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1215319025 NPI number — ALYSSA ROSE OGNENOVSKI M.D.

NPI Number: 1215319025
Health Care Provider/Practitioner: ALYSSA ROSE OGNENOVSKI M.D.

Information about “1215319025” NPI (ALYSSA ROSE OGNENOVSKI M.D.) exists in 1215319025 in HTML format HTML  |  1215319025 in plain Text format TXT  |  1215319025 in PDF (Portable Document Format) PDF  |  1215319025 in an XML format XML  formats.

NPI Number : 1215319025 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1215319025",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "OGNENOVSKI",
    "FirstName": "ALYSSA",
    "MiddleName": "ROSE",
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "M.D.",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "981 STATE HIGHWAY 121 STE 4150",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "ALLEN",
    "MailingAddressStateName": "TX",
    "MailingAddressPostalCode": "75013-6150",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "972-330-4264",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "808 W 58TH ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "LOS ANGELES",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "90037",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "323-541-1411",
    "PracticeLocationAddressFaxNumber": "877-720-7181",
    "EnumerationDate": "06/29/2015",
    "LastUpdateDate": "12/04/2025",
    "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": "207Q00000X",
          "TaxonomyName": "Family Medicine Physician",
          "LicenseNumber": "U8559",
          "LicenseNumberStateCode": "TX",
          "PrimaryTaxonomySwitch": "Y"
        },
        {
          "TaxonomyCode": "207Q00000X",
          "TaxonomyName": "Family Medicine Physician",
          "LicenseNumber": "A155857",
          "LicenseNumberStateCode": "CA",
          "PrimaryTaxonomySwitch": "N"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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