NPI Code Detail JSON Logo

1134078751 NPI number — 9163 LLC

NPI Number: 1134078751
Health Care Provider/Practitioner: 9163 LLC

Information about “1134078751” NPI (9163 LLC) exists in 1134078751 in HTML format HTML  |  1134078751 in plain Text format TXT  |  1134078751 in PDF (Portable Document Format) PDF  |  1134078751 in an XML format XML  formats.

NPI Number : 1134078751 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1134078751",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "9163 LLC",
    "LastName": null,
    "FirstName": null,
    "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": "4721 W JENNIFER AVE STE 11",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "FRESNO",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "93722-6499",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "559-270-5813",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "4080 N BLACKSTONE AVE",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "FRESNO",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "93726-3805",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "559-270-5813",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "01/26/2026",
    "LastUpdateDate": "01/26/2026",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "PATEL",
    "AuthorizedOfficialFirstName": "JATIN",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "CHIEF OPERATING OFFICER",
    "AuthorizedOfficialNamePrefix": "MR.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "BA",
    "AuthorizedOfficialTelephoneNumber": "559-270-5813",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "174200000X",
          "TaxonomyName": "Meals Provider",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "177F00000X",
          "TaxonomyName": "Lodging Provider",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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