "95242-4259",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "530-520-1137",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "425 VERNON ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "OAKLAND",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "94610-2981",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "510-819-5323",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "11/04/2026",
    "LastUpdateDate": "11/04/2026",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "101YA0400X",
        "TaxonomyName": "Addiction (Substance Use Disorder) Counselor",
        "LicenseNumber": "25501",
        "LicenseNumberStateCode": "CA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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