NPI Code Detail JSON Logo

1124425012 NPI number — RACHEL NEMTZOV

NPI Number: 1124425012
Health Care Provider/Practitioner: RACHEL NEMTZOV

Information about “1124425012” NPI (RACHEL NEMTZOV) exists in 1124425012 in HTML format HTML  |  1124425012 in plain Text format TXT  |  1124425012 in PDF (Portable Document Format) PDF  |  1124425012 in an XML format XML  formats.

NPI Number : 1124425012 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1124425012",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "NEMTZOV",
    "FirstName": "RACHEL",
    "MiddleName": null,
    "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": "5400 PERKINS RD",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "OXNARD",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "93033-8812",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "805-488-3578",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "400 CAMARILLO RANCH ROAD",
    "SecondLinePracticeLocationAddress": "SUITE 209",
    "PracticeLocationAddressCityName": "CAMARILLO",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "93012-5903",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "805-242-8255",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "11/21/2014",
    "LastUpdateDate": "08/01/2022",
    "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": "235Z00000X",
        "TaxonomyName": "Speech-Language Pathologist",
        "LicenseNumber": "16479",
        "LicenseNumberStateCode": "CA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

Copyright © 2007-2026 Data Labs Health. All rights reserved.