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1215657846 NPI number — JASBEEN KAUR RAKKAR

NPI Number: 1215657846
Health Care Provider/Practitioner: JASBEEN KAUR RAKKAR

Information about “1215657846” NPI (JASBEEN KAUR RAKKAR) exists in 1215657846 in HTML format HTML  |  1215657846 in plain Text format TXT  |  1215657846 in PDF (Portable Document Format) PDF  |  1215657846 in an XML format XML  formats.

NPI Number : 1215657846 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1215657846",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "RAKKAR",
    "FirstName": "JASBEEN",
    "MiddleName": "KAUR",
    "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": "457 MCCALL DR",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "BENICIA",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "94510-3932",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "707-315-4082",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "1100 TRANCAS ST STE 250",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "NAPA",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "94558-2909",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "707-253-1135",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "09/01/2022",
    "LastUpdateDate": "08/21/2025",
    "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": "363A00000X",
        "TaxonomyName": "Physician Assistant",
        "LicenseNumber": "PA63863",
        "LicenseNumberStateCode": "CA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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